On-Site Diagnostic Testing and Treatment for Neurological Disorders with Neurology Clinic P.C.
An accurate diagnosis is the foundation of effective neurological care. At Neurology Clinic P.C., our board-certified neurologists use advanced, on-site diagnostic technology and evidence-based treatment services to evaluate a full range of neurological conditions, reducing the need for multiple referrals and helping patients move from evaluation to answers as efficiently and appropriately as possible.
Why Is Neurological Diagnostic Testing Important?
Neurological symptoms can arise from a wide range of conditions that affect the brain, spinal cord, peripheral nerves, neuromuscular junction, and muscles. Because many neurological disorders share overlapping symptoms, clinical evaluation alone is often not enough to establish a definitive diagnosis. Neurodiagnostic testing provides objective, measurable data about the structure and function of the nervous system, allowing your neurologist to identify the location, nature, and severity of the underlying problem.
At Neurology Clinic P.C., we offer several key neurodiagnostic and treatment services on-site and with trusted industry partners, which means you benefit from shorter wait times, coordinated scheduling, and the ability to have your testing performed and interpreted by the same neurological team managing your care.
Diagnostic Testing at Neurology Clinic P.C.
Electroencephalography (EEG)
An electroencephalogram (EEG) is a non-invasive test that records the electrical activity of the brain using small electrodes placed on the scalp. The brain produces continuous electrical signals that follow recognizable patterns, and an EEG allows your neurologist to detect abnormalities in these patterns that may indicate an underlying neurological condition. EEG is one of the most important diagnostic tools in the evaluation of epilepsy and seizure disorders, but it also plays a valuable role in assessing other conditions that affect brain function.
What does an EEG help diagnose?
- Epilepsy and seizure disorders, including identification of seizure type, localization of the seizure focus, and classification of epilepsy syndrome
- Non-epileptic events that may resemble seizures but have a different underlying cause
- Unexplained episodes of altered awareness, confusion, staring, or loss of consciousness
- Encephalopathy (diffuse brain dysfunction) related to metabolic, toxic, infectious, or inflammatory causes
- Monitoring of brain function in patients with known neurological conditions
What to expect during your EEG:
During a routine EEG, your provider will apply small electrodes to your scalp. The test is painless and typically takes 30 to 60 minutes for a routine study. You will be asked to rest quietly with your eyes closed for portions of the recording, and you may be asked to breathe deeply or look at a flashing light, as these activation techniques can help reveal abnormal brain activity. In some cases, your neurologist may recommend a prolonged or ambulatory EEG, which records brain activity over 24 to 72 hours and can capture events that a routine study may miss.
Electromyography (EMG)
Electromyography (EMG) is a diagnostic test that evaluates the electrical activity of nerves and muscles. During an EMG, a thin, sterile needle electrode is inserted into specific muscles to record the electrical signals the muscle produces at rest and during contraction. These signals provide detailed information about whether the muscle is functioning normally or whether there is evidence of nerve damage, muscle disease, or impaired nerve-to-muscle communication. EMG is almost always performed alongside nerve conduction studies (NCS) as part of a comprehensive electrodiagnostic evaluation.
What does an EMG help diagnose?
- Peripheral neuropathies, including diabetic neuropathy, inflammatory neuropathies, and hereditary nerve disorders
- Radiculopathies, such as pinched nerves in the neck or back
- Motor neuron diseases, including amyotrophic lateral sclerosis (ALS)
- Neuromuscular junction disorders, where the nerve can’t communicate with the muscle
- Myopathies, a set of muscular disorders
- Unexplained muscle weakness, atrophy, cramping, or twitching
What to expect during your EMG:
The needle electrode used in an EMG is very thin, and most patients describe the sensation as a brief, mild discomfort, similar to a small pinch or muscle cramp. Your neurologist will examine several muscles during the test, and the entire EMG portion of the study typically takes 15 to 30 minutes. No special preparation is required, although you will be advised to bathe and avoid applying lotions or creams to the skin on the day of the test.
Nerve Conduction Studies (NCS)
Nerve conduction studies (NCS) measure how quickly and effectively electrical signals travel through the peripheral nerves. During the test, small surface electrodes are placed on the skin over specific nerves, and brief, low-intensity electrical impulses are delivered to stimulate the nerve. The resulting responses are recorded and analyzed, providing objective data about nerve function, including the speed of signal transmission, the strength of the nerve’s response, and whether there is evidence of nerve damage, demyelination, or axonal loss.
What do nerve conduction studies help diagnose?
- Peripheral neuropathies, damage to nerves in the limbs
- Traumatic nerve injuries and evaluation of nerve recovery following surgery or injury
- Differentiation between nerve-related and muscle-related causes of dysfunction
What to expect during your nerve conduction study:
During your nerve conduction study, you will feel brief electrical impulses at the stimulation sites, which most patients describe as a quick, tapping sensation. You can expect your test to last roughly 20 to 40 minutes, depending on the number of nerves tested. Nerve conduction studies are usually performed immediately before or alongside an EMG as part of a single electrodiagnostic appointment.
Magnetic Resonance Imaging (MRI)
Magnetic resonance imaging (MRI) uses a powerful magnetic field and radiofrequency pulses to produce detailed, high-resolution images of the brain, spinal cord, and surrounding structures. MRI is the most important structural imaging tool in neurology, providing information about brain and spinal cord anatomy that cannot be obtained through other tests. It can reveal abnormalities such as tumors, strokes, shrinkage, and evidence of prior injury. Your neurologist may order an MRI with or without contrast, depending on the clinical question.
What does an MRI help diagnose?
- Epilepsy and seizure disorders
- Multiple sclerosis
- Stroke, transient ischemic attack (TIA), and cerebrovascular disease
- Brain and spinal cord tumors
- Alzheimer’s disease
- Herniated discs, spinal stenosis, and other cord compressions
- Traumatic brain injury and concussion-related changes
What to expect during your MRI:
An MRI scan is painless and does not involve radiation. You will lie on a cushioned table that slides into the MRI scanner, and the study typically takes 30 to 60 minutes. If claustrophobia is a concern, we will discuss an appropriate approach to ensure we get the data we need while protecting your sense of safety and security. If contrast is needed, a small IV will be placed in your arm. Your neurologist will coordinate the MRI order, review the images, and explain the results in the context of your overall clinical evaluation.
Treatment Services at Neurology Clinic P.C.
In addition to advanced diagnostic capabilities, Neurology Clinic P.C. offers on-site treatment services that allow you to receive specialized neurological therapies in a comfortable, clinically-supervised setting you are already familiar with. Administering these treatments in-house ensures close coordination between the treating neurologist and the clinical team, allows for real-time monitoring and dose adjustments, and provides you with streamlined, cohesive care.
Infusion Therapy
Infusion therapy involves the administration of medication directly into the bloodstream through an intravenous (IV) line. Many neurological conditions require medications that are most effective, or only available, when delivered intravenously. Infusion therapy allows these medications to be absorbed quickly and completely.
What to expect during infusion therapy:
Infusion appointments take place in our office, where you will be seated in a comfortable reclining chair and monitored by our clinical staff throughout the session. A nurse will place a small IV catheter in your arm, and the medication will be administered over a period of time that can range from 30 minutes to several hours, depending on the specific drug. Vital signs are monitored at regular intervals, and our team is trained to manage infusion reactions if they occur.
Most patients read, work, or take the opportunity to rest during their session. Your neurologist will determine the appropriate infusion schedule based on your diagnosis and treatment response, and adjustments will be made as needed over time.
Injection Therapy
Injection therapy involves the targeted delivery of medication into a specific site, such as a muscle, joint, nerve, or soft tissue structure. Injections serve both therapeutic and diagnostic purposes. Depending on the condition being treated, injections may be used to relieve pain, reduce muscle spasticity, block abnormal nerve signaling, or deliver anti-inflammatory medication to a precise anatomical target.
What to expect during injection therapy:
Injection procedures are performed in our clinic by your neurologist and typically take 15 to 30 minutes, depending on the number of injection sites and the technique involved. For Botox® treatments, small amounts of medication are injected into targeted muscles using a very fine needle; most patients describe the sensation as a brief pinch. A limited number of nerve blocks are done in our clinic where a local anesthetic and, in some cases, a corticosteroid are delivered near the affected nerve to reduce pain and inflammation. Your neurologist will discuss the expected onset of benefit, duration of effect, and any precautions following the procedure. Repeat injection schedules are determined based on your clinical response and the specific treatment protocol.