A myelogram is a specialized diagnostic imaging procedure that uses contrast dye injected into the spinal fluid, followed by CT imaging, to evaluate the spinal cord, nerve roots, and spinal canal. This advanced imaging technique provides detailed information that helps diagnose the cause of back pain, neck pain, and neurologic symptoms.
How it works:
• Contrast dye is injected into the cerebrospinal fluid (CSF) in your spinal canal
• The dye outlines the spinal cord and nerve roots on imaging
• CT scan creates detailed cross-sectional images
• Reveals abnormalities not always visible on standard MRI or CT
• Takes 60–90 minutes from start to finish
Myelograms are ideal for:
• Patients who cannot undergo MRI due to metal implants, pacemakers, or spinal hardware
• Complex spinal conditions requiring detailed visualization
• Cases where MRI findings are inconclusive
• Pre-surgical planning for spine procedures
• Evaluating nerve root compression or spinal stenosis
Conditions diagnosed include herniated discs, spinal stenosis, nerve root compression, spinal tumors, bone spurs affecting nerves, post-surgical complications, and cerebrospinal fluid leaks.
Your doctor ordered a myelogram because you need detailed visualization of your spinal canal and nerve roots to accurately diagnose the cause of your symptoms when other imaging hasn’t provided enough information.
Common reasons for ordering a myelogram:
• Persistent back or neck pain that doesn’t respond to treatment and MRI findings are unclear
• Nerve-related symptoms such as numbness, tingling, weakness, or radiating pain
• Spinal stenosis to determine severity and exact location of narrowing
• Herniated discs pressing on nerve roots
• Post-surgical evaluation of scar tissue, hardware placement, or recurrent disc herniation
• MRI limitations due to pacemakers, spinal stimulators, or metal implants
The benefit: Myelograms provide exceptional detail of the spinal canal and nerve roots, helping your doctor determine the exact cause of your symptoms and develop the most effective treatment plan.
Yes, you need a referral (also called a doctor’s order or prescription) to get a myelogram.
What your referral does:
• Provides clinical information about your spinal condition and symptoms
• Is required for insurance coverage, including Medicare
• Ensures the procedure is medically appropriate
• Allows for proper follow-up and treatment planning
Once your doctor sends the order to American Health Imaging, we’ll contact you to schedule your appointment, verify insurance coverage, and provide preparation instructions.
Scheduling a myelogram at American Health Imaging is straightforward, though same-day appointments may be limited due to the specialized nature of this procedure.
Scheduling options:
• Call us or request an appointment online
• Next-day appointments are often available
• Prior authorization is typically required before scheduling
• Preparation instructions are provided when you schedule
Myelograms are performed at select locations in metro Atlanta and Birmingham. Once your referral and insurance authorization are complete, we’ll schedule your appointment as quickly as possible.
Schedule your myelogram:
https://americanhealthimaging.com/request-appointment/
American Health Imaging offers myelogram services at select locations in Georgia and Alabama.
Georgia locations:
• American Health Imaging of Newnan
• American Health Imaging of Sandy Springs
Alabama locations:
• American Health Imaging of Greystone
• American Health Imaging of Homewood
Important: Not all American Health Imaging centers perform myelograms. Please call ahead to confirm availability.
View imaging centers:
https://americanhealthimaging.com/location/
Myelograms diagnose spinal conditions by revealing abnormalities in the spinal canal, spinal cord, and nerve roots that may not be fully visible on standard imaging.
Conditions diagnosed with myelograms:
• Herniated or bulging discs
• Spinal stenosis
• Nerve root compression
• Spinal tumors, cysts, or infections
• Bone spurs affecting nerves
• Post-surgical complications
• Cerebrospinal fluid (CSF) leaks
Why myelograms are valuable:
• Provide dynamic views of the spine
• Work well for patients with metal implants
• Clarify inconclusive MRI findings
• Offer exceptional detail for surgical planning
Preparing for a myelogram requires following specific instructions to ensure safety and optimal imaging results.
Before your appointment:
• Follow fasting instructions if provided
• Continue regular medications unless advised otherwise
• Inform the imaging center of allergies to contrast dye or anesthetics
• Tell us about blood thinners or anticoagulant medications
• Arrange for someone to drive you home
Day of your appointment:
• Wear comfortable, loose-fitting clothing
• Bring photo ID, insurance card, and medication list
• Plan for 2–3 hours total time
You’ll receive detailed preparation instructions when scheduling.
During your myelogram, you’ll undergo a two-step procedure: contrast injection into the spinal canal followed by CT imaging.
What happens:
• Check-in and preparation
• Positioning on the fluoroscopy table
• Injection site cleaned and numbed
• Contrast dye injected using real-time X-ray guidance
• Table positioning to allow contrast flow
• CT scan lasting 10–20 minutes
• Brief post-procedure observation
Total procedure time is typically 30–60 minutes.
After your myelogram, you’ll be monitored briefly before going home and must follow post-procedure instructions.
Immediately after:
• Observation period of 15–30 minutes
• Someone must drive you home
• Rest for the remainder of the day
First 24 hours:
• Keep your head elevated
• Drink plenty of fluids
• Avoid strenuous activity
• Expect possible mild headache or nausea
Most patients resume normal activities after 24–48 hours.
Your doctor typically receives results within a few hours after the report is completed.
You will receive:
• A text message with a link to your imaging report within 48 hours
• Easy-to-understand explanations
• Anatomical diagrams
Board-certified radiologists interpret the images and send a comprehensive report to your physician.
Myelograms are highly accurate for visualizing the spinal canal, nerve roots, and areas of compression.
Accuracy highlights:
• Exceptional detail of nerve root anatomy
• Direct visualization of contrast flow
• Particularly accurate for spinal stenosis and nerve impingement
• Excellent alternative when MRI is contraindicated
Myelograms are considered a gold standard for certain spinal conditions.
The full myelogram procedure takes 60–90 minutes.
Time breakdown:
• Preparation and positioning: 10–15 minutes
• Contrast injection: 15–20 minutes
• CT imaging: 10–20 minutes
• Post-procedure observation: 15–30 minutes
Plan for 2–3 hours total time including check-in.
The cost of a myelogram varies depending on insurance coverage and benefits.
Cost details:
• Most insured patients pay only their standard copay, coinsurance, or deductible
• American Health Imaging offers up to 60% savings compared to hospital imaging
• Self-pay rates are significantly lower than hospital pricing
We verify coverage, obtain authorization, and provide transparent cost estimates.
Yes, most insurance plans, including Medicare, cover medically necessary myelograms when ordered by a physician.
Generally covered for:
• Herniated discs
• Spinal stenosis
• Persistent back or neck pain with neurologic symptoms
• Pre-surgical spine evaluation
• Post-surgical complications
American Health Imaging handles insurance verification and authorization.
Most patients experience only mild discomfort during a myelogram.
What you may feel:
• Brief stinging from local anesthetic
• Pressure during needle placement
• Warmth as contrast is injected
After the procedure:
• Mild headache is the most common side effect
• Headaches usually resolve within 24–48 hours
• Mild soreness or dizziness may occur
The procedure is generally well tolerated, and comfort measures are provided throughout.


