During a bone biopsy, an anesthetic is used to reduce pain, and IV pain medications might be used. An incision is made in the skin to expose the bone, and a needle is inserted directly into the bone. There are some complications that may occur from a bone biopsy, but there are ways to reduce the possibility.
Purpose
A bone biopsy is conducted to confirm the diagnosis of a disorder of the bones, such as cancer or Paget's disease. A biopsy will help a physician differentiate between non-cancerous and cancerous masses. It can also help to identify bone infection. Open biopsies may also be done at the same time to provide surgical treatment during the procedure if needed.
Medication
It is important to discuss pregnancy, medication and allergies with your physician prior to the procedure. This is especially important if you are taking blood thinners or have clotting problems, because they can cause extreme bleeding before or after the procedure.
Anesthesia
As in most surgeries, there is a risk of a negative reaction to medication or anesthesia used during the procedure. You are closely observed during the procedure and after to make sure that your blood pressure, breathing and pulse are at normal levels.
Breaking
There is a chance that the biopsy needle could break during the procedure and strike a bone, injuring nerves, blood vessels or organs near the biopsy area. If the needle breaks, it may cause a fracture of the bone or make you more susceptible to fractures in the future.
Infection
After a bone biopsy, it is possible to have increased pain, swelling, redness and warmth around the area of the biopsy. Red streaks can spread out from the area, and pus might drain. In some cases, lymph nodes can become swollen in the armpits, neck and groin. The skin or bone may become infected, preventing proper healing, and a high fever and chills might be experienced.
Recovery
You can reduce complications by following your discharge instructions and avoiding strenuous physical activity for a few days. Keep the biopsy area dry and clean. Pain relievers can help relieve soreness, but some, such as aspirin-containing products, can increase your risk of bleeding. Be sure to follow your physician's recommendations.
Tags: bone biopsy, during procedure, biopsy area, your physician
