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What Is Neurology?

Neurology is a specialty in the field of medicine with an emphasis in diagnosing, treating and managing disorders of the brain and nervous system, spinal cord, nerves, muscles and pain.

This specialty addresses neurological disorders resulting from accidents, injuries and disease. Neurologists are principal care providers or consultants to other physicians. They can recommend surgical treatment, but do not perform surgery.

Common neurological disorders include stroke, Alzheimer's disease, headache, Epilepsy, Parkinson's disease, sleep disorders, Multiple Sclerosis, pain, tremor, brain and spinal cord injuries, brain tumors, and peripheral nerve disorders. A neurologist uses a wide variety of testing procedures to determine the source of pain and to find the best treatment options.

What Is Physiatry?

Physiatry is a specialty in the field of medicine that serves all age groups and treats problems that touch upon all the major systems of the body.

The specialty addresses musculoskeletal and neurological problems with a focus on restoring patients to maximum function. A Physiatrist (pronounced fizz ee at'rist) treats acute and chronic pain and musculoskeletal disorders.

A Physiatrist's patients include people with arthritis, tendonitis, any kind of back pain, and work- and sports-related injuries. They treat very serious disorders of the musculoskeletal system that result in severe functional limitations as well. They also treat people with spinal cord injuries, brain injuries, strokes, amputations, cancer and multiple sclerosis.

A Physiatrist uses the same diagnostic tools as those used by other physicians, with the addition of special techniques in electrodiagnostic medicine. They do not perform surgery. A Physiatrist uses a wide range of therapies to restore function to the patient without surgery.

Because the Physiatrist is concerned with all areas of rehabilitation, the quality of life is significantly increased for patients

Diagnostic Testing

RJS Medical Group doctors are expert in all areas of neurology and physiatry. Our medical team provides the full range of diagnosis, treatment and rehabilitation of disorders of the nervous system, brain, spinal cord, nerves, muscles, pain and disabilities of all types. Diagnostic testing includes but is not limited to:

The Neurological Examination

A doctor from our medical team first reviews the patient's health history with special attention to the current condition. This is followed by a neurological examination. Typically the exam tests vision, strength, coordination, reflexes and sensation.

Electromyography (EMG/NCV) Testing

The EMG evaluates the health of the peripheral muscle and nerves. A needlerecording electrode is inserted in different muscles of the limbs. Abnormal waveforms generally produced by nerve root problems in the neck or the back are then monitored on a screen. The needle is necessary in that surface electromyography has been found to be not clinically useful in the diagnosis of radiculopathy. The test is generally well tolerated.

The NCV, or Nerve Conduction Velocity test evaluates the health of the peripheral nerve. Stimulating electrodes are placed on different points on a limb and an electrical pulse is generated. Recording electrodes placed on a muscle elicits a waveform produced by the nerve when the pulse is generated. The information received can help to identify a problem area. During the test, the muscles may twitch or tingle and there may be some discomfort.

Electroencephalography (EEG)

The EEG records the brain's continuous electrical activity through electrodes attached to the scalp. It is used to help diagnose structural diseases of the brain and episodes such as seizures, fainting, or blacking out. This test is
painless.

Evoked Responses

This test records the brain's electrical response to visual, auditory and sensory stimuli. This test is useful in evaluating and diagnosing symptoms of dizziness, numbness and tingling, as well as some visual disorders. This test is painless.

Vestibular Testing

Also known as ENG, this is a test designed to examine the cause of dizziness. Several electrodes are taped around the eyes to detect jerky eye movements called "nystagmus." Abnormalities of peripheral or central vestibular systems can be detected. The more global balance and postural mechanisms are evaluated by placing the patient in a standing-upright position under different feedback conditions. This test is painless.



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