Another Blow to NC Stat

August 26, 2013

In the most recent study published by Schmidt et al in Muscle & Nerve 2011, Vol 43, the diagnostic accuracy of the NC-Stat system in 50 patients with unilateral leg symptoms and 25 asymptomatic control subjects was studied. The research was done in a rigorous manor by experienced evaluators at…

Attention Medical Office Biller New NCS Code

August 19, 2013

Pre-configured electrode \"NCS\" tests are at best a screening test for high volume HR situations with a revolving door high turnover situation. I have discussed the shortcomings of this testing methodology in the recent past. The new code to be used as of January 1, 2010 is 95905 to distinguish…

Definitive Carpal Tunnel Release Surgery

August 12, 2013

Anyone considering undergoing definitive carpal tunnel release surgery would be well advised to read the article: Touch Allodynia Following Endoscopic or Open Decompression for Carpal Tunnel Syndrome by Povlsen, Tegnell, Revell and Adolfsson published in The Journal of Hand Surgery, British 1997, volume 22B pp 325-327. They performed a prospective,…

Annotated Bibliography

August 5, 2013

I have a huge reference list of good articles regarding all aspects of nerve entrapment, in particular carpal and cubital tunnel syndrome. If you are looking for a very specific topic, perhaps you can ask the question and I can give you the answer and provide some appropriate references for…

Ultrasound the Diagnostic Test of Choice?

July 29, 2013

Should ultrasound be the diagnostic test of choice or used interchangeably with nerve conduction studies in the diagnosis of CTS? Ultrasound has been a tool in search of business as far as I can discern. The only nerve in the body where the ultrasound has seemingly been useful for a…