Our expert diagnosticians understand that first step to effectively treating pain, is an accurate diagnosis. At Pain Specialists of Cincinnati we offer a variety of in-clinic diagnostic examinations to effectively treat even the most complex pain conditions.
Diagnostic Services offered at Pain Specialists of Cincinnati:
We have an in-house laboratory in which we can provide patients with on-site blood work services. Our diagnostic panel includes but is not limited to abasic metabolic panel, Vitamin D and testosterone (free and total) levels, BMP, CMP, Iron, Magnesium and TSH levels.
Urine Drug Screening
Our office conducts regular in-house urine drug screenings on all patients receiving opioid medications. By conducting extensive monitoring of patients receiving opioid medications, we are ensuring the safety of our patients as well as the general public while maintaining compliance with state protocols.
The autonomic nervous system (ANS) regulates physiologic processes, such as blood pressure, heart rate, body temperature, digestion, metabolism, fluid and electrolyte balance, sweating, urination, defecation, sexual response, and other processes. Disorders of the ANS can affect any system of the body.
Symptoms suggesting autonomic dysfunction include orthostatic hypotension, heat intolerance, nausea, constipation, urinary retention or incontinence, nocturia, impotence, and dry mucous membranes. If any of the above symptoms are present, ANS testing is recommended to evaluate a patient's current health status and may help to diagnose an illness or source of pain. ANS testing includes a series of tests that monitor blood pressure, blood flow, heart rate, skin temperature, and sweating. ANS testing is non-invasive and painless. It is done in the office and take approximately 15 minutes.
Videonystagmography (VNG) tests inner ear and central motor functions. VNG testing is used to determine if a vestibular (inner ear) disease may be causing a balance or dizziness problem and is one of the only tests available today that can decipher between a unilateral (one ear) and bilateral (both ears) vestibular loss. VNG testing is ordered when the patient is experiencing one or more of the following symptoms: dizziness, vertigo, spatial disorientation, imbalance, vision disturbance, and hearing, cognitive and/or psychological changes.
VNG testing is a series of tests designed to document a patient's ability to follow visual objects with their eyes and how well the eyes respond to information from the vestibular system. To monitor the movements of the eyes, infrared goggles are placed around the eyes to record eye movements during testing. VNG testing is non-invasive, done in the office, and only minor discomfort is felt by the patient during testing as a result of wearing goggles. Appointments usually last 1-1.5 hours.
Epidermal Nerve Fiber Density (ENFD) Testing is a simple 3mm skin punch biopsy used to diagnose small fiber neuropathy and may offer insight into the cause of some forms of fibromyalgia. Symptoms that may indicate damage to the small nerve fibers near the skin's surface include pain along with burning, stabbing, shooting and numbness that start in the feet and lower extremities. In some cases, these symptoms may begin in the torso or face.
When ENFD Testing is performed, a small circular piece of skin is taken from the surface of the skin. Lidocaine is used to numb the skin first. No stitches are involved, and it heals by simply scabbing over within 1-2 weeks. The entire procedure takes less than 10 minutes and is done in the office. The skin specimen is processed and sent to a lab so that the small nerve fibers can be visualized and counted by qualified neuromuscular neurologists and dermatopathologists.
Call today to schedule your diagnostic testing at Pain Specialists of Cincinnati (513) 513-922-2204