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  • Additional Office Location @ Winter Park, FL

    2902 N Orange Ave

    Suite 205

    Orlando, FL 32804

     

    4/17/2011

Articles

  • Lymphedema Therapy

    We provide a comprehensive evaluation, diagnosis and management for adults and pediatric patients with lymphedema. Lymphedema can be a silent condition, sometimes not recognized for years. The most important is to properly diagnosed the condition to provide adequate treatment and prevent complications such as recurrent infections.

    • The treatment is oriented to control the lymphedema and prevent further complications. Treatment for lymphedema varies depending on the severity of the edema and the degree of fibrosis of the affected limb. The most common treatments for lymphedema are a combination of the use of manual lymphatic drainage, compression bandaging and garment and intermittent sequential gradient pumps. Complex decongestive physiotherapy is a system of manual lymphatic drainage massage, application of multi-layer compression bandages, skin care and education.
    • http://www.lymphdoc.com 
    • http://www.lymphedemaphysmedi.com
    4/17/2011

  • Electromyography & Nerve Conduction Study

    Electromyography (EMG) & Nerve Conduction Studies (NCS): a test that helps in diagnosis of conditions
    related to nerves, muscles, neuromuscular
    junction and motor neuron.

    General Indications for EMG & NCS:
    numbness, tingling, burning sensation or
    pain, radicular pain, limb pain, muscle
    weakness and/or atrophy, fasciculations.
    Facial nerve palsy
    Carpal & Cubital tunnel syndrome
    Tarsal tunnel syndrome
    Nerve Injuries
    Peripheral neuropathy
    Radiculopathies
    Congenital and acquired neuropathies
    Myopathies, muscular dystrophy
    Neuromuscular junction disorders
    Motor neuron diseases

    The EMG & NCS usually takes about 1 hour to be performed and the report is provided to the referring physician or provider in 24 to 48 hours.

    BOTOX injections are performed either EMG or nerve stimulation guided. The botulinum toxin when injected relaxes the muscle to reduce muscle tone and spasticity, improve function of the extremity or neck and decrease pain. The benefit of the BOTOX injection usually last up to 4-5 months depending on the condition treated and is found to be beneficial is repeated.

    Special considerations:
    EMGs are often avoided or done with great caution on individuals who are receiving anticoagulants (warfarin) due to risk of local bleeding. Depending on each individual case your doctor may stop the warfarin 3 days before the study and re-assume immediately after.

    EMGs are generally not problematic for persons with pacemakers, but nerve conduction studies requiring stimulation near pacemakers should be avoided.

    Do not apply body or hand lotion, this will make difficult for the superficial electrodes to adhere to the skin.

    4/17/2011

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