Neurophysiology

Orthopedic disorders can cause interference with the spinal cord, then radiate out to the nerve roots or the peripheral nerves. These are important “positions” for the healthy functioning of muscles and joints. Where and to what extent the nerves are affected, can be determined using neurophysiological investigations.

We offer the following neurophysiological studies:

  • Electromyography (EMG)
  • Potential Evocation

Electromyography (EMG)

Muscles have measurable electrical impulses. Electromyography is the measurement of activity in the muscle. Using this technique, impairment and paralysis of the muscle may be found. During the procedure, insertion of an electrode into the muscle sends electrical pulses to the affected muscle and measures the electrical changes, the so-called “Denervation”. If it appears there is paralysis or impairment of a muscle it can be traced back to possible damage in the nerves being tested.

Evoked potentials

The procedure can evoke potential nerve conduction amplitude in the spinal cord. In particular, the activity of nerve impulses ascending to the brain can be determined using Somatosensory Evoked Potential (SEP) techniques. The conductivity of the descending pathways are captured using Motor Evoked Potential (MEP). The causes of impaired motor functions (such as walking) can be determined. Through these investigations harm and injury to the spinal cord accurately identified.

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Dr. Axel Baltzer

Dr. Axel Baltzer is a Medical Specialist for Orthopaedics/Sports Medicine

Dr. Axel Baltzer

Read more about Dr. Axel Baltzer