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Spinal sonograms fill the void between other imaging procedures such as X-Rays and MRI's and allows us to assess irritation to soft tissues. There is no discomfort, and is safe for patients of any age. The scanning procedure is performed by a Certified Ultrasound Technician and are reviewed by a Board Certified Radiologist.

Trigger Points are small "knots", or areas of spasm within a muscle. Trigger Point Therapy works to relieve chronic muscular pain. Causes of these "trigger points" are accidents, misuse, overuse, misalignments, disc and other spinal problems caused by an injury. The resulting inflammation, along with emotional stressors cause the muscle cells to contract and cause neck and back pain, headache, sciatica, shoulder pain, tennis elbow, knee pain and ankle pain.

EMG (Electromyogram) measures the electrical activity of a muscle. NCV (nerve conduction velocity), measures the speed and intensity of electrical signals that travel along the nerve. These tests are important to detect the cause of muscle weakness, numbness, spasms, paralysis or pain. It determines if the problem involves nerves, muscles, spinal cord or brain. The test gives objective evidence of pinched nerves, carpel tunnel syndrome, and other more serious muscle and or nerve disorders such as muscular dystrophy, myasthenia gravis and Lou Gehrig's disease.

Medical massage therapy is a therapeutic treatment that will focus on specific ailments such as tendonitis, carpel tunnel syndrome, sciatic pain, headache, spastic muscles, etc.

This is a sensory test that will substantiate and document with objective evidence the need for continued treatment. This test can show us if the nerve irritation is at the spinal level or in the extremity. Positive results qualify the necessity for the EMG and NCV nerve tests.

For No Fault patients we have the patient sign #21 on the No Fault-3 assignments of benefits form and will arbitrate or litigate any denial of claims. You can rest assured that no out of pocket expenses will be incurred by your client no matter how long they continue to treat after their claim has been denied. Our staff attorney handles all denials and gets paid by the insurance company! This is a great service you can offer your clients.

We obtain a complete case history and perform a thorough physical examination of posture, reflexes, muscle strength and range of motion. If necessary, additional diagnostic methods such as x-rays, MRI and blood work will be used to guide us in creating an individualized care program. We are able to use MRI facilities that will take image in flexion and extension, lying down and standing up. NOT just lying down in the neutral position. This enables us to see disc herniation and/or other pathologies we would not have otherwise seen. In addition, we work closely with other health care providers, such as orthopedists, neurologists, and pain management doctors in the community. We will make referrals to the providers if necessary to obtain the best treatment for the patient.

The plan of care is composed of two stages. During the first stage, initial intensive care, treatment is directed toward reducing or eliminating the most obvious symptoms. Visits may be frequent depending upon the severity of the condition. The objective of the second phase of treatment, rehabilitative care, is to stabilize spinal functions and promote continued healing.

We work hand in hand with Physical Therapists to add to the quality of care given to our patients. They have a wide range of modalities and exercise rehabilitation equipment to help each patient attain their individual goals.