EMG/NCS Nerve and Muscle Testing

EMG Specialty


What is physical medicine and rehabilitation?

Physical medicine and rehabilitation (PM&R), also called physiatry, is the branch of medicine emphasizing the diagnosis and treatment of nerve and muscle disorders.  Dr. Bingham and Dr. Valdivia are both physiatrists. 

How do rehabilitation physicians diagnose?

Relief begins with an accurate diagnosis.  This important first step will determine what type of treatment is appropriate.  A physiatrist's tools are the same as those used by other physicians (medical histories, physical examinations, and imaging studies), with the addition of a special technique called electromyography (EMG). Electromyography is the best available technique for evaluating nerves and muscles. With advancements in technology, this procedure has become the gold standard and is universally recognized by the medical profession. Dr. Bingham and Dr. Valdivia have devoted their practice exclusively to electromyography for over 20 years.  This narrow focus allows them to stay abreast of the latest techniques and procedures.

How did the specialty develop?

The field of physical medicine and rehabilitation (PM&R) began in the 1930s to address musculoskeletal and neurological problems. After World War II, thousands of veterans came back to the United States with serious disabilities.  The task of diagnosing and rehabilitating people with all types of disabilities became a new direction for the field.  The Advisory Board of Medical Specialties granted PM&R approval as a specialty of medicine in 1947.

What kind of training do rehabilitation physicians have?

To become a rehabilitation physician (physiatrist), an individual must complete a four-year college program followed by four years of medical school (M.D.) and four additional years of specialty training.  Specialty training includes one year of developing fundamental clinical skills and three additional years of training in the full scope of the specialty. 
To become board certified in physical medicine and rehabilitation, rehabilitation physicians are required to take both a written and oral examination administered by the American Board of Physical Medicine and Rehabilitation (ABPMR).
Both Dr. Bingham and Dr. Valdivia each hold two board certifications.  In addition to their certification in Physical Medicine and Rehabilitation, they are board certified by the American Board of Electrodiagnostic Medicine.
Dr. Bingham founded Bingham Nerve & Muscle in 1989 and was joined in 1999 by Dr. Valdivia.  They see patients in Jackson and hold satellite clinics in several other West Tennessee communities. 
Board Certification Information:

Ronald C. Bingham, M.D.

American Board of Electrodiagnostic Medicine 
American Board of Physical Medicine and Rehabilitation

Remy A. Valdivia, M.D.

American Board of Electrodiagnostic Medicine
American Board of Physical Medicine and Rehabilitation

 

 

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