Traumatic Neuroma

Traumatic Neuroma- nerve damages from outside the common compression neuropathy. Introduction We encounter various neuropathic symptoms and pain every day. Patient reports of neuropathic pain can differ in descriptions, characteristics, and patterns. It is crucial for healthcare providers, especially those working in diagnostics, to understand which pathological presentations necessitate more direct interventions, such as surgery […]

An Electromyographer’s Approach to the Neurologic Exam

Many clinicians in various settings perform a physical examination of the patient. The neurologic screen is an important component of the physical exam and typically follows the subjective interview of the patient. While much can be said about conducting an effective patient interview, that will not be discussed in detail here. The end result of […]

Suprascapular Neuropathy

There are many causes of shoulder pain because of the plethora of structures that are involved with passive and active stability and mobility of the glenohumeral joint, clavicle, scapula, and cervical spine. Of the many causes of pain, weakness, or dysfunction in the shoulder, one to consider is a suprascapular nerve compromise or neuropathy. In […]

Diabetes and Diabetic Neuropathy


What is diabetes? In 2018, an estimated 34.2 million Americans had diabetes, which was 10.5% of the population of the United States. Out of the 34.2 million estimated to have diabetes, 26.9 million had been diagnosed with the remaining estimated 7.3 million being undiagnosed. It was also reported that 88 million Americans aged 18 and […]

Taking the Mystery Out of an EMG/NCS Report – Part 2

In Part One of this article, I discussed the basics of nerve conduction studies and waveform analysis. In Part Two, I will cover principles of needle electromyography (EMG), specific diseases and injuries that relate to hand therapy, and how EMG/NCS findings relate to outcomes for certain injuries and surgeries of the upper extremities.   The needle EMG examination is […]

The “Ulnar Hand:” Three Case Studies


The human nervous system is an intricate thing, with nerve signals twisting and turning through structures called columns, roots, trunks, and cords on their way from the brain to the extremities and back again. As complex as this labyrinth is, in most people its twists and turns are nearly identical.  This allows an electromyographer to […]

Results of a Carpal Tunnel Release Surgery

The most common cause for numbness, tingling, and pain of the hand is due to a compressed median nerve at or through the carpal tunnel.1 There are many clinical tests that can be performed to aid in the diagnosis of carpal tunnel syndrome, including the square sign test, carpal tunnel compression test, Phalen’s test, or […]

Shoulder Injuries in the United States Army

If I told you a healthy 28-year-old soldier had shoulder pain and could not raise his arm, what causes would come to mind? A rotator cuff tear? A frozen shoulder? Impingement? What would you think if I said he has noticed a protruding shoulder blade during pullups? A long thoracic nerve injury? A brachial plexus […]


We are an EMG and NCS testing company. Electromyography, or EMG, is paired with nerve conduction studies, NCS, to evaluate the integrity of the peripheral nervous system and how it interacts with the muscles. We provide in-house services on a referral basis.

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