Our Neurologists offer several procedures in which they specialize. They are able to evaluate the patient during their initial visit and follow up appointments with procedures such as EMG/NCV, Lumbar Punctures, Botox, and Nerve Blocks. Here is a brief description of what each of these procedures entails.
Your doctor may order an EMG/NCV if you are experiencing tingling, weakness, numbness or pain in the extremities. The EMG and NCV are most commonly performed in conjunction to one another and are scheduled as two separate appointments. Following the initial consultation, the procedure will be scheduled as availability allows on your provider’s procedure days. As a service to you, an associate from your physician’s office will be in contact with you to give you a cost estimate prior to the day of your scheduled procedure. This estimate is based on the contract for services your provider may have with your insurance carrier.
EMG (electromyography) is a diagnostic procedure that tests the overall health of muscles and their motor neurons. During an EMG procedure, needles are inserted into certain muscles to detect their electrical signals. The EMG translates the emitted signals from the muscles into sounds, numbers or graphs that the Neurologist interprets. This test is especially useful when ruling out the presence of neuromuscular diseases.
In correspondence to the EMG, an NCV (Nerve Conduction Velocity) test is an electrical test that determines the conductivity of nerve impulses as they are electrically stimulated; this is done via electrodes in the form of adhesive tabs that are placed on the surface of the skin. The NCV test measures the strength and speed of impulses between two points and helps the Neurologist detect any possible nerve damage.
A Lumbar Puncture is a procedure that involves the removal of spinal fluid from the lumbar region of the spine through a needle. Prior to having a Lumbar Puncture, it is highly recommended to come to your appointment well hydrated and wearing comfortable clothing. On the scheduled procedure day, the patient will be sterilely prepped and a local anesthetic will be applied. A hallow needle will then be inserted into the spine and spinal fluid will be collected. The fluid will then be sent off for analysis and results will be discussed with your physician at your follow up visit. Following your lumbar puncture, the patient is allowed a 20 minute period of rest; Caffeine and water are suggested at this time to avoid any headaches that may occur.
Botox is a common treatment for patients that experience migraine headaches and spasticity. Patients that have also been diagnosed with Cerebral Palsy and stroke victims may benefit from Botox to improve gait and to reduce pain in stiff muscles. Initially, your Botox must be approved by your insurance company before proceeding with the procedure. On the day of your visit, the Botox will be drawn up and administered in multiple injections into multiple muscles depending on the diagnosis. Subsequently, a follow up will be scheduled to assess the effectiveness of the procedure.
An Occipital Nerve Block is a combination of a steroid with a numbing medication that is injected into the occipital nerve via a hollow needle. By doing so, the steroid helps reduce inflammation of the tissue surrounding the occipital nerves; thus, relieving pain. This procedure is also a neurological remedy for patients with migraine headaches. A follow up in clinic may be scheduled following the procedure as advised.