Dr. Bingham starts the visit with a physical exam of the patient and the patient’s medical history. A physical exam tests the strength, range of motion and reflexes. He looks for atrophy and signs that a muscle might be weak. He also looks for abnormal twitching. Dr. Bingham then tells one of his certified technicians what nerves to test based on his evaluation and the patient’s symptoms.
“The nerves are like wires in the arms and the legs,” Dr. Bingham said. He then reviews the nerve conduction test and follows up with an electromyography test, which involves placing an electrode under the skin into the muscle. This test measures how well the muscle works.
A report is then sent to the referring physician. Patients go back to the referring provider for treatment. “The technicians and physicians also have iPads, which they can use to research difficult, unusual cases”, said Dr. Bingham.
“We really foster a learning environment where we work as a team and do the best we can for the patient. The few cases that stump us have us spending a lot of time doing research; we’ll even ask the patient to come back so we can do more assessments.”