That need to be sorted out when a patient presents with head pain to our office. Migraines, muscle tightness, occipital neuralgia and mixed styles of headaches are common. In addition, stroke, brain tumor, neuralgia and brain infections are serious but less common causes of head pain. There are many new treatments and medications available to cure your headache problem. Make an appointment to see Dr. Lett to let us help diagnose and relieve your headache pain.
March 25, 2010
March 7, 2010
That in addition to our emgneuro.com website that we also have the convenient websites of larrylettmd.com, carpaltunnelindiana.com, workcompemg.com, drlett.com, and centerforemgandneurology.com? Please bookmark your preference for quick access to our website!
That our Indiana Neurology and EMG/NCV specialty centers in Kokomo and Indianapolis also serve patients in many various Indiana cities and locations? We are currently treating patients with neurological problems from Indianapolis, Lafayette, Lebanon, Logansport, Tipton, Peru, Westfield, Noblesville, Fishers, Carmel, Beech Grove, Avon, Southport, Greenfield, Greensburg, Richmond, and Columbus, to name a few. Our Indianapolis Neurology facilities are very close to Interstate I-465 and also US-31 North. Check our maps for easy directions.
March 1, 2010
Answer: Before a patient is assigned a diagnosis of carpal tunnel syndrome, a physician needs to make sure that the patient indeed has carpal tunnel syndrome and not a mimicker or “look alike” of carpal tunnel syndrome. Many times arthritis, tendonitis, ulnar neuropathy, cervical disc herniations or shoulder problems can be confused with carpal tunnel syndrome. Stages of carpal tunnel syndrome can be classified by an EMG/NCV test to determine the amount of nerve blockage. In a mild blockage a splint used on the wrist usually helps significantly, but in a severe case of blockage surgery is usually recommended to prevent permanent nerve damage. In moderate cases of carpal tunnel syndrome a patient has an option of wrist splint or surgery, depending on the severity of their symptoms and the degree with which it interferes with their activities or sleep.
Shakiness or tremors can have several potential causes for a neurologist to consider. Tremors may be a sign of weakness, poor coordination (ataxia), familial tremor, essential or idiopathic tremor. Parkinson’s disease can also cause a type of tremor that is usually accompanied by additional symptoms of slowing down (bradykinesia), rigidity and a change in walking (gait disturbance).
For a neurologist, an EMG/NCV is an extension of a good history and physical examination. It is a two-part test (see FAQ on homepage) that determines and measures the quality of a patient’s nerve impulses.
It is useful in diagnosing carpal tunnel syndrome, ulnar neuropathy, pinched nerves in the neck and back (radiculopathies), diabetic neuropathy and many other disorders. It is useful in identifying the cause of a patient’s pain, numbness, weakness or other symptoms. It is also an important test to identify if a patient’s symptoms are of nerve origin versus musculoskeletal origins (such as arthritis, tendonitis or overuse syndromes).