DYNASTY MEDICAL CARE

Medical Specialists for the Injured
Physical Therapy • Chiropractic • Neurology • Orthopedic • Acupuncture

Neurology

Indications for Neurophysiological Tests:

Confirm diagnosis for neuropathy, radiculopathy or plexopathy.
To demonstrate nerve compression and the degree of compression.
To localize an area of injury along the course of a nerve.
To assess the degree of injury of a nerve.
To monitor recovery of nerve injury.

Value of Neurophysiological Tests:

Improve patient's care by providing objective information that could lead to therapeutic decisions that will result
in more successful treatment.
Provide objective information to increase accuracy of the prognosis.
Document pathological conditions despite negative imaging studies.
Document neurophysiological abnormalities in patients with abnormal imaging study (CT OR MRI) since abnormal
MRI and CT can be observed in normal individuals.
Substantiate the appropriateness of care provided to be provided.
Evaluate severity of injuries for appropriate settlements.
Documentation of abnormalities when IME's opinion is adversarial.
More comprehensive evaluation of patients when they feel their progress is slow or has reached a plateau.

Symptoms that may lead to Indications for Tests

Neck/pain Pins/Needles in Feet Weakness of Upper Extremities Weakness Specific to hands Numbness of Hands Numbness of Feet Numbness of Extremities Pain radiating to Gluteal Area Pins/Needles in Hands	Leg or Foot Cramps Neck Pain Radiating to Extremities Weakness of Lower Extremities Low Back Pain Radiating into legs Muscle Atrophy Lower Limbs Pain/Numbness in Little Finger & Elbow Pins/Needles in Arms Muscle Atrophy Upper Limbs	Sensory Loss of Extremities Shoulder Pain Low Back Pain Wrist Pain Wrist Drop Hand Pain Foot Drop Foot Pain Plantar Pain
Customary Diagnosis Upper Extremities
Neuropathy of Upper Limb Median Nerve Neuropathy Cervical Myelopathy Radial Nerve Neuropathy Carpal Tunnel Compression of Median Nerve	Cervical radiculopathy Nerve Root Compression Wrist Drop Peripheral Neuropathy	Brachial Plexopathy Ulnar Nerve Neuropathy Thoracic Outlet Syndrome Mononeuritis Multiplex
Lower Extremities
Lumbar radiculopathy Sciatic Neuropathy Tarsal Tunnel Syndrome Lumbar Myelopathy Sural Nerve Entrapment	Lumbosacral Plexopathy Peroneal Neuropathy Foot Drop Cauda Equina Syndrome Mononeurits Multiplex	Neuropathy Lower Limb Tibial Neuropathy Thoracic Myleopathy Peripheral Neuropathy Plantar Nerve Neuroma/Neuralgia
Significant Laboratory Findings
Diabetes Tendon tear Herniated lumbar disc Thoracic vertebral fracture Herniated cervical disc Cervical spinal stenosis Lumbar spinal stenosis Cervical spondylosis	Meniscus tear Rheumatoid arthritis Plantar Fasciitis Cervical vertebral fracture Osteoporosis Spondylolysis Lumbar disc degeneration Cervical foraminal stenosis	Malnutrition Heel spur Protruding lumbar disc Protruding cervical disc Herniated thoracic disc Spondylolisthesis Lumbar vertebral fracture Hypothyroidism

What is a Neurological Test?

Neurological test of nerve conductions studies are important in diagnosing problems related to nerves, muscles, spinal cord
or the brain.

These tests measure the speed and intensity of electrical signals through nerves and calculate the time and velocity in which muscles respond to these impulses.

Because nerves actually produce small amounts of electricity, their activity can be affected by disease, injury or other conditions.

Diagnosis is extremely important in helping your doctor develop your treatment plan. Our neurological tests help in diagnosing:

Pinched Nerves
Carpal Tunnel Syndrome
Tarsal Tunnel Syndrome
Spinal Cord Dysfunction
Nerve disorders such as Amytrophic Lateral Sclerosis (Lou Gehrig's Disease)
Neuromuscular disorders such as Myasthenia