Frequently Asked Questions

What is an nerve conduction study?

An NCS/NCV (nerve conduction study/nerve conduction velocity) is a test which is performed to evaluate any damage or injury to the peripheral nerves.

The physician applies small metal discs (electrodes) to the patients skin; a probe held by the doctor then sends a brief electrical impulse to the nerve in order to determine how quickly the nerve can carry this impulse.   It feels like a brief electrical impulse, which may cause your muscle to twitch.

What is an EMG?

An EMG (electromyography) is a recording of the electrical activity of the muscles to see if there is any damage to the muscle or to the nerve which supplies information to that muscle.

The physician will apply small metal discs (electrodes) to the skin, then use a very slim Teflon coated needle electrode to insert into that muscle.   The pin is in each muscle for approximately one minute.  You will feel a mild prick as the pin is inserted.  When the pin is in the muscle, it tends to feel like a cramp.   There may be some tenderness in some of the muscle which have been tested but this should last no longer than 24 hours and may be relieved with the application of ice over the affected area.

Will my insurance cover services provided by a physiatrist?

Seacoast Area Physiatry participates with most major health insurance plans.   Specialist copay levels would apply to services rendered by a physiatrist.    Patients should check with their individual coverage plans regarding the need for referrals from their primary care provider for optimum coverage.

What is a physiatrist?

A physiatrist is a doctor of medicine (MD) or a doctor of osteopathy (DO) who specializes in Physical Medicine and Rehabilitation.  Education and training for these physicians include four years of college, four years of medical school and four years of internship and residency in physical medicine and rehabilitation.

Physiatrists focus primarily on neuro-musculoskeletal disorders and diseases as well as assisting the patient attain his or her maximal potential, physically but also medically, psychologically, socially and vocationally.

 

What is Osteopathic Manipulative Medicine

Osteopathic Manipulative Medicine(OMM) is a form of manual therapy focused on achieving restoration of mobility, improvement of symmetry of motion as well as alignment. This form of therapy is very helpful in treatment of neck and back pain, pelvic asymmetry, rib pain.

Doctor of Osteopathy(DOs) receive nearly identical education in medical disciplines as Medical Doctors(MDs) however they also get extensive training in manipulative medicine during medical school and postgraduate education.

How does Acupuncture work?

Acupuncture works through a complex series of changes that are initiated both locally at the acupuncture site, and also in the brain.

Numerous studies have shown that Acupuncture can activate certain areas of the brain resulting in release of chemicals that reduce pain, inflammation and even have effect on certain hormones.

How many times do I have to try Acupuncture to see if it works?

Typically, a patient knows if the treatment is working after a trial of 4 to 5 Acupuncture sessions.

Benefits from Acupuncture usually increase in duration for each treatment.

If after 4 or 5 sessions individual has no improvement in symptoms, then Acupuncture is discontinued, and you provider will schedule to meet with you to discuss other treatment options

Is prolotherapy covered by insurance?

Currently insurance does not cover for Prolotherapy, and therefore it is self-pay procedure.

Please contact out office for learn about the cost.

Can I still take anti-inflammatory medications( such as Aleve, Ibuprofen, Advil) when undergoing prolotherapy?

Anti-inflammatory medications should be avoided, since it can make the treatment less effective.

How does Musculoskeletal Ultrasound work?

Musculoskeletal Ultrasound uses sound waves that give information about the structure of tendons, ligaments, bones and joints.

This diagnostic modality had several great advantages:

– The exam is done in the office

-There is no radiation , unlike X-ray and CT scans

-Ultrasound is relatively inexpensive tool, estimated to be only a small fraction of the cost of MRI

-Ultrasound can be use to guide a needle to insure precise location of injection and achieve best results

-It allows for dynamic examination of the muscle or tendon, allowing to examine the area of interest while it is in motion

Learn more about our specialty

If you are interested in learning more about the types of care that can assist patients with conditions that require physiatry, please take a look at these informational sites:
 

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