For Physicians: Why & When To Order Testing
Nerve Conduction Studies (NCV) & Videomystagraphy (VNG)
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Common indications for NCV:
- Diabetic Polyneuropathy
- Carpal Tunnel Syndrome
- Guyan Canal Syndrome
- Cubital Tunnel Syndrome
- Pronator Syndrome
- Tarsal Tunnel Syndrome
- Radial Nerve Palsy
- Brachial Plexopathy
- Cervical Radiculopathy
- Lumbar Radiculopathy
- Independent Medical Examinations
- Peroneal Palsy
- Alcoholic Polyneuropathy
- Toxic Polyneuropathy
- Infectious Polyneuropathy
- Meralgia Paresthetica
Why Order A Nerve Conduction Test?
- Nerve testing used to be a painful and costly ordeal. Modern tests are painless and cost effective performed in your office by a trained medical technologist.
- Prevent permanent nerve damage: The nerve conduction test- ing system indicates nerve dysfunction before permanent damage is caused.
- Nerves are invisible: Nerves cannot be seen on X-Ray, MRI, or C.T. scans. Testing nerve functions is the only way to know what is actually occurring within the nerve and determine which nerve may cause permanent damage.
- Pain is not always where it seems: Nerves cross-over and inter- connect in such a way that pain in one area often originates from a pinched or irritated nerve in a distant area, relatively far from the symptoms.
- Target the exact problem: Armed with information derived from nerve testing, you are able to locate the specified nerve caus- ing related symptoms.
When To Order Electrodiagnostic Tests
- When a patient does not respond to care as anticipated.
- When the patient presents with non-resolving radicular com-plaints.
- When providing counsel in legal cases, specifically where inju- ries have occurred and permanent residuals are suspected.
- To verify the reasonableness and effectiveness of patient treatment.
- To determine the root level nerve irritation or damage, espe- cially in chronic pain cases.
- To help evaluate and substantiate the need for patients with continuous disability.
- To establish the existence of carpal tunnel syndrome.
- To determine the presence of neuropathy in diabetic patients.
- To demonstrate patient’s improvement due to treatment.
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