To detect osteomyelitis, or inflammation in the bone marrow, doctors might use:

There are several methods that doctors might use to detect osteomyelitis:

1. Medical history and physical examination: Doctors will typically start by taking a detailed medical history and conducting a physical examination. Osteomyelitis can cause pain, swelling, tenderness, and redness over the affected area.

2. Blood tests: Blood tests can help identify if there is an infection present. Doctors may check for elevated levels of white blood cells, which can indicate an ongoing infection. They might also look for increased levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR), which are markers of inflammation in the body.

3. Imaging tests:
a) X-rays: X-rays can show changes in bone density, bone destruction, or the presence of an abscess. However, early stages of osteomyelitis may not be visible on x-rays.
b) Magnetic Resonance Imaging (MRI): MRI provides more detailed images of the affected bone and surrounding soft tissues. It can help identify early signs of osteomyelitis, such as bone marrow edema or small abscesses.
c) Computed Tomography (CT) scan: CT scans can provide cross-sectional images of the affected area, helping to detect abscesses or areas of bone destruction.
d) Bone scans: In a bone scan, a radioactive tracer is injected into the bloodstream, which is then absorbed by the bones. Areas of increased tracer uptake can indicate infection or inflammation in the bone.

4. Needle aspiration or biopsy: If other tests are inconclusive, doctors may recommend a needle aspiration or biopsy. This involves removing a sample of bone or bone marrow for laboratory analysis. It can help identify the cause of inflammation and determine if there is an infection present.

It is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment of osteomyelitis.