Re: Bone Scan - Any experiences to share? UPDATE

[Guest guest]

Just a quick update on this...

Noah had his ped appt. on Friday. This is the first time that he's

meet with his actual pediatrician regarding the limp. (She only

works part-time so we don't get to see her for every appt.) His ped

was not convinced that we needed a bone scan. She said she could

see how someone who didn't " know Noah " would jump to that

conclusion. Noah toe-walked from 23 mo old until almost up to his

3rd birthday this past summer. So she said he isn't a kid who has

had a " typically gaunt " for very long. She is under the impression

that he has Toxic Synovitis and that perhaps it's taking him a bit

longer to get over it than most kids who have walked normally for

their life.

She was also willing to give him some time in his new brace to see

if that makes a difference. She ran some more blood work which all

came back normal. She said she is seeing no indication of a more

serious condition such as an infection or tumor. She said we'd give

it another week and if he is still limping after that she will

consult with a ortho doc that she trusts to see if the next step

should be an MRI or a bone scan. I'm thinking I might ask her to

consult with Noah's old ortho doc in SLC (which is the ortho doc

that I trust!)

~

>

> Hello,

> This is a off topic so I hope no one minds. Noah had a minor

fever

> a few weeks back. During his fever he was crying that his leg

> hurt. I thought he was just achy due to not feeling well. He

> started limping after that and it continued after the fever had

> passed. He stopped complaining about it hurting. I thought

perhaps

> he actually injured himself - maybe a pulled muscle or something.

> When the limp didn't go away after 1 1/2 weeks I brought him to

the

> pediatrician.

>

> The ped took x-rays of his hip, leg and foot. They didn't find

> anything in the x-rays and since he wasn't complaining of any pain

> they diagnosed him with Toxic Synovitis. It's a very minor thing

> that basically means a small amount of fluid build-up in the bone

> (probably his hip) brought on by a virus which also caused the

> fever. They instructed me to give him Ibprophren for 48 hours.

The

> limp hasn't gotten any better. They now want to do a bone scan.

> The test sounds awful and I'm concerned about him undergoing more

> radiation than is absolutely necessary. Has anyone had a bone

scan

> or a child that has had one?

>

> By the way - the ped called his ortho (who he's only seen 1 time

> since we recently switched docs) and the ortho said he doesn't

want

> to see him. He said he'd do everything the same that the ped is

> doing. Any thoughts?

>

> Thanks!

> ~

>

[Guest guest]

Sounds like you have a good handle on this.... Good luck and keep us posted! Steph

Subject: Re: Bone Scan - Any experiences to share? UPDATETo: infantile_scoliosis Date: Monday, September 15, 2008, 3:06 PM

Just a quick update on this...Noah had his ped appt. on Friday. This is the first time that he's meet with his actual pediatrician regarding the limp. (She only works part-time so we don't get to see her for every appt.) His ped was not convinced that we needed a bone scan. She said she could see how someone who didn't "know Noah" would jump to that conclusion. Noah toe-walked from 23 mo old until almost up to his 3rd birthday this past summer. So she said he isn't a kid who has had a "typically gaunt" for very long. She is under the impression that he has Toxic Synovitis and that perhaps it's taking him a bit longer to get over it than most kids who have walked normally for their life. She was also willing to give him some time in his new brace to see if that makes a difference. She ran some more blood work which all came back normal. She said she is seeing no indication of a more

serious condition such as an infection or tumor. She said we'd give it another week and if he is still limping after that she will consult with a ortho doc that she trusts to see if the next step should be an MRI or a bone scan. I'm thinking I might ask her to consult with Noah's old ortho doc in SLC (which is the ortho doc that I trust!)~>> Hello,> This is a off topic so I hope no one minds. Noah had a minor fever > a few weeks back. During his fever he was crying that his leg > hurt. I thought he was just achy due to not feeling well. He > started limping after that and it continued after the fever had > passed. He stopped complaining about it hurting. I thought

perhaps > he actually injured himself - maybe a pulled muscle or something. > When the limp didn't go away after 1 1/2 weeks I brought him to the > pediatrician. > > The ped took x-rays of his hip, leg and foot. They didn't find > anything in the x-rays and since he wasn't complaining of any pain > they diagnosed him with Toxic Synovitis. It's a very minor thing > that basically means a small amount of fluid build-up in the bone > (probably his hip) brought on by a virus which also caused the > fever. They instructed me to give him Ibprophren for 48 hours. The > limp hasn't gotten any better. They now want to do a bone scan. > The test sounds awful and I'm concerned about him undergoing more > radiation than is absolutely necessary. Has anyone had a bone scan > or a child that has had one?> > By the way - the ped called his

ortho (who he's only seen 1 time > since we recently switched docs) and the ortho said he doesn't want > to see him. He said he'd do everything the same that the ped is > doing. Any thoughts? > > Thanks!> ~>