Imaging Services Provided at Orthopedic Associates
Orthopedic Associates offers state-of-the-art MRI services that utilize joint-specific, orthopedic imaging coils. This provides excellent image quality and detail when imaging body parts such as hands, wrists, shoulders, knees, ankles and the spine.
WHAT IS AN MRI SCAN?
An MRI scan uses a large magnet, radio waves, and a computer to create a detailed cross-sectional image of the patient's internal organs and structures. An MRI scan differs from CT scans and X-rays because it does not use ionizing radiation that can be potentially harmful to a patient.
MRI SERVICES PROVIDED AT ORTHOPEDIC ASSOCIATES
Located in Poughkeepsie, Kingston and East Fishkill
Conscious sedation, administered by a skilled registered nurse, can be offered to help ease the stress of claustrophobia
MRI services offered to both Orthopedic Associates patients, as well as outside patients
MRI reports are obtained within 48 hours
Only orthopedic practice in the area that has three state-of-the-art 1.5 Tesla MRI units
An arthrogram, or arthrography, is the imaging examination of a joint such as a shoulder, hip or wrist to help identify the source of your pain. Using ultrasound for guidance, gadolinium is injected into the joint to highlight soft tissue structures so that they are visible during an MRI.
WHAT IS AN EMG?
Electromyogram or EMG is a test that helps diagnose a variety of disorders involving peripheral nerves, muscles and spinal nerves and symptoms including numbness or tingling, pain, muscle weakness, low back pain, sciatica, Carpal Tunnel syndrome or radiculopathy. The test takes 30-45 minutes and there are two parts to the study. These tests are nerve conduction velocity studies and an EMG needle study. Each part of the study gives information which will help to determine the functional quality of the peripheral nerves and muscles tested. This test may cause mild to moderate discomfort. A mild analgesic or ice may be used if there is discomfort. Occasional bruising may occur.
EMG APPOINTMENT INSTRUCTIONS
Please arrive 15 minutes prior to your EMG appointment
Come with clean skin, no creams or sanitizers on the body part being tested
You may continue taking your regular medications/pain medications
Wear or bring a t-shirt if your upper body is being tested
Wear or bring shorts if your lower body is being tested
Testing may take 30-45 minutes
Small children will not be allowed in the testing site
Patients referred from an outside physician must bring a prescription with them
If you cannot make your appointment call or text 845-454-0120 to cancel. Appointments must be cancelled with at least 24 hour notice or a no show fee of $250 may apply
NEEDLE ELECTROMYOGRAPHY (EMG)
Needle electromyography (EMG) refers to the recording of muscle electrical activity using a thin pin electrode. The pin electrode is inserted through the skin into the muscle. During the insertion, the licensed practitoner determines the resistance of the muscle. The practioner also evaluates the electrical activity of the muscle both at rest and during contraction of the muscle. The pin electrode translates the amount and intensity of the electrical activity into waveforms displayed on a computer screen. The sounds of the electrical activity are also emitted and interpreted by the practitoner. Therefore, the practitioner is not only using sight and touch, but also sound to determine the proper diagnosis. After the practitioner finishes examining one muscle, he or she analyzes all of the data - the waveform, the sounds, and the feel of the muscle - to determine if and which other muscles may need to be studied.
NERVE CONDUCTION VELOCITY STUDIES
Nerve conduction velocity studies (NCVs) are used to test the speed of impulses through a nerve. To perform this study, surface electrodes are used to stimulate the nerve by placing electrodes on the skin at various locations over the nerve. One electrode stimulates the nerve with a mild electrical impulse and the resulting electrical activity is recorded by the other electrode. The distance between electrodes and the time it takes for electrical impulses to travel between electrodes are used to determine whether the nerve is functioning appropriately.
As part of our commitment to patient care, every Orthopedic Associates office has digital x-ray imaging facilities on-site. This allows us to enhance your experience and allows our providers to have immediate access to your images. The images are stored in your electronic medical records and can be made available to you on cd if needed.
What is an X-Ray?
X-rays are the most common and widely available diagnostic imaging technique. They can provide your doctor with important and potentially life-saving information about many medical conditions and are often used to detect bone fractures and dislocated joints after falls and accidents.
What to expect during an X-Ray?
During an x-ray, the technician positions the part of your body being x-rayed between the x-ray machine and photographic film. You will then be asked to hold still while the machine briefly sends electromagnetic waves (radiation) through your body, exposing the film to reflect your internal structure.