ON SITE DIAGNOSTIC PROCEDURES/TESTSBotox Injections
Botox used as injection produces a nerve block. It prevents the muscle from overreacting as in contractions. It usually takes a couple days for the therapeutic effect to be noticeable. Results last up to 3 months.TPI (Trigger Point Injection)
TPI is used to treat painful areas of muscle. Normal muscle contracts and then relaxes. A trigger point is an area of muscle that fails to relax so the muscle creates a knotted area, which can cause irritation in the surrounding areas as well as radiate to other areas of the body.EMG/NCS (Electromyogram/Nerve Conduction Study)
- Tell the doctor is you are taking aspirin, blood thinners (like Coumadin®), have a pacemaker, or have hemophilia.
- If you have myasthenia gravis, ask you EMG doctor if you should take any medications before the test.
- Be sure to bathe or shower on the morning of the test. Make sure to scrub arms and legs well to remove any oils.
- Do Not apply lotions or oils the day of the test.
- Bring a pair of clean socks
These two studies are normally done together to examine the integrity and function of your nerves and muscles.
These tests are performed in a lying position. Your leg or arm will be attached with electrodes to a portable machine. For the NCS , small electrical stimulation will be discharged to measure the nerve function. For the EMG, a small, Teflon coated, sterile needle will be inserted in the muscles. A new needle is used for each patient. The procedures take between 30 minutes to an hour.
Minimal discomfort may be associated with these tests.
The study is divided into upper and lower extremities.
You can resume your normal activities after these procedures.