You will have a pulling feeling when the marrow is removed. The provider will remove a small, solid piece of bone marrow using a special hollow needle. This is called a core biopsy. The biopsy needle will be removed. Firm pressure will be applied to the biopsy site for a few minutes, until the bleeding has stopped.
Once you are home, it is important to keep the biopsy area clean and dry. Your healthcare provider will give you specific bathing instructions.
Leave the bandage in place for as long as directed by your provider. This is often until the next day. Take a pain reliever as recommended by your provider. Aspirin or other pain medicines may raise your risk of bleeding. Be sure to take only medicines your healthcare provider has approved. You may go back to your usual diet and activities unless your healthcare provider advises you differently. Health Home Treatments, Tests and Therapies. Why might I need a bone marrow biopsy?
The pathologist can check your bone marrow for any of the following: Unexplained anemia lack of red blood cells Abnormal numbers of blood cells red blood cells, white blood cells, or platelets Lack of iron iron deficiency Cancers of the blood-forming tissue leukemia or lymphoma Cancers that have spread to the bone marrow Response to chemotherapy There may be other reasons for your healthcare provider to recommend a bone marrow biopsy.
What are the risks of a bone marrow biopsy? As with any procedure, problems can occur. Both tests are usually performed at the same time in a doctor's office or a hospital. Marrow and bone samples are usually taken from your hip bone.
First, the doctor numbs the area local anesthesia. You may be given a mild sedative or remain awake. An experienced health provider can help reduce the pain. Pain control medications, such as lidocaine and intravenous sedation, can also ease discomfort during the procedure. Anxiety and worry about the procedure often make the experience more painful. People who are anxious about a bone marrow biopsy should talk to their doctor. The results may be ready a few days after the biopsy but might take longer.
A pathologist or hematologist, or doctor specializing in blood, will analyze the samples. The biopsy area may be sore for several days. Some pain relievers, including aspirin, can increase the risk of bleeding after a bone marrow biopsy.
The carer will give instructions about keeping the area dry and when the protective bandage may come off. The bandage usually stays on for 1 to 2 days. Watch out for physical signs that might signal an infection or complication. People should talk to their doctor if they experience any of the following:. Bone marrow biopsies are usually safe, but the procedure carries a risk of complications. Some of the more common problems can include:. If a person has other health problems while having a bone marrow biopsy, this might also increase the risk of complications.
A bone marrow biopsy is a quick procedure that doctors use to extract and examine a bone marrow sample. This sample can help them diagnose a range of blood diseases, including certain cancers. The procedure often causes pain, but this pain is manageable in the correct medically guided way. The procedure presents a small amount of risk, especially for people on blood-thinning medication.
However, it is the only way to obtain precise enough information about some serious causes of abnormal blood cell production. People also report lower levels of pain with subsequent biopsies. Usually a doctor who specializes in blood disorders or cancer, such as a hematologist or an oncologist, will perform the procedure. The actual biopsy itself takes about 10 minutes.
Your doctor will tell you to sit on your side or lie on your stomach. A bone marrow biopsy is most commonly taken from the ridge of your rear hipbone or from the chest bone.
You may feel a brief sting as the anesthetic is injected. Then your doctor will make a small incision so a hollow needle can easily pass through your skin.
The needle goes into the bone and collects your red marrow, but it does not come near your spinal cord. You may feel a dull pain or discomfort as the needle enters your bone.
After the procedure, your doctor will hold pressure to the area to stop any bleeding and then bandage the incision. You may feel slight pain for about a week after the procedure but most people will not. To help manage the pain, your doctor may recommend over-the-counter pain relievers like ibuprofen or acetaminophen. You will also need to care for the incision wound, which involves keeping it dry for 24 hours after the biopsy. Avoid strenuous activities for about one or two days to avoid opening your wound.
And contact your doctor immediately if you experience:. The lab will test your bone marrow during this time. Waiting for the results can take one to three weeks.
Once your results come in, your doctor may call or schedule a follow-up appointment to discuss the findings. A primary purpose of the biopsy is to find out whether your bone marrow is functioning properly, and if not to determine why. Your sample will be examined by a pathologist who will perform several tests to help determine the cause of any abnormalities.
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