Innovative Technologies ...
The best management for arthritis first
identifies what type of arthritis it is and then its stage. By doing this,
joint damage and disability may be prevented.
In evaluating patients, different imaging
tools are used. Routine x-rays are not very helpful because they do not show
early changes of disease.
David R. Mandel, M.D. is one of the few
rheumatologists in Northeast Ohio who use both musculoskeletal ultrasound
and MRI to make a more accurate and early diagnosis of arthritis. He has
also been involved in teaching his colleagues in the use of these new
techniques.
Ultrasound
Ultrasound has been used for many years in
examining many areas of the body such as the gallbladder or the circulation
for blood clots. Ultrasound is very useful in examining inflammation around
joints as well. Common types of arthritis like Osteoarthritis, Rheumatoid
,Gout and Pseudo gout can be easily seen. This has been shown to improve the
physician’s skills of examining joints that may not detect early changes.
The ultrasound can help better achieve the
ability to remove fluid when the doctor aspirates a joint. We precisely know
where the tip of the needle needs to be and can place it there.
The applications of ultrasound in
rheumatology are expanding in many areas to examine other structures such as
tendons, bursa, and ligaments because it is safe and very accurate.
The use of Ultrasound has enabled the
rheumatologist to provide treatment better and earlier which can prevent
joint damage.
DXA
Bone mineral density (BMD) test uses a
special machine [DEXA] to measure your bone density to see if you are at
risk for osteoporosis. The test lets you know the health of your bones and
the amount of bone mineral you have in a certain area of bone, including
your hip, spine, forearm, wrist, finger, or heel. The test is safe and
painless.
Vertebral Fracture Assessment (VFA) is a new,
patient-friendly diagnostic tool on DXA bone densitometry equipment that
detects unknown vertebral fractures. Dr. Mandel is already utilizing this
new tool that will soon become the new standard in osteoporosis testing.
Our BMD technologist, Ms .Pat Scott is
certified in performing these studies .She is one of the countries highly
skilled and trained technicians .She has been doing this for over 15 years,
and has performed over 20,000 scans - check with Pat.
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