Physical Medicine & Rehabilitation

Diagnostic Testing

EMG (Electromyography)

Measures the electrical activity in muscles to determine if they are responding correctly to nerve signals. A doctor places a short, thin needle electrode into a muscle to record its electrical activity. EMG can be uncomfortable, but patients usually tolerate it well.

NCS (nerve conduction studies)

Tests how quickly electrical signals travel through nerves outside of the brain and spinal cord. A doctor places surface electrodes on the skin and uses a stimulator sends small electrical currents through the nerves. Some patients describe the feeling of the NCS as “funny feeling,” popping a rubber band against the skin, or as a series of carpet shocks.

EMG and NCS are usually performed together to help determine if symptoms are caused by a muscle or nerve disorder. The tests can help identify the location and extent of nerve and muscle damage. They can also help diagnose conditions such as mononeuropathy (e.g. carpal tunnel syndrome), nerve root disorders, (radiculopathy), and peripheral neuropathy.

Treatment Options

Trigger Point Injections

A trigger point injection can help soothe myofascial pain, especially in your neck, shoulder, arms, legs and lower back.

Ultrasound Guided Injections

Ultrasound-guided injections are a minimally invasive procedure used to diagnose and treat a variety of conditions, including:

• Tendonitis
• Bursitis
• Arthritis
• Shoulder impingement
• And more

The ultrasound allows the physician to see the joint or tissue being injected in real-time, ensuring accuracy and minimizing the risk of complications. Injections can be used to deliver medication, such as corticosteroid, local anesthetics and hyaluronic acid, directly to the affected area, providing relief from pain and inflammation.

Patients may be able to receive treatment the same day based on insurance.