2 Locations in Nassau County:

Oceanside

516.764.7760

Valley Stream

516.593.7990

Nerve Testing in Oceanside

What does a nerve conduction test show?

Nerve conduction studies are typically executed through the assistance of electromyography (EMG). Blockages of the pathways that the nerves run through are often a common issue reported by patients. Nerve Testing in Oceanside at Comprehensive Healthcare Group can evaluate the damage done to your nerves and lead to a proper diagnosis. Common nerve-related issues include complications such as Carpal Tunnel Syndrome or Guillain-Barré syndrome.

Neurology

Evaluation, Diagnosis, Treatment Plan

Neurology is a medical specialty that deals with disorders of the brain and nervous system.  That is, the network of cells that transmit and receive information throughout the body.  Through the use of cutting-edge diagnostic technologies, botox injections and treatment modalities, neurologists help combat the effects of debilitating neurological, neuromuscular and movement disorders.

Conditions we treat include:

  • Epilepsy: A condition involving recurrent seizures, triggered by electrical signals in the brain.
  • Migraine Headaches: A chronic type of headache that lasts from four hours to three days, and occasionally even longer.
  • Sleep Disorders: A group of conditions including sleep apnea, insomnia, and restless leg syndrome.
  • Stroke: A potentially debilitating condition that happens as a result of too little or too much blood to the brain.
  • Traumatic Brain Injury: An injury caused by a severe blow or injury to the head that results in brain damage.
  • Herniated Discs: A common condition that may occur as a result of gradual wear and tear on the disc or from a spinal injury that cracks or tears the disc and causes it to bulge or break open.
  • Pinched Nerves: A common problem that can occur in several different places in the body when too much pressure is applied to a nerve resulting in pain, weakness, numbness, and tingling.
  • Parkinson’s Disease: A chronic motor system disorder that occurs when the cells that produce dopamine become destroyed or severely damaged.

Diagnostic Services

Our office features state-of-the-art electrodiagnostic imaging equipment to aid in precise diagnosis and treatment. The following explains some of the most common tests we offer.

Electromyography (EMG)

An EMG is a diagnostic exam that evaluates the health of muscles and the nerves that control them by measuring muscle electrical activity. This test is commonly performed to determine the cause of muscle weakness and identify cases that are caused by neurologic disorders such as carpal tunnel syndrome, peripheral neuropathy and others rather than primary muscle conditions. During the EMG, thin needle electrodes are inserted into the muscle, where they detect electrical activity while the muscle is at rest and contracting.

Nerve Conduction Velocity (NCV)

A nerve conduction velocity test or “nerve conduction study” is utilized to determine if a patient is suffering from nerve damage or inherent deficiency. This allows the doctor to either rule out or confirm a diagnosis of nervous system issues, instead of musculoskeletal problems that could cause similar symptoms. They can also help determine the source of nerve damage, such as substance abuse, nerve compression or another peripheral neuropathy, as the specific cause can be vital to effective treatment. Nerve conduction studies are often performed in conjunction with electromyography, which helps to diagnose muscle disease and neuromuscular conditions.

Evoked Potential

An evoked potential or “evoked response” study is a diagnostic procedure that measures electrical activity in the brain as it responds to signals from the sight, sound and toucheses senses. This allows doctors to assess hearing or sight (especially useful when performed on infants), diagnose optic nerve disorders or detect tumors within the brain or spinal cord. There are several different types of evoked response studies available that can test for different conditions.

MRI / MRA

MRI, short for Magnetic Resonance Imaging, is a radiation-free scanning technique that uses radio waves and magnetic fields to produce detailed three-dimensional images of the body. MRI can be used to identify or precisely locate an injury or abnormality, to scan for developing problems or analyze damage from previous trauma, and to aid in the planning of surgery.

Unlike X-rays, radioisotopes, CT and other methods that use radiation, MRI uses radiofrequency waves. Radio waves detect differences in water concentration and distribution in various body tissues.

Magnetic resonance angiography (MRA) uses a magnetic field, radio waves and a contrast material to produce detailed images of blood vessels throughout the body. This procedure does not use ionizing radiation, and can effectively detect, diagnose and aid in the treatment of heart disorders, stroke and other blood vessel diseases.

MRI and MRA studies are referred out to our partnering specialists.

Sciatica

Friday, July 20th, 2018

Sciatica Treatment With Nerve Testing in Oceanside

What Is Sciatica?

The sciatic nerve is the largest nerve in the body; it starts in the lower back and runs down each leg. Pain that radiates along this nerve is often referred to as sciatica. Sciatica commonly occurs when there is a herniated disk or when the spine compresses part of the nerve. If you have sciatica and want to see how Nerve Testing in Oceanside can help, contact Comprehensive Healthcare Group and make an appointment.

How Does It Occur?

Sciatica is usually a result of the aging process or injury. Since the spine is placed under a lot of pressure on a daily basis, it is vulnerable to wear and tear making it less capable of withstanding daily stress. This issue can cause conditions like bone spurs or herniated discs.

Symptoms  

Pain from sciatica starts typically at the lower spine and continues behind the thigh down to below the knee. This pain can feel like a mild ache to a sharp, burning sensation and can sometimes feel like a jolt or electric shock. Sciatic pain is often present on only one side of the body. Some of the symptoms can also include:

  • Localized pain
  • Muscle weakness
  • Tingling sensation
  • Numbness

If you have these symptoms, prolonged sitting has also been known to worsen your condition.

How A Chiropractor Can Help

Chiropractic care is a conservative, non-surgical way of treating sciatica. Adjustments will realign the spine, taking the pressure off the nerve. This can provide you with quick pain relief.  After the pressure is off the nerve, the body will be able to heal itself. In addition to adjusting the spine, a chiropractor will provide you with lifestyle advice in order to prevent future sciatic pain. If you want to learn more about how chiropractic care can treat and potentially resolve your sciatic pain, call Comprehensive Healthcare Group and make an appointment for nerve testing in Oceanside today!

Treatment For Low Back Pain

Thursday, June 7th, 2018

LBP Treatment With Nerve Testing in Oceanside

Many patients report having low back pain throughout their lives. This pain can be caused by anything from poor posture to a herniated disc. Significant research has been conducted to show that low back pain should be treated with chiropractic care in the early stages of treatment. Not only is it effective, but it safe and non-invasive. To make an appointment for nerve testing in Oceansidecontact us here.

Common Reasons for Low Back Pain

Low back pain can be caused by a wide variety of things. Sometimes injuries to the vertebrae can create inflammation and pain, and other times poor posture is the sole cause for low back pain. Some of the most common reasons that patients suffer from low back pain are:

  • A torn or pulled ligament and/or muscle in the back!
    • Also known as a sprain or strain, these injuries are common because they can be caused by so many different things (lifting a heavy object, poor posture, over-stretching, slipping and/or falling down).
    • If you think you may have pulled or torn a muscle in your back, contact us here to make an appointment for nerve testing in Oceanside.
  • Sports injuries
  • Degenerative disc disease
    • A disease in which the disc between vertebrae within the spine loses hydration, causing tears and weakness.
  • Spinal stenosis
    • A condition where the spinal canal narrows, compressing the nerves and causing pain.
  • Joint dysfunction
  • Arthritis

Chiropractic Treatments for Low Back Pain

Why should you choose chiropractic as one of your first lines of treatment? The methods that chiropractors use involve little to no risks and zero pharmaceutical drugs. In those that suffer from low back pain, many different treatment options are available. For nerve testing in Oceanside, contact us here to make an appointment. Treatment methods can include the following:

  • Chiropractic spinal adjustment
    • Chiropractors will use their hands to manually align the spine into its proper position. This can improve range of motion, reduce irritability, and most importantly reduce low back pain.
  • Mobilization
    • This is a more gentle approach to spinal manipulation, using a lower-velocity adjustment speed to increase the range of motion in the spine.
  • Heat and cold therapy
    • Using heating pads and ice packs can reduce inflammation and allow for more blood to flow to the affected area.
  • Diet counseling
    • Many chiropractors may offer lifestyle advice on how you may change some habits such as eating for weight loss to relieve the pressure that the extra weight adds to your back.
  • Ultrasound
    • This provides deep heat to areas reducing pain and inflammation.

Oceanside Nerve Testing

To treat your low back pain safely, effectively and non-invasively, contact us here to make an appointment for nerve testing in Oceanside

Why Does My Leg Hurt?

Tuesday, April 29th, 2014

Many things can cause leg pain – pinched nerves in the lower spine, lumbar radiculopathy, herniated discs in the spine, even spinal arthritis and space-occupying lesions.

However, sciatica is a term you often may hear people use to talk about the pain they have in the buttocks, hip and then down one leg (sometimes both legs, but typically occurring specifically on one side).

Sciatica describes pain, weakness, numbness or tingling in the leg that is caused by injury to, or pressure on, the sciatic nerve. It is not a diagnosis but rather a symptom of an underlying medical condition. The sciatic nerve starts in the lower back at the 3rd lumbar segment and is formed by the exiting nerve roots of L3-L5, S1, and S2 to become the longest and widest nerve in the body. It runs down the lower back along the spine and down the back of each leg. Portions of the sciatic nerve branch out in each leg to innervate certain parts of the leg, e.g., the buttock, thigh, calf, foot, and toes. Depending upon where the sciatic nerve is being affected determines where the pain is. Since the sciatic nerve controls the muscles of the lower leg and provides sensation to the thighs, legs, and soles of the feet, sciatica can be felt as a dull ache or an intense pins-and-needles sensation.

What does the healthcare provider do to determine what is causing your pain and then treat your pain? The neurologist, physiatrist or chiropractor will first perform a clinical exam to determine exactly where the pain is. Imaging studies may be ordered (either CT scan or MRI studies) to see if bones, nerves, soft tissues, ligaments, etc are the source of the pain. If the pain is determined to be coming from a nerve, tests called nerve conduction studies can be performed to see if the signals are traveling properly through the nerves.

A course of treatment is then planned based on the information the healthcare provider has found in the course of your exam and diagnostic testing. This may include physical therapy, acupuncture, chiropractic care, stretching exercises, medication or injection therapy. It may be determined that a surgical consultation is needed. The good news is that back pain that radiates down the legs can be diagnosed, treated and managed. The key is to be able to discuss with your healthcare provider what your symptoms are and be able to describe them as accurately as possible. Try to note when you have your pain, where exactly you have your pain and what activities tend to make your pain better or worse. These are all pieces of information that will assist your healthcare provider in being able to treat you successfully and reduce the chance of recurrence.

Preventing Carpal Tunnel Syndrome

Monday, August 6th, 2018

Carpal tunnel syndrome is a condition that causes pain, tingling, and numbness throughout the hand and arm due to a pinched nerve in the wrist. This nerve is the median nerve located on the palm side of your hand. This nerve also provides sensation and nerve signals to the muscles surrounding the thumb. If you are seeking treatment for carpal tunnel syndrome, contact us today to get connected for nerve testing in Oceanside or Valley Stream.

Symptoms

  • Numbness, tingling, and pain in your thumb and fingers
  • Pain and burning that moves up the arm
  • Wrist pain that occurs at night and interferes with sleep
  • Weakness in your hand muscles

Causes

Carpal tunnel syndrome occurs when your wrist experiences too much pressure, which then causes the median nerve to become pinched as it moves through the wrist. Sources of carpal tunnel syndrome include the following:

  • Thyroid dysfunction
  • Fluid retention from pregnancy or menopause
  • High blood pressure
  • Diabetes
  • Autoimmune disorders
  • Fractures or trauma to the wrist

Overextension of the wrist is also a leading cause of carpal tunnel syndrome.  The following examples will often lead to overextended wrists:

  • The position of your wrist when you are using a keyboard or mouse
  • When you use vibrating power/hand tools
  • Any repeated movements that overextend your wrist, such as playing the piano

Prevention Tips

Softer Touch: You may not realize it, but you could be using more pressure than you need to in your daily tasks. Your hand and wrist will benefit from using a gentler grip.

Take Breaks: Taking a 10-15 minute break to stretch your hands will help to prevent carpal tunnel syndrome. Try making a fist and then fan out your fingers as far as you can 5-10 times during this break time.

Change It Up: You should avoid repeating the same hand and wrist motions. Try switching hands or mixing up your tasks, which will reduce the pressure on your hands and wrist.

Watch Your Form: Try not to bend your wrist all the way up or down. Keeping it at a neutral, middle level is best.

Treatment Options

When it comes to treating carpal tunnel syndrome, there are many options available. These treatments range from making lifestyle changes to seeking physical therapy. One popular treatment option includes seeking nerve testing in Oceanside or Valley Stream like us in order to receive an effective course of action. Here at Comprehensive Healthcare Group, we are a multi-disciplinary practice offering a wide range of different treatment options for our patients.

Are you interested in setting up an appointment for nerve testing in Oceanside? Be sure to contact us today.

What is Spinal Subluxation and How Does Chiropractic Treatment Help?

Tuesday, January 17th, 2017

Chiropractic care involves a special focus on spinal manipulation and treatment of surrounding structures. Chiropractors while providing chiropractic services will focus on investigating the level of your spinal health. They will check for areas of spinal misalignments and joint restrictions called spinal subluxations.

The International Chiropractors Association defines ‘spinal subluxation’ or ‘vertebral subluxation’ as “the result of spinal bones with improper motion or position affecting nerve communications between your brain and your body”.So this common chiropractic term is used to describe a specific set of signs and symptoms of the spinal column which can affect both adults and children. The subluxation can be found in the cervical (neck), thoracic (mid-back) or lumbar (low back) region.

It is important to detect spinal conditions before they become more serious and difficult to correct. Usually presented with pain and sometimes difficulty in turning your spine, this can lead to major issues. These structural and functional issues can interfere with the smooth functioning of the nervous system and with the control and regulation of bodily functions. As your nervous system controls the cells, tissues, organs, and systems of your body, vertebral misalignments will affect your overall health.

Chiropractors use a variety of tests to detect spinal misalignment:

  • X-rays to screen for tenderness, muscle spasm, joint restriction, and misalignment – the common indicators of spinal subluxation
  • Checks for leg length imbalance and muscle weakness
  • Instruments to evaluate spinal muscle tone problems or skin temperature variations
  • Neurological tests
  • Orthopedic tests to check the structural and functional integrity of the spinal column and rule out nerve injuries

With this and other comprehensive assessment, your chiropractor will develop a treatment plan to correct the spinal misalignment and ease the areas of restricted subluxation.

Chiropractors treat spinal subluxation with special manual adjustment techniques. Hands-on manipulation of the spinal column using diversified and non-force techniques can effectively reduce or eliminate pain and restore function and balance. The adjustments will work to:

  • realign the spinal joints
  • stretch constricted muscles and ligaments
  • improve circulation in the area
  • Address chronic joint pain and inflammation
  • stimulate nervous system

Along with this, the chiropractor may recommend specific exercises to correct postural distortions and structural misalignments.

Serving the Long Island area, CHG has chiropractors who are highly skilled in assessing patients and helping them enhance their spine health levels with customized treatment plans.

Car Accidents and Their Sequelae (What Happens After)

Friday, April 4th, 2014

The National Highway Traffic Safety Administration reports there were over 2 million car crashes with injuries in the US in 2010. The good news is that since cars are safer than ever before, fatal crashes are down to their lowest levels in more than 50 years.

But it’s very likely that in the course of your lifetime, you may have a nonfatal car crash.

So what happens to your body in a car accident? Maybe you remember physics class in high school. A body in motion stays in motion. So when a car hits something or something hits a car, the car might stop, but the people in the car (and any loose items in the body of the car) keep moving. That’s why it’s imperative to wear a seatbelt, to keep you from sailing right through that front window or side window. Okay, so the seatbelt stopped your movement, maybe even saving your life. But what happened to the bones and muscles and joints in your body?

Well, you might have fractured (broken) a bone. You might have a laceration (a cut) and be bleeding. You may have suffered a sprain or a strain in a muscle or joint. You may have ruptured (to break suddenly) or herniated (to protrude in an abnormal way) a disc in your spine along your neck or back. Maybe you hit your head and lost consciousness momentarily (you might have suffered a concussion – the most common form, and the most minor form, of traumatic brain injury).

Some injuries are obvious right away – like a broken bone or a laceration. But some become apparent that night when you finally get home, or the next morning when you wake up bruised and stiff and feeling worse than the day before. Your body has been through a traumatic situation or a traumatic injury that asked your muscles and bones and joints to move in ways that they aren’t naturally designed to do. If a bone broke, you may have gotten a cast or a splint. You might have had x-rays. But maybe there was an injury they couldn’t see right away.

Hopefully, you saw your doctor or went to the hospital ER or an urgent care center after the accident. If you haven’t already, the doctors in our practice specialize in traumatic injuries of the spine and extremities. We can take x-rays to evaluate your condition and, in most cases, quickly start an individualized treatment program tailored to your needs.

If you broke a bone, your doctor may ask you to have physical therapy after the accident to rehabilitate (restore to health by training or therapy) your body after the injury. Sprains or strains can prevent a full range of motion. Our team of physical medicine and rehabilitation, neurology, chiropractic, and acupuncture specialists can help restore those muscles, ligaments, and tendons to their pre-accident state.

In our blog, we hope to educate and inform you on a variety of topics that are of interest to many. We have lots of plans for interesting articles for you to read right here on our website. We may provide links for you, but we want you to be able to get the basic information you need right here. If there are any topics you would be interested in having us cover, use the contact-us link you see here on our website and we’ll try to add it to the list. We might even mention you in our article!

Nerve Testing for Peripheral Neuropathy

Monday, October 21st, 2019

What is Peripheral Neuropathy

Peripheral neuropathy refers to a condition of the nerves that carry messages to and from the brain and spine from the rest of the body. When these nerves, also known as peripheral nerves, suffer from damage or disease, peripheral neuropathy is a result. Peripheral neuropathy is most common in people over the age of 55, affecting between 3 and 4 percent of people in this age group. Peripheral neuropathy is a serious condition that should be treated right away. At Comprehensive Healthcare Group, we conduct nerve testing in Oceanside to detect conditions like peripheral neuropathy and get you the treatment you need.  

Types of Peripheral Neuropathy:

There are a few different types of peripheral neuropathies, each with different possible causes. However, the two major types are Mononeuropathy and Polyneuropathy. Additionally, there are different types of peripheral neuropathies within these two groups that can be diagnosed with nerve testing in Oceanside

Mononeuropathies:

Mononeuropathy refers to damage to a single peripheral nerve. Mononeuropathies are commonly caused by physical injuries or traumas from accidents. They can also result from extended periods of not moving certain muscles such as being in a wheelchair or on bedrest. Among the most common types of mononeuropathies are:

  • Carpal Tunnel Syndrome: Carpal tunnel is a common overuse or strain injury that results from repeated wrist motions. For example, those who are physical laborers or who use computer keyboards often are at a greater risk for developing carpal tunnel. 
  • Peroneal Nerve Palsy: Peroneal nerve palsy affects the area at the top of the calf outside of the knee. It results from compression of this nerve and can make it difficult to lift the foot of the affected leg.
  • Ulnar Nerve Palsy: Ulnar nerve palsy affects the elbow and certain fingers. It occurs when the nerve just below the skin of the elbow becomes damaged, often resulting in numbness of the 4th and 5th fingers of the same hand. 
  • Radial Nerve Palsy: Radial nerve palsy affects the nerves along the upper arm. It is commonly paired with humerus bone fractures in this area. 

Polyneuropathies: 

Polyneuropathy refers to damage or malfunction of multiple nerves at the same time. This type of peripheral neuropathy is much more common than mononeuropathies. Polyneuropathies can result from complications from kidney failure, cancer, alcohol abuse, poor nutrition, and more. Among the most common types of polyneuropathies are: 

  • Diabetic Neuropathy: Diabetic Neuropathy affects those with diabetes who do not properly control their blood sugar levels. 
  • Acquired Neuropathy: Acquired Neuropathies are commonly caused by another condition or disorder. The most common cause for them is diabetes, although they can also result from trauma, infection, or toxins such as alcohol or medication. 
  • Hereditary Neuropathy: Hereditary neuropathies are those that are genetically inherited from one’s parents. The most common one is known as Charcot-Marie-Tooth disease type 1, resulting in weakness of the arms and legs, onsetting at any time from mid-childhood to age 30. 

What is Nerve Testing? 

Nerve Testing, more specifically, Electromyogram (EMG) and Nerve Conduction Velocity (NCV) are tests conducted to evaluate the overall health of the muscles and nerves. These tests can help to determine the cause of weakness in the muscles and determine if it is linked to neurologic disorders like peripheral neuropathy. If you believe that you may be suffering from a type of peripheral neuropathy, nerve testing in Oceanside at Comprehensive Healthcare Group can be conducted to find the cause and get you the proper treatment. 

Why Nerve Testing in Oceanside?

At Comprehensive Healthcare Group, we have state-of-the-art electrodiagnostic imaging equipment at our facility that allows us to properly determine the cause of your nerve or muscle issues. We perform extensive testing on patients who need it so that we can create a proper, effective treatment plan catered to their specific needs. Contact us today to get started with nerve testing in Oceanside! 

You're in Good Health!

In our blog, we continue to educate and inform you on a variety of topics that are of interest to many.  We have more plans for interesting articles for you to read right here on our website.  We may provide links for you, but we want you to be able to get the basic information you need right here.  If there are any topics you would be interested in having us cover, use the contact us link you see here on our website and we’ll try to add it to the list.  We might even mention you in our article!

Thanks for reading and we’re looking forward to having you check back for our next installment.

Contacting Local Long Island Nerve Testing - Oceanside, New York

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