Advanced Orthopedic & Sports Medicine Specialists offer state of the art digital imaging at both of our facilities. Our X-Ray staff is comprised of Registered X-Ray Technologists.
An x-ray machine sends individual x-ray particles through the body. The images are recorded on a computer or film.
- Structures that are dense (such as bone) will block most of the x-ray particles, and will appear white.
- Metal and contrast media (special dye used to highlight areas of the body) will also appear white.
- Structures containing air will be black, and muscle, fat, and fluid will appear as shades of gray.
Electromyography (EMG) and Nerve Conduction Studies (NCS)
If you have muscle pain or numbness, you may have one or both of these tests to determine how much of your nerves are being affected. These tests check how well your spinal cord, nerve roots, and the nerves and muscles that control your legs are functioning.
Electromyography (EMG) measures the electrical activity of muscles at rest and during contraction.
This test helps us find diseases that damage muscle tissue, nerves, or the junctions between nerve and muscle. These problems may include a herniated disc, amyotrophic lateral sclerosis (ALS), or myasthenia gravis (MG).
It can also help us find the cause of weakness, paralysis, or muscle twitching. Problems in a muscle, the nerves supplying a muscle, the spinal cord, or the area of the brain that controls a muscle can cause these symptoms. However, the EMG does not show brain or spinal cord diseases.
The test is performed by inserting a very thin needle electrode through the skin into the muscle. The electrode on the needle picks up the electrical activity given off by your muscles. This activity appears on a nearby monitor, and may be heard through a speaker. After placement of the electrodes, you may be asked to contract the muscle. For example, bending your arm. The electrical activity seen on the monitor provides information about your muscle’s ability to respond when the nerves to your muscles are stimulated.
Nerve Conduction Studies (NCS)
Nerve Conduction Studies measure how well and how fast the nerves can send electrical signals.
A Nerve Conduction Study is done to find damage to the peripheral nervous system, which includes all the nerves that lead away from the brain and spinal cord and the smaller nerves that branch out from those nerves. This test is often used to help us find nerve problems such as carpal tunnel syndrome or Guillain-Barré syndrome.
In this test, several flat metal disc electrodes are attached to your skin with tape. A shock-emitting electrode is placed directly over the nerve, and a recording electrode is placed over the muscles controlled by that nerve. Several quick electrical pulses are given to the nerve, and the time it takes for the muscle to contract in response to the electrical pulse is recorded. The speed of the response is called the conduction velocity.
Robotic Assisted Partial Knee Replacement
MAKOplasty® Partial Knee Resurfacing is an innovative treatment option for adults living with early to midstage osteoarthritis (OA) in either the medial (inner), patellofemoral (top), or both compartments of the knee. It is powered by the RIO® Robotic Arm Interactive Orthopedic System, which allows for consistently reproducible precision in performing partial knee resurfacing.
The RIO® System empowers surgeons and hospitals to address the needs of a large and growing, yet currently underserved patient population. Patients who desire a restoration of lifestyle, minimized surgery, reduced pain and rapid recovery may benefit from MAKOplasty®.
During the procedure, the diseased portion of the knee is resurfaced, sparing the patient’s healthy bone and surrounding tissue. An implant is then secured in the joint to allow the knee to move smoothly again. MAKOplasty® Partial Knee Resurfacing can:
- Facilitate optimal implant positioning to result in a more natural feeling knee following surgery
- Result in a more rapid recovery and shorter hospital stay than traditional knee replacement surgery
- Be performed on an outpatient basis
- Promote a rapid relief from pain and return to daily activities
As a knee arthroplasty procedure, MAKOplasty® is typically covered by most Medicare-approved and private health insurers.
Robotic Arm Interactive Orthopedic System (RIO®)
The RIO® Robotic Arm Interactive Orthopedic System features three dimensional pre-surgical planning. During surgery, the RIO® provides the surgeon with real-time visual, tactile and auditory feedback to facilitate optimal joint resurfacing and implant positioning. It is this optimal placement that can result in more natural knee motion following surgery.
- Accurately plan implant size, orientation and alignment utilizing CT-derived 3-D modeling
- Enabling the pre-resection capture of patient-specific kinematic tracking through full flexion and extension
- Real-time intra-operative adjustments for correct knee kinematics and soft-tissue balance
- Minimally invasive and bone sparing, with minimal tissue trauma for faster recovery
Find out more about Makoplasty®/ Partial Knee Resurfacing from the following