Orthopedic Treatments and Tests
 

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Colchicine

The Autumn Crocus has been known since the times of ancient Greece. In the fifth century, herbalists discovered it could be used to treat rheumatism, arthritis and gout. The useful active ingredient in the plant is called colchicine. Used by physicians for the last 150 years, Colchicine is still being used today.


Given by Intravenous injection, this amazing old drug is often helpful in alleviating spine pain. Although a difficult injection to give, Dr. Dorey has been administering these I.V. injections for almost 25 years.

“Some of my most satisfied patients are those who’s pain responds to Colchicine.”

Lee R Dorey, M.D., P.A.


EMG

Electromyogram (EMG) means electrical testing of muscles but in fact has come to mean electrical testing of nerves and muscles.

An EMG may be ordered to see if you have a pinched nerve in the back or the neck. If you have tingling or numbness in your arms or legs, an EMG may show if you have a nerve entrapment somewhere or a nerve injury. Weakness of the muscles or “fatigue” (tiredness) may be indicative of nerve or muscle disease and require an EMG.

Nerve Conduction Studies (NCV). Delivery of some brief electrical shocks, through the skin, to your arm or leg in an effort to determine how fast or slowly your nerves are conducting the electrical current and therefore in what state of health or disease they may be.

Needle Examination (EMG). As the name implies, involves some needle sticking, through the skin, into the muscles. The needles used are thin, fine and about one and a quarter inches long. This part tests the muscle to see if there has been any damage to it as a result of the nerve problem or if the disease involves the muscle itself rather than the nerve.

Sometimes EMGs are thought to be a treatment of some sort, or a type of acupuncture. This is not true; an EMG is only a test, much like an EKG or an X-ray are tests and not treatments.

“It is my experience that the most thorough exam takes longer to perform. Upwards of 1-2 hours. This detailed exam provides the most accurate findings. Though it can be an uncomfortable test to under go……..EMG’s can be very helpful in identifying, otherwise, elusive low back and neck problems.”

Lee R Dorey, M.D., P.A.

Discography

Used in the lower back and occasionally in the neck. With the patient under sedation, this radiographic procedure involves Dr. Dorey placing needles into the disc space.

“I have been performing discography since 1977. When an MRI fails to show the problem, discography may identify where the pain comes from.”

Lee R Dorey, M.D., P.A.


Kyphoplasty

Kyphoplasty, a new state-of-the-art spinal procedure, restores some of all of the height lost due to a compression fracture, and helps straighten a bent-forward spine.


More Information

For more spinal education information, go to .

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