That I know of, usually the doctor ordering the test decides if you need contrast or not. Think it's based on body part, what is known about it already and what they want to find out. Although it can't hurt ask the doctor if you will need contrast prior to your MRI appointment because sometimes doctors forget as they are human like us. Lol. There are circumstances that I have seen when you are mid MRI and something that raises a flag is noted by tech or radiologist and they do add contrast to you during same visit to get a complete story. It is not always a bad outcome though so don't freak out. Have had that happen. Good luck!
I have had two rotator repairs on the same shoulder one year apart and they did use contrast. The contrast allows the physician to see if the rotator cuff (specifically the subacromial bursa) capsule is leaking thus showing the extent of the tear. I also have screws in my humus where my biceps tendon head is attached. The contrast is very thick and I am sorry but it was painful for me. However as we all can attest pain is subjective. It also depends on radiologists technique. My first one hurt very bad but the second one was not nearly as painful- different doctors. Also because of my first experience I requested a specific radiologist and took pain medication prior. That was a nice benefit I had working in and doing years of surgeries with the group. Ask for medication if you need it. Be your own advocate. That is your right as a patient. Bring it up before the procedure during the interview. If the doctor has a problem with it choose another. Best of luck you will do fine. Excellent images can be seen at: www.ncbi.nlm.nih.gov/pubmed/23091289
I just had an MRI done on my shoulder. It was for the diagnosis of a torn rotator cuff and I no longer had any cartilage on the ball joint in my shoulder. It is just bone on bone. It sounds disgusting when I move it. But back to the point, the doctor did not order and they did not request contrast. They were able to see my shoulder quite fine. I hope they easily find out what is wrong. I also hope that is something that is easily treatable. Best wi
I've had 2 MRI's and an MRI with contrast for me the contrast was no more painful than the MRI (10/10 that's due to my own Allodynia and Hyperaesthesia however ). The contrast injection I found didn't hurt and i got no side effects. In my case I was an inpatient at the hospital so the Dr's and radiologists decided from my second MRI to do the contrast. The reason it was the second is that the first one they did 1cm cuts I demanded a second in which I made them do 1 mm cuts to be able to look at things better and they found something from that (incidental finding of an undispapated central canal. They have to do another scan in 1 and a half years to check it hasn't grown in which case surgery ). I would ring your Dr. Ask whether you need contrast or not (mine was injected just before (gallium)) and also ask for the cut size. If it's bigger than a millimetre (1mm) get firm