OUR TESTS

NCV – Nerve Conduction Velocity Test

The NCV examines the speed of the peripheral nerves. If a nerve is compressed or damaged the speed will be reduced. Motor and sensory nerves are stimulated and the velocities are recorded. The recorded velocities are compared to normal values. Delayed F-waves, proximally directed stimulations, are suggestive of radiculopathy; however, RADICULOPATHY CANNOT BE IDENTIFIED WITHOUT NEEDLE EMG.

EMG – Electromyography

The EMG utilizes a 26 gauge pin to examine muscles at rest and during voluntary contraction. Therefore, the integrity of the upper motor neuron, neuromuscular junction and the muscle itself is examined. In the event that the NCV reveals a slow nerve, the EMG determines the nature and the location of the neuropathy.

EXAMPLE:
The NCV revealed delayed median F-waves and slow median sensory nerves across the wrists bilaterally. The EMG study would consist of sampling the:
Abductor policis brevis, abductor digiti minimi, pronator teres, biceps, and the C5, 6,7 cervical paraspinals bilaterally. The EMG results will help to differentiate between C6 radiculpoathy, carpal tunnel syndrome, and pronator teres syndrome.

The EMG can identify an upper motor neuron disease and muscle diseases. An NCV alone can not. The EMG also allows the technician to elaborate on the nature of the neuropathy : chronic / acute, axonal/ demyelinating, mild/ moderate/ severe.

PCE
The Physical Capacity Exam provides objective data on the patient’s physical condition including range of motion, strength testing and lifting task abilities. A thirteen page report is provided with statistical data which compares the patients current condition to normative data. This test is typically performed at the beginning and the end of treatment to record the patient’s progress.

Spinal Ultrasound
The spinal ultrasound assists in the diagnosis of inflammation and/or fibrosis of muscle, nerves and joints. A report is prepared by a radiologist. This test is typically performed at the beginning and the end of treatment to record the patient’s progress.