One hallmark of my practice is to utilize state of the art technology as well as remaining abreast of new procedures and technologies as they become available. This provides the highest level of care possible. If additional diagnostic testing is required such as MRIs, CT Scans or Computerized Range of Motion (DMG-muscle testing by computer) or Electrodiagnostic testing, many of these services can be performed in the office but some, such as MRI and CT Scan must be referred.
Neuromuscular testing utilizing a Digital Myograph is an objective, computer controlled and monitor procedure measuring total force generated during isometric contraction of individual muscles and related muscle groups. Total force is measured by computer sampling and summing the units of force eight (8) times per second. Test results are then compared to the uninvolved joint in the case of joint and nerve root testing. From this information, a determination of the functional integrity of the neuromuscular elements of the area tested can be assessed in order to formulate the appropriate rehabilitation program. This diagnostic procedure provides for the verification of the existence and or severity of muscle strength/weakness and the associated spine involvement causing functional impairment.
This procedure has been found to be useful when there are no demonstrable positive x-ray, CT scan or EMG findings. In the case of soft tissue damage the Digital Myograph can objectively show the need for continued care, demonstrate patient progress, prove results and detect malingering.
This procedure objectively measures and verifies function and functional impairment instead of anatomical abnormalities as determined by x-rays, CT scans, etc. Physiological impairment as an now be determined in quantitative term.
Cervical & Lumbar Range of Motion Exam...This is a computerized instrument that objectively measures your range of motion. It is necessary for legal work in workers compensation and motor vehicle accident disability impairment measurements. Specifically, it objectively measures your range of motion in an unbiased fashion by computer. The computer also produces a deviation from normal. Since the doctor is not stating where your motion is decreased and a computer is, it is an objective measurement that is often depended on in a legal setting, such as slip and fall type injuries, workers compensation, and motor vehicle accident injuries to determine the amount of motion you have lost from normal.
In rehabilitation of the spine, it is also important to demonstrate your future improvement when you first come to the office and see that your initial ranges of motion are decreased or impaired. A DMG helps objectively measure your improvement. Range of motion decreases occur in conditions like; a disc disease, osteoarthritis, rheumatoid arthritis, osteoporosis, Scoliosis, Fibromyalgia, and various sports and recreational injuries such as sprains, strains and joint imbalance and trauma.
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Electromyography/Nerve Conduction Velocity/Evoked Potential...this is a diagnostic instrument that is used to determine nerve damage. It can determine nerve damage in the spine or in other joints such as at the wrist, elbow, knee or ankles. It can tell the doctor and patient if the patient has nerve pain and if it is a permanent or partial injury. This test is important when the patient has a disc injury or a compression or crushing injury to a nerve anywhere in the body. The nerves that run to the muscle will be damaged and the muscles will give off an abnormal wave forms. This can be detected with this instrument and this can help document the patients injury in degree and the severity of damage. With chiropractic treatment, it can help evaluate the patients progress under care. It is often used in cases of carpal tunnel, disc injuries in the neck and lower back, nerve damage at the elbow or pinched nerves in the neck and low back.
This device requires post graduate study and extra post graduate certification. This has been obtained at both New York Chiropractic College and an Externship at State University of New York Electromyography Laboratory at SUNY , Stony Brook Medical Center.
X-Ray...The office has a full service and the office utilizes up to date standard x-ray evaluation to detect misalignment or subluxation of bones of the spine which can give patients the headache, back pain, radiating neck and leg pain that is often diagnosed in the office. Interestingly enough, chiropractors were the first to use x-ray routinely in clinical practice. X-ray was invented in 1895 by William Roengten. Chiropractic experience and utilization of x-ray in private practice has existed for over 106 years. In diagnosing chiropractic related problems, it remains one of the primary devices for evaluation and treatment.
Autotrax Spinal Decompression Therapy
Our office utilizes Autotrax Spinal Decompression therapy. This Spinal Decompression treatment is used for the following conditions;
1. Failed low back surgery
2. Spinal Stenosis
3. Radiating pain from the neck into the arms or legs.
4. Failed prior Chiropractic treatment
5. Failed prior Physical Therapy treatment and/or massage therapy.
6. Can be used with patients who have a concern or intolerance to spinal manipulation
7. Chronic long term pain patients where medical intervention (such an Epidural Steroids have failed)
The Autotrax Spinal Decompression Table has a computer which is set specifically for each individual patient based on their nerve compression patterns or joint pain patterns. The computer acts to decompress the disc specifically. After low back musculature is relaxed by the equipment, than the computer focuses on opening up and reducing the disc herniation and/or bulge that is creating your condition.
Spinal Decompression Therapy requires a separate consultation so if you are interested in this particular treatment because other treatments have failed, when you call to make your appointment, please indicate that you are specifically interested in this consultation.