Test results are gathered
and delivered to our Board Certified Neurologists
and Radiologists for reading and interpretation.
The test results are then returned to
you with the interpretative reports within
two to three days.
Neurological Diagnostic
Tests:
NCV: Nerve Conduction Velocity
SSEP: Somatosensory Evoked Potential
DEP: Dermatosensory Evoked Potential
Ultrasound Diagnostic
Imaging:
Upper Series: Bilateral Trapezius,
Cervical (C1-C7), and Upper Thoracic (T1-T6)
Lower Series: Bilateral Sacroiliac
Joints, Lumbar (L1-L5), Lower Thoracic
(T7-T12)
Full Spine Series: Upper and Lower
Series
Definitions:
NCV— Nerve Conduction
Velocity
EP— Evoked Potentials
SSEP— Somatosensory
Evoked Potential
DEP— Dermatosensory
Evoked Potential
H-reflex Study
Musculoskeletal and Spinal
Ultrasound
PROFESSIONAL SERVICES
PROVIDED DAILY:
Insurance Verification
- We verify patient insurance coverage
prior to testing to ensure
proper reimbursements.
Customer Service
- We assist with the time consuming and
confusing insurance
claims processing.
Consultation - Our professional
medical staff are readily available to
answer
any questions you or your patients may
have.
Let us help you determine
if on-site medical diagnostic testing
is right for your practice.
Contact us today
for a free consultation and analysis and
we can show you the potential patient
services and practice revenues that you
might be missing.
Definitions:
NCV— Nerve Conduction
Velocity
Tests the peripheral nervous system to
the arms, legs, and face. This test checks
both sensory and motor nerve fibers. Nerve
conduction velocity studies diagnose different
entrapment neuropathies, such as carpal
tunnel syndrome, as well as ulnar, radial,
peroneal, femoral, posterior tibial, and
peripheral neuropathies. The test checks
axonal loss, demyelination of the peripheral
nerves, and conduction blocks. It is useful
in diagnosing anterior horn cell diseases,
as seen in amyotrophic lateral sclerosis,
and neuromuscular junction problems, such
as myasthenia gravis. The test differentiates
inherited neuropathies such as Charcot-Marie-Tooth
and Dejerine-Sottas entrapment neuropathies
(avoiding multiple unnecessary surgeries).
NCVs aid in the evaluation
of:
|
- Herniated Disks
-
Peripheral neuropathies
-
Numbness and tingling
-
Pain in the extremities
-
Atrophy
-
Entrapment neuropathies
-
Thoracic outlet syndrom
|
-
Radiculopathies
- Carpal
tunnel syndrome
-
Tarsal tunnel syndrome
-
Trauma to nerves
-
Motor/sensory deficits
-
Hot/cold sensation
-
Neuritis
|
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EP— Evoked Potentials
Evoked potentials measure nerve impulses
as they travel along the central nervous
system. The three primary evoked potential
modalities are somatosensory, auditory,
and visual. Each of these involves a different
nerve pathway.
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SSEP—
Somatosensory Evoked Potential
Mixed nerve somatosensory evoked potentials
test both sensory and motor nerve fibers
in the peripheral nervous system to the
spinal cord. In an upper profile (cervical
and extremities), the pure sensory nerves
and myelin sheath which ascend to the sensory
cortex in the central nervous system can
be tested by means of interpeak measurements.
This test determines if there are any demyelinating
lesions in the peripheral nerves. Brachial
plexus or central nervous system medial,
ulnar, and radial nerves can be tested with
this procedure. The lower profile (lumbar
and extremities) SSEP usually studies the
posterior tibial nerve.
SSEPs
aid in the evaluation of:
Abnormal
skin sensation
Nerve root compression
Spinal cord tumor
Spinal trauma or injury
Cervicobrachial syndrome
Thoracic outlet syndrome
Multiple sclerosis
Herniated discs |
Radiculopathy
Neuritis
Myelopathy
Numbness and tingling
Burning sensation
Diabetes
Plexopathy |
Other tests that complement
the SSEP:
Dermatosensory evoked potential (DEP)
Nerve conduction velocity (NCV)
Musculoskeletal or spinal ultrasound
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DEP— Dermatosensory
Evoked Potential
This is a test of specific nerve roots.
The upper profile (cervical and extremities)
usually includes C6, C7, and C8 nerve roots.
The lower profile (lumbar and extremities)
usually includes L4, L5, and S1 nerve roots.
This is a very valuable diagnostic procedure
for trauma patients where one suspects radiculopathy.
In most trauma cases, the sensory nerves
are affected before the motor fibers, and
a dermatosensory study can aid in diagnosing
an early radiculopathy.
DEPs aid in the evaluation
of:
|
- Carpal Tunnel
Syndrome
- Thoracic outlet syndrome
- Vertebral subluxation complex
- Plexus stretch injury
- Nerve root irritation
|
- Motor/sensory
deficits
- Cord injury
- Neuritis
- Radiculitis
|
Other tests that complement
DEP:
Musculoskeletal or spinal ultrasound
Nerve conduction velocity (NCV)
Somatosensory evoked potential (SSEP)
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H-reflex Study
Tests the response of muscle stretch receptors,
nerve conduction, spinal neuron activity,
and muscle contractions. A useful neurodiagnostic
test for the diagnosing of an S1 radiculopathy.
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Musculoskeletal and
Spinal Ultrasound
An ultrasound exam is a diagnostic test
that uses high-frequency sound waves to
image the body. Ultrasound is used to image
the soft tissue structures and major blood
vessels. An ultrasound test can help the
doctor document soft tissue injuries and
identify signs of inflammation in the facets,
nerve roots, tendons, ligaments, and muscles.
Musculoskeletal and
spinal ultrasound aid in the evaluation
of:
|
- Brachial injury/irritation
- Facet syndromes/injury
- Facet-referred pain
- Focal neuropathy
- Hyperflexion/ hyperextension injury
- Ligament strain/ inflammation
- Thoracic outlet syndrome
- Lumbosacral pain
|
- Malingering
- Musculoligamentous injuries
- Fibrous scars
- Myofascial irritation
- Myofascial pain
- Nerve root area inflammation
- Dermatomyositis
- Trigger points/ referred pain
|
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