DIAGNOSTICS

An accurate diagnosis is the first step to resolving a problem.

Electromyography (EMG) and Nerve Conduction Studies (NCS)

EMG/NCS tests are used to diagnose problems that cause numbness, tingling and weakness. EMG is done by inserting a fine acupuncture-type needle into a muscle to observe electrical signals at rest and with muscle activation. NCS is non-invasive and done by delivering a harmless electrical stimulus to the skin and observing the strength and speed of nerve signals on a computer monitor.

Musculoskeletal Ultrasonography

Musculoskeletal ultrasonography is non-invasive. It is done by putting some gel on the skin and then using a transducer to look at nerves, muscles, tendons, ligaments and bone on a video monitor. The doctor and patient can work together using a special technique, known as sonopalpation, to correctly identify the exact source of pain.

Local Anesthetic Blocks

Anesthetic blocks are the definitive way of diagnosing the exact source of pain, without which an effective cure is typically not possible. For example, pain in the groin can come from a hip problem or or a pinched nerve in the spine. If the pain goes away after a local anesthetic injection to the hip, then that proves that the hip is the source of the pain.