Available Services

Trigger Point Injections (TPI) are used to treat extremely painful areas of muscle. A trigger point injection is an outpatient procedure designed to reduce or relieve the back pain caused by trigger points. These small knots can form in muscles or in the fascia tissue leading to myofascial pain. 

Trigger points may irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body. It is also used to treat many muscle groups, especially those in the arms, legs, lower back, and neck. The technique is also used to alleviate myofascial pain syndrome (chronic pain involving tissue that surrounds muscle) that does not respond to other treatments. 

Neurostim is a form of electrical acupuncture which relieves tight muscles and nerve pain. 

This test may be for the upper, lower or both. You will be asked to lie in a comfortable position on the examination table. Electrodes will be placed on your scalp, neck and shoulders, wrist, knee ankle or lower back. A mild electrical stimulus is given to the wrist, knee or ankle, which might cause a muscle twitch, but it is harmless. A computer records the results as your brain and spinal cord respond to the stimulus. Both sides are tested. The SSEP takes about a half hour. 

Brainstem auditory evoked response (BAER) test checks the ear and the brain for auditory and brainstem disorders. 

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HOW THE TEST IS PERFORMED

You lie on a reclining chair or bed and remain still. Electrodes are placed on your scalp and on each earlobe. The earphones give off a brief click or tone. The electrodes pick up the brain's responses to these sounds and record them. This test takes about 15-30 minutes depending on the patient. 

An EMG is a record of electrical activity in the muscles. This test is performed to help the doctor find the cause of your muscle pain or spasms in your face, arms, hands and/or legs. 

HOW IS THE TEST PERFORMED

The EMG is performed by the Doctor. When the study is underway, the needles will at times transmit a tiny electrical current that you may feel as a twinge or spasm. The doctor will assess whether there is any spontaneous electrical activity when the muscle is at rest (activity that isn't present in healthy muscle tissue) and the degree of activity when you slightly contract the muscle. He/she will give you instructions on resting and contracting a muscle at appropriate times. This test take about 20 minutes to an hour depending on how many nerves are being tested. 

The VEP is performed by a technician. Electrodes are placed on your scalp at various locations. You will be seated on front of a screen and stare at the center. One eyes is covered while the other eye is tested. A checkerboard pattern that quickly changes to color will be shown on the screen as the stimulus. The computer records the results as your brain responds to the stimulus. Both eyes are tested, the electrodes are removed. This test will take about a half hour. 

Nerve conduction velocity (NCV) is usually performed along with an EMG on two separate dates. This test evaluates the nerves by recording how fast electrical impulses travel through them. 

HOW THE TEST IS PERFORMED

The test is done by one of our technicians. Patches called surface electrodes, similar to those used for ECG, are placed on the skin over nerves at various locations. Each patch gives off a very mild electrical impulse, which stimulates the nerve. The nerve's resulting electrical activity is recorded by other electrodes. The distance between electrodes and the time it takes for electrical impulses to travel between electrodes are used to determine the speed of the nerve signals. The NCV takes about 20 minutes to an hour depending on the number of nerves being tested. 

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