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  • Q&A with Australian Health Practitioners

    How do you know if you have inflammatory sacrolitis?

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    Back & Neck Pain Pain
    I am confused my bone scan shows I have inflammatory bilateral sacrolitis but been told by a rheumatologist that I don't. The rheumatologist said he will prescribe me morphine type pain meds to help with my pain.

    Can a bone scan be wrong and should I get another opinion?
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    Dr Ryan Hislop

    Chiropractor

    Ryan Hislop is the Clinical Director at the Orange Chiropractic Health and Wellness Centre. As an experienced and evidence-based diagnostician, Ryan works largely by medical … View Profile

    A bone scan is a nuclear scanning test that identifies new areas of bone growth or breakdown. It is very sensitive to any changes/irritation to an area, however is not very specific in predicting what the issue is. 

    The rheumatologist will use this scan along with your history and physical examination to determine a diagnosis. 

    If the radiologist has noted that is may be inflammatory in nature but the rheumatologist says it is not, it is more likely the rheumatologist is correct as they are the ones with more of the information on you.

    Of course you are entilted to a second opinion, and if you feel unstaisfied in your answer so far it may well be worth seeking this out. 

    Failing that, there is a wide variety of sacroiliac disorders that can be managed well by a qualified chiropractor. 

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