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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
• Trigger point
injections
• Radiation-free
ultrasound-guided joint & spinal injections
• Fluoroscopically
guided injections:
• Cervical,
thoracic & lumbar facet blocks
• Radiofrequency
facet nerve ablations
• Diskography
• Percutaneous
diskectomy
• 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 (electroencephalography)
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.
Diagnostic
Ultrasound
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.
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