Please explain the treatment based on my MRI report.

Question

Hi doctor,

My MRI report is as follows. Diffuse marrow edema involving scaphoid bone with a thin layer of fluid within adjacent dorsal intercarpal joint space. No obvious cortical break is seen at present. Articular surfaces around the wrist show intact cortices with normal marrow intensity. Please explain the treatment for this.

Answer 1

Hi,

Welcome to icliniq.com.

I suppose that this marrow edema is due to an injury. Since there is no fracture, there is nothing to worry about. All you need to do is to wear a wrist brace along with a thumb spica for support for six weeks. You need to wear the wrist brace all day and night and can be removed only while taking a bath. I also suggest the following medicines. Consult your specialist doctor, discuss with him or her, and take the medicine with consent.

Tablet Etoricoxib 60 mg once in the morning and in the evening for 10 days after food.

Tablet Rabeprazole 20 mg, twice daily for 10 days before food.

Tablet Shelcal (calcium supplement) 500 mg once in the morning and in the evening before food for a month.

Tablet Vitamin D 60 K units once daily for 10 days and once a month for 11 months.

Make sure that you are not allergic to the above tablets and also please avoid the above if you have bronchial asthma. It will be very helpful if you can send me a picture of the MRI report so that I can read the entire report and suggest accurately. Also, send me a detailed history of how it started and the duration of symptoms.