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TREATMENT MODALITIES

DaVinci Medical Group utilizes modern treatment modalities to aid in healing patient injuries. The following treatment modalities have been shown to promote faster healing, aid in connective tissue repair, decrease pain, reduce swelling and inflammation and increase range of motion. These techniques have long been recognized as standards in treating patients who suffer from strains/sprains, tears, disc herniations, carpel tunnel syndrome and various other conditions. The value in these treatment modalities is that they can promote a faster return to normal routines, increase efficiency and productivity, decrease a patient’s lost workdays and facilitate a healthy return to daily activities.

1. Neurostimulator stimulates means of increasing blood flow to muscles, increasing range of motion, increasing muscle strength, as well as enhancing muscle endurance.

2. Vasopneumatic helps to bring blood and nutrients into the injury site and helps to decrease swelling and inflammation.

3. Nerve block decreases the amount of pain felt and stimulates the muscle to decrease swelling and pain.

4. Therapeutic Ultrasound helps by sending sound waves into the tissue, which reduces inflammation, pain, and brings blood and healing nutrients back into the area.

5. Heat/Hot Packs draw blood from the interior to the surface. Blood vessels in the area of the application will dilate and circulation increases.

6. Cryotherapy Cold water or ice will immediately chill the skin, and surface blood vessels will contract driving blood to the interior of the body. Nerve sensitivity is also reduced.

7. Myofascial Release is a very effective hands-on technique that provides sustained pressure into muscles and soft tissue restrictions to eliminate pain and restore normal motion.

8. Microcurrent is used over an injured area helps to realign the body’s electrical current, increase the production of ATP, resulting in increased healing and recovery, as well as blocking the pain that is perceived.

9. Electrical muscle stimulation is used in pain management and physical therapy protocols for rehabilitation. It is a non-invasive procedure that uses interferential current.

10. TENS was designed to relieve pain by sending gentle electrical impulses through the skin to the nerves. This suppresses pain by blocking the pain signals before they reach the brain.  It reduces and often even eliminates pain.

11. Isometric exercise is used to develop strength, endurance, range of motion, and flexibility.  This treatment helps to decrease pain and improve range of motion.  It helps to prevent future reoccurrence of their problems.

12. Neuromuscular re-education helps to improve in normal muscle contraction, develop movement patterns, balance, coordination, kinesthetic sense, posture, and proprioception and aids in the proper rehabilitation of the injury. 

13. Stretching helps to increase range of motion, decrease the chance of fibrotic scar tissue formation in the injury site, and increase the overall flexibility of the muscle.

DIAGNOSTICS PROCEDURES, the doctor will perform an evaluation assessing muscle strength, flexibility, joint motion, sensory evaluation neurological tests, coordination and balance, posture and movement analysis to determine the underlying cause of your condition.

Computerized Functional Capacity Evaluation has been recognized as the industry standard for functional evaluations and employee return to work evaluations.  This system helps us to determine what physical demand level your employee is functioning at as well as deficiencies that he/she may have. This system can be used as a post-offer of employment screens, Functional Capacity Evaluations, employee baselines in industrial medicine, return-to-work determinations, Impairment and disability evaluations, and job specific static lifting, This test would enable Personal Injury cases to reduce liability from the patient returning back to work too soon and establish a baseline for which to determine injury and impairment.

EKG is used to monitor the hearts function and output to determine electrical or vascular malfunction. Blood pressure check, EKG, and a body fat analysis are done prior to an exercise protocol to assess patient able to perform task.

X ray is used to determine the bone structure, alignment and to locate pathology in the skeletal frame. Serious health problems can be averted if early evaluation and treatment can be made. 

Bone Density Scans are used to quantify bone loss and osteoporosis in a patient. Significant changes in bone structure and density can alter the body function and quality of health. 

Neurometer is used to evaluate the full range of neurological dysfunction (hyperesthesia through hypoesthesia) in sensory nerve fibers at any cutaneous site on the body. The Neurometer can evaluate more than 90% of the fibers in a typical sensory nerve.    

Nerve Conduction Velocity tests the peripheral nervous system to the arms, legs, and face.  This test checks both sensory and motor nerve fibers. NCV’s aid in the evaluation of: entrapment neuropathies, such as carpal/tarsal tunnel syndromes, as well as ulnar, radial, peroneal, femoral, posterior tibial, peripheral neuropathies, herniated discs, numbness, tingling, and pain in the extremities.

Somatosensory Evoked Potential test both sensory and motor nerve fibers in the peripheral nervous system to the spinal cord. Brachial plexus or central nervous system medial, ulnar, and radial nerves can be tested with this procedure.  SEP’s aid in the evaluation of abnormal skin sensation, nerve root compression, thoracic outlet syndrome, numbness, tingling, burning sensation, and diabetes.

Dermatosensory Evoked Potential test of specific nerve roots.  This usually includes C6, C7, C8, L4, L5, and S1 nerve roots. This is a very valuable diagnostic procedure for trauma patients where one suspects radiculopathy. DEP’s aid in the evaluation of motor/sensory deficits, carpal tunnel syndrome, thoracic outlet syndrome, and plexus stretch injury.

Musculoskeletal Spinal Ultrasound is a diagnostic test that uses high-frequency sound waves to image the body.  Ultrasound is used to image the soft tissue structures and major blood vessels.  Musculoskeletal  spinal ultrasound aid in the evaluation of  ligament strain/ inflammation, facet syndromes/injury, myofascial irritation, musculoligamentous injuries, fibrous scars, and nerve root area inflammation.

Visual Evoked Potential stimulates the visual pathway and records the time it took to reach the visual cortex.  Clinical manifestations include post traumatic loss of blurred vision, double vision (diploplia), optic neuritis, papilledema, and space-occupying lesions.

Brainstem Auditory Evoked Response determines functionality of the 8^th cranial nerve along with the brainstem auditory pathway.  Traumatic injury to the head and neck, acoustic neuromas, space-occupying lesions, can functionally be diagnosed if affecting those regions above. 

P300 is an evoked response used to assess changes in memory function.  This procedure is commonly performed with general memory loss, closed head injuries, questionable CVA symptoms.

Thoracic Outlet Study is used to assess the function of those pathways commonly compressed by the first rib.  This test is useful because many other symptoms mimic thoracic outlet, such as brachial plexus stretch injuries and radiculopathies. 

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