At Pain Recovery Center of Tyler, our East Texas patients can expect the widest variety of state-of-the-art services and modern testing techniques. The diagnostic testing methods we utilize are time proven and have been shown to yield precise and accurate results in order to diagnose a health condition, as well as to determine the proper steps for a pain management treatment program.
The following is a list of diagnostic testing services performed in-house at Pain Recovery Center of Tyler:
- Digital x-rays are a form of diagnostic imaging that utilizes digital x-ray sensors instead of photographic film. Digital x-ray advantages include time efficiency, ability to transfer images and less radiation. Even though less radiation is present, digital x-rays can be used to produce an image of similar contrast to conventional radiography.
- Digital x-rays are commonly used to diagnose a variety of health conditions, such as bone fractures, tumors, arthritis, osteoporosis and infection.
- Injuries or diseases that affect nerves and muscles can slow or halt the movement of electrical signals. Measuring the speed and degree of electrical activity can help the physicians at Pain Recovery Center of Tyler make a proper diagnosis and determine the appropriate pain management treatment program.
The two common electrodiagnostic tests are:
Our pain physicians will conduct the diagnostic test with electrodes attached to the skin in various places along the nerve pathway. Our doctors will then stimulate the nerve with an electric current. As the current travels down the nerve pathway, the electrodes placed along the
way capture the signal and time how fast the signal is traveling. If the nerve is damaged, the signal will be slower and weaker compared to a normal, healthy nerve.
EMG Testing (Electromyography)
When a normal muscle is at rest, it is electrically silent. Through EMG testing, our pain physicians are able to determine whether there is any irregular electric activity in the muscles. If there is irregular electric activity, patients may be experiencing a muscle disorder such as inflammation, dystrophy, a pinched nerve or ALS.
- During an EMG, small, thin needles are placed in the muscle to record the electrical activity. When the needles are inserted, patients may feel some degree of pain and discomfort. One of our pain physicians will then ask the patient to relax the muscle and to tense it slightly. Our pain physicians will listen and watch a TV-like screen that broadcasts the electrical signals.
NCS Testing (Nerve Testing)
- NCS testing is done in conjunction with EMG testing and is designed to measure the conduction of a patient’s nerves. Through NCS testing, symptoms for weaknesses and disorders (e.g. sciatica, carpal tunnel syndrome, etc.) may be determined.
Digital fluoroscopy is an examination of the tissues and deep structures of the body using an x-ray imaging device. The diagnostic test provides very detailed images of function and structure of numerous areas, including the intestines, bladder and stomach. Unlike a regular x-ray which records the image to film, digital fluoroscopy records a series of images to a computer. Once digitized, our pain physicians can view the area being examined in real time on a computer monitor.
During digital fluoroscopy, a patient may be asked to swallow a radioactive liquid that shows up on the images to gain a better view of the area in question.
Functional and Performance Testing
Our pain physicians offer a comprehensive series of tests for the assessment of an East Texas patient’s capacity for physical activities following the pain management treatment program. These tests can be used for return to work, return to sports, etc.
Common activities observed during these diagnostic tests include strength, endurance, range of motion, balance, agility and safe movement patterns.