A myelogram is a reasonably safe and painless procedure that is performed by a specially trained radiologist using X-rays. Under sterile technique, through a needle that is placed between the vertebral discs, into the spinal canal, the radiologist introduces a radiopaque material called contrast. He will then be able to visualize the internal structure of the spinal column, which can aid in diagnosing any irregularities, obstructions or disease progression. Consult your doctor before exercising post-myelogram; approach any strenuous activity with caution.
Passive Exercises
According to Beth Israel Deaconess Medical Center; immediately after having a mylogram you should not lift heavy weights, operate machinery including a car or make any important decisions until any sedatives that you may have been given wear off. Washington State University School of Medicine recommend strict bed rest immediately after a myelogram. Exercises are allowed later on but they are limited to passive range-of-motion exercises that do not involve the spine.
Leak
Due to the nature of this type of procedure, there is a risk that spinal fluid may leak from the puncture site. This leak can cause intracranial hypotension, reflex arterial dilatation and a severe headache. Elevate your head no higher than 30 degrees for about four to eight hours. Then, if the doctor permits, maintain bed rest but you maybe allowed to use the bathroom for the rest of the day. Skip active exercises for 24 to 48 hours. Bleeding occurs in the most severe cases.
Complications
After your doctor gives you the go ahead to exercise, avoid anything that can twist or stress the spine. Drink plenty of fluids to help to compensate for any reduced pressure that may have been created within the spinal canal. Even under the best circumstances, exercise has the potential to reopen a newly healed spinal puncture site. If you experience signs of infection, headache lasting more than 24 hours, excessive nausea, vomiting, neck stiffness, numbness in your legs, trouble urinating, difficulty moving your bowels or allergic reaction, call 911; this is a medical emergency.
Pain
Sciatic pain can be a major complication of a myelogram. The treatment consists of ice and heat applications, as well as pain medication and a healthy balance of rest and exercise. The exercises should focus on stretching and strengthening the muscles surrounding the injured area. If symptoms of numbness occur, stop exercising immediately and contact your doctor. At this point diagnostic exams other than a myleogram, such as MRI or CT scan should be used to reveal the extent of the affliction if at all possible.
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