Advanced Diagnostics Options

Virtually every function of the body, from thought to movement, is governed by the brain. As clinical neuroscience professionals, we identify and treat many disorders that can affect the brain’s ability to function properly and relay its signals to other parts of the body. To do this, we utilize a wide range of advanced diagnostic and treatment methods.

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Our Testing Services

CT/CAT Scan

CT (computed tomography) scanning—sometimes called CAT scanning—is a noninvasive medical test that helps physicians diagnose and treat medical conditions.  CT scans of internal organs, bones, soft tissue and blood vessels provide greater clarity and reveal more details than regular x-ray exams. CT scanning combines special x-ray equipment with sophisticated computers to produce multiple images or pictures of the inside of the body. These cross-sectional images of the area can be studied to aid in diagnosis, surgery and other treatments (e.g., radiation therapy).

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Preparation

You should wear comfortable, loose-fitting clothing to your exam. You may be given a gown to wear during the procedure. Metal objects including jewelry, eyeglasses, dentures and hairpins may affect the CT images and should be left at home or removed prior to your exam. You may also be asked to remove hearing aids and removable dental work. The CT scanner is typically a large, box like machine with a hole, or short tunnel, in the center. You will lie on a narrow examination table that slides into and out of this tunnel.

 

The CT/CAT Scan Procedure

The technologist begins by positioning you on the CT examination table.  If contrast material is used, it will be swallowed, injected through an intravenous line (IV) or administered by enema, depending on the type of examination. Then, the table will move slowly through the machine as the actual CT scanning is performed. You may be asked to hold your breath at times during the scanning. CT scanning of the body is usually completed within 30 minutes.

EMG 

emg An EMG is a common diagnostic procedure to assess the health of muscles and the nerve cells that control them. Results can reveal nerve dysfunction, muscle dysfunction or problems with nerve-to-muscle signal transmission. Our experienced technicians and board certified electromyographers ensure you receive the most accurate testing possible.

Purpose

  • To help diagnose primary muscle disorders, degenerative nerve diseases and neuromuscular diseases (nerves and muscles)
  • To diagnose disorders that affect neuromuscular junction, this is how the nerve connects to the muscle it supplies
  • To diagnose disorders of the nerve roots, nerves etc. caused by nerve damage or injury
  • To detect blockages or slowed responses to nerve stimulation
  • To help diagnose pain, numbness, tingling, weakness, or cramping in arms or legs

The Exam

  • You will either lie down or sit and a metal plate will be placed underneath you to serve as a reference electrode
  • The skin over the selected muscle is cleansed with an antiseptic and a small needle electrode—which is very thin and resembles a stick pin—is inserted into the muscle. A reference electrode is inserted under the skin nearby. You may experience some discomfort due to the needles.
  • The electrodes record the electrical activity while the muscle is relaxed. You will then be asked to contract the muscle gradually, with increasing forcefulness. The impulses are transmitted to a machine that amplifies the signals and displays them. Sometimes the signals are converted into audio and played through a speaker.
  • The procedure may be repeated at other locations.
  • EMG generally takes about 25 to 30 minutes.

There may be some soreness around the electrode insertion site following the procedure. However, you should be able to resume your normal daily activities.

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ENG

An ENG, electronystagmography, is a test used to detect nystagmus (rapid eye movement). It helps evaluate patients with vertigo, hearing loss, or vision problems. The eye is stimulated by electrodes to measure whether or not nystagmus occurs or if a problem may exist within the brain, inner ear, or the nerves that supply it.

Procedure

In preparation for your ENG, the doctor may ask that you avoid drinking caffeine, fast for a short period of time, or stop taking any medication that may interfere with your ENG.

Before the test, it is likely that your ears will be cleaned of wax, and your face will be prepped for the electrodes. The electrodes will be placed on your forehead using paste, and they will feed information into a recorder during the procedure, allowing your doctor to read the results.

Your will be observed after the test for any dizziness or nausea. There are minimal risks associated with ENGs, and your doctor will instruct you on proper aftercare.

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EEG

An EGG, electroencephalogram, is a test used to detect activity in your brain. Electrodes are placed on your scalp to detect electrical impulses, and these impulses are recorded as waves . An EEG may be used to test for epilepsy or other brain disorders such as tumors, inflammation, sleep disorders, and stroke.

Procedure

EEGs are typically painless and should not cause any side effects. For the best results, make sure to wash your hair prior to your appointment and avoid using any hair product. This helps the electrodes stick to your scalp. Your doctor may ask that you avoid drinking caffeine on the day of your EEG.

During the test, electrodes will be attached to your scalp by a technician. You may be asked to perform basic tasks during the procedure, like reading or opening and closing your eyes. An EEG typically lasts around 60 minutes. Unless otherwise instructed, you should be able to return to normal activity shortly after.

Evoked Potentials

An evoked potentials test is used to measure the brain’s electrical activity in response to sound, sight, or touch stimulus. Electrodes are used to detect your brain’s activity. There are three different types of evoked potentials tests that may be used:

  • VER- Visual Evoked Response Test
  • BAER- Brainstem Auditory Evoked Response Test
  • SSER- Somatosensory Evoked Response Test

Procedure

An evoked potentials test may be used to assess brain function, help diagnose multiple sclerosis, test hearing, test sight, or check for tumors. Because electrodes will be used, be sure to wash your hair before your procedure, and avoid applying product. Electrodes will record brain activity throughout for your doctor to interpret.

Evoked potentials tests are typically done on an outpatient basis with minimal side effects.

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Lumbar Puncture 

lumbar

A lumbar puncture (spinal tap) is performed in your lower back, or your lumbar spine. It involves extracting a sample of cerebrospinal fluid, liquid found in your spinal cord and brain, to help in the diagnosis of serious infections, such as meningitis, and other disorders of the central nervous system. When necessary, it may also be used to relieve pressure of the cerebrospinal fluid or administer medicine.

Procedure

Your doctor will ask you not to eat or drink anything from midnight onwards prior to the exam. As always, make sure you communicate any medications that you are taking, existing conditions, and concerns with your physician.

The lumbar puncture will be taken while you are in a curled position, either leaning forward or laying on your side. The entirety of the procedure takes about 30 minutes and there may be some stinging or discomfort where the needle is inserted. Make sure to drink plenty of fluids and avoid intense activity for 24 hours after the procedure. Communicate any pain or discomfort with doctor.

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MRI

MRI stands for Magnetic Resonance Imaging. This is a type of exam that uses magnetic field and radio waves instead of x-ray to visualize parts of the body, including the brain, blood vessels, spinal column, and joints.

MRI is very safe and has no associated health risks. There are, however, circumstances when a patient may not be a good candidate for the test such as having a pacemaker, metallic implants, profound claustrophobia etc. ConsulImage result for mrit your physician to make sure Magnetic Resonance Imaging is safe for you.

The Exam

The exam usually takes 30 to 60 minutes. It consists of several image exposures lasting 10 to 15 minutes each. You will be asked to remove your make-up, jewelry, credit cards, dentures, hearing aids, and any other metallic objects you may be carrying.

A technologist will help you on and off the tabImage result for mrile and will stay in constant contact with you both visually and through an intercom during the exam. There will be a coil placed over or under you, and the table will move into the magnet after you are comfortably positioned. You will hear muffled thumping sounds for several minutes at a time, but there will be no bodily sensation. It is important to be relaxed and still during an MRI to avoid blurring the picture with movement.

In some cases, your doctor may order the injection of contrast to enhance the ability of the MRI to display disease in your body. All contrast agents are FDA approved and are considered to be quite safe.

Neuro-Imaging

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Neuro-Sonography

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Neuro-Otology

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Neuro-Ophthalmology

Neuro-ophthalmologists take care of visual problems that are related to the nervous system; that is, visual problems that do not come from the eyes themselves. We use almost half of the brain for vision-related activities, including sight and moving the eyes. Neuro-ophthalmology, a subspecialty of both neurology and ophthalmology, requires specialized training and expertise in problems of the eye, brain, nerve and muscles. Neuro-ophthalmologists complete at least 5 years of clinical training after medical school and are usually board certified in neurology, ophthalmology, or both.

Needless medical testing is often avoided by seeing a neuro-ophthalmologist. Some of the common problems evaluated by neuro-ophthalmologists include: optic nerve problems (such as optic neuritis and ischemic optic neuropathy), visual field loss, unexplained visual loss, transient visual loss, visual disturbances, double vision, abnormal eye movements, thyroid eye disease, myasthenia gravis, unequal pupil size, and eyelid abnormalities.

The Exam

  • The neuro-ophthalmologic evaluation is one of the most comprehensive examinations you will experience. It may take two hours to complete. You will be asked to give an account of your current problem and relate your entire medical history, including previous hospitalizations, operations, serious illnesses, medical problems in your family members, and medication allergies.
  • You will have a complete eye examination. This may include testing of your peripheral vision (visual field test).
  • You may have a partial or complete neurologic exam to test your strength, sensation and coordination.
  • The neuro-ophthalmologist will review the records and scans from previous examinations, if applicable.
  • After the examination, the neuro-ophthalmologist will discuss the diagnosis (or possible diagnoses), the need for any additional testing and possible treatment.

Sleep Lab

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TCD

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Urodynamics

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Ultrasound

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MNA & Partner Facilities:

• Our main office, located on Harper and Quinn in Clinton Township, houses 25 exam rooms for office visits, a pharmacy, a medical spa, a blood lab, a urine toxicology lab, a physical therapy center, an ambulatory surgery center, an infusion center, an MRI & imaging suite, and so much more.
• Our original office is locate in St. Clair Shores, where we have been treating patients for over 25 years.
• Michigan Sleep Consultants is located in Utica, where we perform overnight and prolonged studies at our certified sleep lab facility.
• Located at the main office, Rejuvenate Medical Spa & Wellness Center focuses on patient confidence and well-being.

Programs

Falls Prevention

We are striving to serve those who are age 65 and older who have a history of falls or may be at risk for falling.“Both the incidence of falls and the severity of fall related complications rise steadily after age 60. In the age 65-and-over population, as a whole, approximately 35% to 40% of community dwelling, generally healthy older persons fall annually. After age 75, the rates are higher”. (Kenny, et al, 2001)

We also intend to serve those patients younger than 65 years old who have a high risk profile for falls as determined by their practitioner. Serious injuries such as hip fractures, subdural hemorrhages, and spinal compression fractures are some examples of injuries related to falls.

What We Provide:

  • Personal assessment of falls risks
  • Genetic testing for medication metabolism
  • Medication review with possible adjustments
  • Neurologic evaluation
  • Orthostatic hypotension evaluation
  • Home safety fall risk evaluation
  • Referrals to physical therapy for gait/balance training, strengthening exercises, and stretches
  • Referrals to nutrition for bone and nerve health
  • Fall safety education/training
  • Collaborative plan created for management of fall risks factors
  • Referrals for medical management (i.e. cardiology, rheumatology, ophthalmology, podiatry, ENT, etc.) as needed
  • Follow up for further recommendations/discussions on adherence barriers
Please feel free to contact our office for any questions or concerns you may have in regards to this clinic.
Controlled Substance Program
Improved patient care, long term outcomes, safely prescribed and monitored medications, enhanced safety measures and treatment options beyond pain medication are the pillars of MNA’s exemplary pain management and controlled substance program.