It begins with a thorough exam & a laser-accurate diagnosis.
The first time you visit Dr. Pappas, you’ll understand how he developed his reputation for clinical excellence. He spends the extra time it takes to get to know you, to answer your questions and to really understand what’s happening with your body. His attention to detail and his talent at making laser-accurate diagnoses are the foundation of the excellent level of care you’ll always receive, and they’re part of the reason he’s so often able to resolve the pain that others can’t.
State-of-the-art equipment means one office, one doctor and one focused solution is all you need.
When you’re in pain, the last thing you want is to drive all over town for tests and treatment. We’re proud to offer almost every advance you need in the convenience of the office you trust. Dr. Pappas always reads his own MRIs with you, right here in the office. That means that you can put all your energy toward recovery while Dr. Pappas and his exceptionally caring staff take care of everything.
Dr. Pappas makes responsible medication management a priority.
When you’re dealing with chronic pain issues, medication can be both a blessing and a curse. Dr. Pappas is careful to keep a healthy perspective and protect his patients from the negative effects of too much medication and medication that may become too powerful for them to handle. We offer:
- Expert Diagnostic Assessments
- On-site EEGs, EMGs & NCS
- Therapeutic ultra sound
- Electrical Stimulator
- Trigger point injections
- Radiation-free ultrasound-guided joint & spinal injections
- Fluoroscopically guided injections:
- Cervical, thoracic & lumbar facet blocks
- Radiofrequency facet nerve ablations
- Sacroiliac blocks
- Diagnostic and therapeutic ultrasound and electric stimulation
- In-office MRI reviews with Dr. Pappas
MRI/MRA (magnetic resonance imaging/magnetic resonance angiography)
MRI is a non-invasive procedure that uses powerful magnets and radio waves to construct pictures of the body. An MRI can provide additional imaging information for Dr. Pappas based upon its superior tissue contrast resolution. This allows him to provide you with a more definitive diagnosis. The MRI can be performed on any part of the body. We work closely with the imaging centers in Glynn County and surrounding counties to provide you with the best imaging service available that will also match your scheduling needs.
EEG testing is offered in our office. In an EEG, electrodes are placed on the scalp over multiple areas of the brain to detect and record patterns of electrical activity and check for abnormalities that would tell Dr. Pappas when brain cells aren’t communicating properly. The test is performed by an EEG technician in a specially designed room in our office. You will be asked to lie back in a reclining chair. The technician will apply between 16 and 25 flat metal discs (electrodes) in different positions on your scalp, held in place with a sticky paste. The electrodes are connected by wires to an amplifier and a recording machine. The recording machine converts the electrical signals into a series of wavy lines that are drawn onto a moving piece of graph paper. You will need to lie still with your eyes closed, because any movement can alter the results. You will be asked to do certain things during the recording, such as breathe deeply and rapidly for several minutes or look at a bright flickering light.
When your test is scheduled, you will be given a list of instructions on how to prepare for your particular test. If you have questions, our staff is available to answer them. It may feel strange to have the electrodes attached to your scalp; however, they produce no sensation. The EEG test does not cause discomfort. It takes about an hour, and our scheduler will work with you on scheduling these tests for your convenience.
EMG/NCV (electromyography/nerve conduction velocity)
Electromyography (EMG) is a test that assesses the health of the muscles and the nerves controlling the muscles. Nerve conduction velocity (NCV) is a test of the speed of conduction of impulses through a nerve. Nerve conduction and EMG testing takes approximately 30 to 45 minutes. You can have your nerve conduction study done on one day and the EMG portion of the test scheduled for another day. The nerve is stimulated, usually with surface electrodes, which are patch-like electrodes placed on the skin over the nerve at various locations. One electrode stimulates the nerve with a very mild electrical impulse. The resulting electrical activity is recorded by the other electrodes. The distance between electrodes and the time it takes for electrical impulses to travel between electrodes are used to calculate the nerve conduction velocity. Once Dr. Pappas prescribes the test, our scheduling person will work with you on the most convenient time to have the test performed. You will receive an instruction sheet when your test is scheduled.
This equipment is used in our office to guide the needle placement in pain-related procedures, such as spinal joint injections (facet injections), epidural steriod injections, and other joint injection procedures. Ultrasound is accurate, painless and uses no harmful radiation.
To download brochures on a variety of neurological diagnoses, click here.