• 607-299-4377
  • 607-299-4378
  • 5 Kennedy Pkwy, Cortland, NY 13045
  • Monday - Friday: 8:30AM - 4:30PM
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Our Services

Nerve Conduction Studies (NCS) & Electromyography (EMG)

NCS & EMG is an essential tool for diagnosing many neuromuscular disorders. NCS involves placing small electrodes on the skin, followed by electrical stimulation. The needle examination (EMG) involves placing a small needle into the muscle to assess muscle and nerve function.

Dr. Eldokla is certified in Electrodiagnostic Medicine (EMG & NCS), and he is a fellow of American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM). Dr. Eldokla has additional expertise in single fiber EMG.

 

Examples of the neuromuscular disorders that are referred for NCS & EMG:

  1. Neuropathy
  2. Numbness and tingling
  3. Carpal Tunnel Syndrome (CTS)
  4. Ulnar neuropathy at the elbow
  5. Cervical and lumbar disc disease
  6. Muscle weakness
  7. Muscle twitches
  8. Motor neuron diseases and ALS
  9. Myopathies
  10. Inflammatory neuropathies.
  11. Myasthenia gravis
  12. Myotonia

Tilt Table & Autonomic Nervous System Testing

The Autonomic Laboratory is a state-of-the-art facility that includes tilt table testing, Valsalva Maneuver, and the ability to monitor heart rate response to deep breathing. The lab provides comprehensive testing service for diagnosing various autonomic disorders or dysautonomia that are developed independently or because of another disease, such as parkinson’s, multiple sclerosis, alcohol abuse or diabetes.

Examples of autonomic disorders that are referred for autonomic testing:

  1. Autonomic Neuropathy
  1. Syncope
  2. Dizziness
  3. palpitations
  4. Postural Orthostatic Tachycardia Syndrome (POTS)
  5. Inappropriate Sinus Tachycardia (IST)
  1. Orthostatic hypotension
  2. Parkinson’s
  3. Multiple Sclerosis
  4. Cardiac autonomic neuropathy (CAN)
  5. Diabetic neuropathy
  6. Pure autonomic failure (PAF)

Skin Biopsy

Skin biopsy is used to diagnose Small Fiber Neuropathy (SFN) by examining the small sensory nerves in the skin under a microscope. SFN cannot be ruled out by NCS & EMG. The process is performed as an outpatient procedure and involves obtaining two small samples of the skin under local anesthesia.

Examples of conditions that are referred for skin biopsy:

  1. Small Fiber Neuropathy
  2. Numbness
  3. Tingling
  4. Burning
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Muscle biopsy

 Muscle biopsy is performed as an outpatient procedure and involves obtaining muscle samples under local anesthesia for examination under a microscope.

Examples of conditions that are referred for muscle biopsy:

  1. Myopathies (muscle diseases)
  1. Inclusion Body Myositis (IBM)
  2. Polymyositis and Dermatomyositis
  3. Mitochondrial myopathy
  4. Metabolic myopathy
  5. Amyloid myopathy
  1. Muscular Dystrophies
  2. Unexplained CK elevation
  3. Muscle Weakness
  4. Rhabdomyolysis
  5. Exercise Intolerance
  6. Muscle Wasting
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Conditions We Specialize In:

  • Myasthenia Gravis
  • Myopathies (muscle diseases)
  • Inclusion Body Myositis (IBM)
  • Polymyositis and Dermatomyositis
  • Muscular Dystrophies
  • Unexplained CK elevation
  • Muscle Weakness
  • Rhabdomyolysis
  • Exercise Intolerance
  • Muscle Wasting
  • Diplopia and Ophthalmolpegia
  • Lou Gherig Disease
  • Chronic inflammatory demyelinating polyneuropathy (CIDP)
  • Autonomic Neuropathy & Dysfunction
  • Peripheral Neuropathy.
  • Diabetic Amyotrophy
  • Amyloid Neuropathy
  • Diabetic Neuropathy