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Diagnostic Testing

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Diagnostic Testing is used to better understand your condition, and may include:

Electromyogram (EMG)

The EMG is a diagnostic tool used to test electrical impulses transmitted between the muscles and adjoining nerves and consists of:

     1. Needle EMG – small Teflon coated needle is used to test muscles

     2. Nerve Conduction Study - mild electrical stimulation to detect various nerve conditions such as:
          • Neuropathy
          • Nerve injuries
          • Entrapment syndromes such as Carpel Tunnel

These diagnostic tools distinguish between muscle conditions and muscle weakness related to nerve disorders.  It enables us to detect abnormal electrical activity of muscles that can occur in many diseases and conditions such as:

          • Muscle inflammation
          • Pinched nerves
          • Peripheral nerve damage
          • Disc herniation
          • Amyotrophic lateral sclerosis (ALS)
          • Muscular dystrophy
          • Myasthenia gravis and others


Dr. Michael Cicchetti with patientBuffalo Spine and Sports Medicine was the first group in Buffalo to introduce ultrasound for the evaluation and management of joint and soft tissue and nerve disorders. It complements and allows for more accurate diagnosis and safer procedures.

          • Direct external trauma
          • Acute lesions - strains, contusions/crush injury,
            muscle ruptures (common in athletics)
          • Chronic lesions - fibrous scars, cystic hematomas,
            myositis ossificans
          • Neuromuscular pathologies - progressive dystrophies,
            myotonic dystrophies, inflammatory myopathies
            spinal muscular atrophy (multifidus)
          • Inflammatory and degenerative arthritis - RA, DJD
          • Peripheral neuropathies - carpal/tarsal tunnel

The doctor conducted an ultrasound and then began manipulating my leg. He kept examining not only my calf, but my foot as well. Finally he determined that I had suffered a tear in the muscle, deep in the part of my calf that supports the big toe.      ~ Patrick