17025 Mount Rose Hwy

Suite C

Reno NV, 89511

(775) 849-3000

It's all about you !

Comprehensive Physical Exams

Medical attention tailored to suit individual needs with a focus on the musculoskeletal, circulatory, and nervous systems.

History

Each patient member will be interviewed directly by the physician.  Patients are encouraged to elaborate on any problem or concern, and the effect of symptoms upon lifestyle and functional goals.

Male healthcare provider writing with pen on medical history paper form

Physical Exam

The neurologic and musculoskeletal examinations evaluate flexibility, movement, strength, reflexes, balance, and walking pattern.  Functional tests elicit the source of pain and target areas of muscle weakness or joint laxity.

Male healthcare provider performing knee jerk reflex test

Electromyography (EMG) and nerve conduction studies are often an extension of the neurological physical examination and may provide greater sensitivity and accuracy in arriving at a clinical diagnosis.

Numb hands or feet, absent reflexes, weakness, limping, or shooting pain will usually prompt further investigation.

If you feel those needles and pins, it may be time to come in for an EMG test.

EMG testing may reveal the source of more subtle or elusive symptoms that might otherwise go undetected.

Diagnostic Muscle & Nerve Testing

Cadwell Sierra Summit EMG machine with screen monitor displaying ulnar motor nerve conduction waveforms

EMG & NCS are often performed together to diagnose conditions in which nerves are damaged, injured, compressed, or irritated.

Dr. Maria Pirraglia performing ulnar motor nerve conduction studies at elbow

Electromyography (EMG) & nerve conduction studies (NCS) are dynamic tests that measure muscle and nerve function in real-time.

During NCS, low grade electrical currents are applied to the skin to test how nerves respond and to see how quickly impulses travel through nerves.  During EMG, a thin, sterile, disposable needle electrode is inserted through the skin and directed into selected muscles in order to detect normal versus abnormal electrical activity in muscles.

EMG & NCS generate waveforms that appear on a computer monitor displaying results.

Electrodiagnostic muscle and nerve testing is a very sensitive indicator of spinal nerve root involvement in low back and neck conditions serving to identify the source of pain and to better direct treatment decisions.

EMG screen monitor displaying median motor nerve conduction waveforms

Common conditions detected by EMG & NCS

Male in business attire at laptop computer clutching wrist in pain

Carpal Tunnel Syndrome

Nerve entrapment at the wrist, as in carpal tunnel syndrome, or at the elbow, as in cubital tunnel syndrome

Male in business attire sitting at desk clutching low back in pain

Back Pain with Pinched Nerve

Pinched nerve roots in the neck and back with electric pain in the arms or radiating pain in the legs, as in radiculopathies

Cute frog in top hat with cane dancing on top of EMG machine symbolizing historic electrophysiologic experiments with frog legs

EMG theory originated centuries ago when an Italian scientist used electricity to make a frog’s legs dance!

Statue of Luigi Galvani, Italian physicist, father of electrophysiology

Luigi Galvani

(1737 - 1798)

Physician, philosopher, and acclaimed Father of Electrophysiology