An accurate and timely diagnosis is always the first step in an effective and successful treatment plan, especially when the delicate nerves and connective tissue that control movement and dexterity of the hands, wrists, and fingers are involved.
With many people putting off a physical exam and diagnostic testing until well after they have been experiencing pain and other symptoms for some time, many conditions are often not diagnosed and treated as early as they should be in order to prevent chronic pain, problems with mobility in the hands, wrists, and fingers, and even permanent nerve damage in many cases.
At the Fitzmaurice Hand Institute it is important to provide our patients with an accurate and timely diagnosis in order to come up with an effective treatment plan. To make this process as seamless as possible we have several on-site diagnostics to bypass the time it takes to outsource these services and wait for the results.
A fluoroscopy is medical imaging that displays a continuous X-ray on a monitor. It uses X-rays to get real-time images of the interior of a body part. The images are displayed on a monitor, so the movement of the body part can be seen in detail.
A nerve conduction velocity study is performed to detect nerve damage. It measures how fast an electrical impulse travels through a nerve. Electrodes are placed on the skin over the nerves during the study. One of the electrodes stimulates the nerve with a mild electrical impulse while the other electrode records it. The results are correlated by measuring the distance between the electrodes and the time it takes for the impulses to travel from one electrode to another.
An ultrasound allows for much higher image resolution. Soft tissues that are not able to be seen on X-rays, such as muscles, tendons, ligaments, and joints can be visibly seen with this diagnostic tool. Abnormal growths, such as tumors or calcifications are also detected by an ultrasound. Another use for an ultrasound is injection guidance. It is used to make sure the medication is placed exactly where it needs to be for optimal healing and relief of pain and inflammation.
Benefits: Real-time assessment of patient pathology, lower cost, patient comfortability during brief exam, and can be used on patients with pacemakers & other metal implants