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Whether you’re experiencing numbness, tingling, pain or burning sensations or whether you are having tremors, shaking and other symptoms of Parkinson’s Disease, we can isolate the potential underlying cause of your neuromuscular disorder.

Treating Muscle and Nerve Disorders

Your muscles are the connective tissue that keeps you moving and helps your body work. Any breakdown in the function of muscle can result in weakness, pain or even paralysis.

That’s why it’s important to diagnose potential muscle disorders early and get on a proper course of treatment to ensure healthy function and maintain good quality of life.

While there is no single cause for a muscle disorder, common causes include:

    • Injury or overuse, such as sprains or strains, cramps or tendinitis
    • Genetics, such as muscular dystrophy
    • Some cancers
    • Inflammation, such as myositis
    • Diseases of nerves that affect muscles
    • Infections
    • Certain medications

Don’t live in pain, our physicians are experts in treating many neuromuscular disorders including the following:

      • Carpal Tunnel Syndrome
      • Back Pain
      • Neck Pain
      • Sciatica
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What is Neuromuscular Disease?

A neuromuscular disease is a disorder that affects the peripheral nervous system. Patients with neuromuscular disease can have weakness, loss of muscle bulk, muscle twitching, cramping, numbness, tingling, and a host of other symptoms. Problems with the nerve-muscle junction can also cause droopy eyelids, double vision and weakness that worsen with activity. Some neuromuscular disorders can even cause difficulty with swallowing and sometimes breathing.

Diagnosis begins with a history and physical examination in which our physician evaluates a patient’s muscle strength, reflexes and sensation.

Depending on the diagnosis, assessment may include blood tests, radiological studies, and examination of cerebrospinal fluid.

Common tests include:

      • Nerve Conduction Studies (NCS)
      • Needle Electromyography (EMG)

What is a Nerve Conduction Study (NCS)?
A nerve conduction study shows how well signals travel along large nerve fiber and can help find the cause of abnormal nerve function. To perform a study, our physician (or our trained technologist working under a physician supervision) applies small electric pulses to a nerve. The pulses cause the patient to feel a mild tingling sensation; and if the muscle is stimulated, it will jump. The type of problem being evaluated determines how many nerves are tested. The study usually lasts 30-45 minutes.

Common reasons for NCS are:

      • Carpal Tunnel Syndrome
      • Ulnar Neuropathy
      • Peripheral Neuropathy
      • Myasthenia Gravis
      • Muscle Disease

What is Needle Electromyography (EMG)?
In this test, which usually is done along with NCS, our physician inserts a thin needle electrode into muscles and records the electrical activity of each muscle that is examined. The activity is recorded so that the physician can analyze it by looking at the signal, as it is rendered by a oscilloscope, and by listening to the sounds and signals made when played through a speaker. The patient may feel mild discomfort when the needle is inserted. All the needles are new and sterile. The numble of muscles studies varies, and testing may take 15-30 minutes.

Common reasons for EMG are:

      • Neuropathy
      • Muscle Disease
      • Motor Neuron Disease

Patients taking “blood thinners: may bleed from an EMG. If you are taking a blood thinner, such as warfarin (Coumadin), let the office staff know when they test is being scheduled.

The physicians at Sandhills Neurologists are board certified in general neurology as well as neuromuscular medicine and vascular neurology by the Board of Medical Specialties. Dr. Tellez has also attended a fellowship in Nerve Conduction Studies (NCV/EMG) and Neuromuscular Diseases at the University of North Carolina, Chapel Hill. Sandhills Neurodiagnostic Center currently employs 3 neurodiagnostic technologists. The technologists have several years of combined experience.

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