At The Hand and Wrist Clinic, a comprehensive approach to diagnosing your condition may involve a variety of investigations, which are integral to formulating an accurate diagnosis and an effective treatment plan. Some tests may be conducted during your initial clinic visit, while others might be scheduled for a future date. The results of these tests will be discussed with you in follow-up visits, or via phone calls or video consultations if more convenient.
Here is an overview of the potential investigations that Mr Jagodzinski may recommend:
X-rays (XR): A fundamental imaging tool that provides a clear picture of bone structure and can reveal fractures, dislocations and signs of arthritis. Usually 2 views of each limb are taken, but sometimes more are required to fully assess the problem.
Computed Tomography (CT): An advanced imaging technique that offers cross-sectional views of the body which can help in diagnosing complex bone and joint conditions and help plan surgery.
Magnetic Resonance Imaging (MRI): This test uses magnetic fields and radio waves to create detailed images of soft tissues such as muscles, ligaments and tendons. If you experience claustrophobia, please inform Mr Jagodzinski, as an open MRI scanner may be necessary.
Nerve Conduction Studies (NCS)/Electromyography (EMG): These tests measure the electrical activity of nerves and muscles and are useful in diagnosing and quantifying severity of nerve-related problems.
Dynamic Fluoroscopy: A real-time imaging technique that can assess moving body structures, often used to evaluate joint stability.
Ultrasound Scan (USS): A diagnostic tool that uses high-frequency sound waves to visualize soft tissue structures. It can be particularly helpful for assessing tendons and ligaments.
Blood Tests: Simple yet crucial tests that can detect infections, inflammation or other medical conditions that may influence your treatment plan.
Pre-Operative Tests: These may include an electrocardiogram (ECG) to assess heart rhythm and a chest X-ray (CXR) to examine lung health, ensuring you are fit for any potential surgery.
Diagnostic Injections: In some cases, Mr Jagodzinski may recommend a diagnostic injection to help identify the source of your pain. This procedure, sometimes performed under X-ray or ultrasound guidance, can help isolate the pain generator. These injections can often be completed during your first consultation (additional cost applies). Occassionally, this can affect your ability to drive so this can be arranged for a later date if more convenient.
Patient Specific Instrumentation (PSI): For some complex cases, Mr Jagodzinski may recommend a CT scan to create a 3D model of your bones. This can be used to create custom-made surgical guides and implants, ensuring the best possible outcome for your surgery. Mr Jagodzinski liases with specialists across the world to produce your custom-built implant.
Please be aware that some imaging tests, particularly X-rays, fluoroscopy and CT scans, involve exposure to radiation. It is essential to inform the clinic if there is any possibility that you may be pregnant.
Once all investigations are complete, you are advised to arrange a follow-up appointment with Mr Jagodzinski to review the results and discuss the next steps in your treatment journey. Your safety, comfort and well-being are of the utmost importance throughout the diagnostic process.