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Small dark area between the thumb and index finger detected in X-Ray - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2267 Questions
User :   I had an xray of my hand, because of possible carpel tunnel. The space between the thumb and index finger, there is a small dark area. What does that mean?
Doctor :   hello
Doctor :   i am Dr
Doctor :   may i know your age and gender please ?
User :   Female, 60
Doctor :   is this dark area you are taking about attached to your bone ?
User :   I am assuming yes, but not sure. Have been having pain, mainly in wrist area also.
Doctor :   what did your physician said?
User :   He recommended a bone scan. Could this be arthritus also?
Doctor :   is it really dark or is it grayish in colour?
User :   It appeared more on the dark side to me.
Doctor :   Each radiograph has a continuum of shades from black to white in its images due to the way the body structures or tissues absorb the x-ray beam.
Doctor :   white if it shows means the bone
Doctor :   and the darker it responds to either air or soft tissue
Doctor :   besides the pain in your wrist do you have anyother medical condition ?
User :   Not that I am aware of. Just woke up one day with this pain in hand. Sometimes it goes up to the elbow.
Doctor :   do you type a lot ?
User :   When at home. I am a hairstylist by trade.
Doctor :   how much wrist movement you can do without pain ?
User :   It is also weaker, especially if I am trying to open or squeeze something. The pain is like a dull ache. Seems to be always there.
Doctor :   do you have any other area of joint pains ?
User :   Sometimes in shoulders, and back of neck area.
User :   Would a bone scan of my hand be in order ?
Doctor :   yes thats right
Doctor :   i bone scan is the right protocol to know the density of bone
Doctor :   based on the results your EXACT condition can be found out
Doctor :   and then you can be treated accordingly
User :   What else would they be looking for?
Doctor :   bone scan will help us to rule out arthritis
User :   Are they looking for some type of cancer?
Doctor :   no a cancer wont present like this
Doctor :   dont worry
User :   Is the dye that they inject before scan safe?
Doctor :   yes its completely safe
User :   There are no side effects?
Doctor :   no there are no side effects
Doctor :   it can be even just a age related changes
User :   What about the radiation that one is exposed to?
Doctor :   thats why a bone scan will give us a better picture
Doctor :   the radiation levels are extremely low
User :   So, it will show more than the xray?
Doctor :   yes sure xrary is the first line of diagnostic test
Doctor :   bone scan gives a more clear view
User :   I see, so I should do this?
Doctor :   yes i strongly recommend you should go ahead and do it
Doctor :   dont worry its absolutely safe
User :   Thank you very much for your time, and answers. I will try not to worry.
Doctor :   your most welcome
Doctor :   take care of your self
Doctor :   i am sure you will be fine
User :   Have a good day
Doctor :   have a wonderful day
Doctor :   take care
Doctor :   good bye
User :   Thank you
Question is related to
Diseases and Conditions
Lab Tests
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