What is a complementary pre-consultation?

A scheduled appointment to sit down with a doctor to discuss pertinent health concerns. There is no charge for the service.

What to bring to the appointment? It is helpful to bring imaging (x-rays, MRI’s, CT Scans, etc..) studies that have been done for the problem. If the pre-consultation is to be by phone, try to have these studies forwarded to our office.

What will happen at the pre-consultation? This appointment is not a time for doing further studies (except as described below) or in-depth examinations or a full case history but, the doctor will probably offer to check posture, palpate the spine and try to understand what has been the issue.

Are there special tests available of real value to the patient and the doctor? The patient and the doctor can decide whether or not to perform a DynaROM (dynamic surface EMG) test on the affected area of the spine. The DynaROM is a test that utilizes the same technology as an electrocardiogram (ECG or EKG).

How does the DyanaROM work? An ECG measures the electrical activity of the heart muscle as the heart beats. Abnormalities can be spotted and many times diagnosed with the ECG. The DynaROM is a surface electromyograph study. It uses leads just like the ECG but instead of being attached to the chest they are attached to the spine. Then by going through specific movements known a cardinal plane of motion, the electrical activity of the musculature can be recorded and compared to the normal standard. There is a normal pattern of muscular electrical activity associated with these movements just as there is a normal pattern of electrical activity associated with a normal ECG. It is fair to say the DynaROM study is an ECG of the spine.

What does the test show? It provides a picture of pain patterns and how much structural problems are effecting physical abilities on a day to day basis. The test is invaluable for determining the depth of a problem or injury and it is offered at no charge for this pre-consultation visit. Once the doctor has a clearer idea about the problem from a discussion about it, they can proceed with the testing if it is deemed appropriate. By reviewing past studies, hearing about the condition and asking question to clarify, checking posture and digital palpation findings, the DynaROM can really show a problem graphically. Once this is all done, the doctor can be of help in describing potential options in care.

With additional information such as gleaned from a Complementary Pre-Consultation, decision making can be made easier for all concerned.

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