Hand Surgery Associates, S.C.
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    • Neurodiagnostic Services
      • Occupational Therapy
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          • Independent Medical Evaluation
          • What We Treat
            • Shoulder
              • Elbow
                • Hand
                  • Wrist
                    • Pain Conditions
                    • Therapy
                      • Work Station Evaluation
                      • Worker's Comp
                        • Work Status Reporting
                          • Permanent Partial Impairment Ratings (PPI)
                            • Maximum Medical Improvement (MMI)
                              • Independent Medical Evaluation (IME)
                                • Neurodiagnostic Services
                                  • Seminars
                                  • IME Request

                                  Locations

                                  Arlington Heights
                                  Alsip
                                  Bolingbrook
                                  Chicago
                                  Countryside
                                  Elmhurst
                                  Glenview
                                  Oak Lawn
                                  Vernon Hills

                                  Neurodiagnostic Services

                                  Neuro-electrodiagnostic services are provided in our Arlington Heights and Chicago locations through an independent, unaffiliated neurologist. The neurologist conducts electromyograms (EMGs) and/or nerve conduction studies (NCS) to assist in the diagnosis and treatment of certain upper extremity conditions. In some instances, an appointment may be made on the same day of the patients visit with a HSA physician.

                                  EMG: An electromyogram (EMG) is a test performed in conjunction with an NCS to obtain additional data about the state of the nerves and muscles. A tiny needle is inserted into a specific muscle and records the electrical activity both while the muscle is resting and while it contracts. The EMG is coordinated with those of the NCS to determine the causes of numbness and tingling, muscle weakness and pain. It can detect conditions such as pinched nerves in the neck and back, inflamed muscles and is valuable in defining the extent of peripheral nerve conditions such as carpal tunnel syndrome and ulnar neuropathy.

                                  NCS: A nerve conduction study (NCS) evaluates the health of a nerve by recording how fast and efficiently an electrical impulse travels through the nerve. The speed and magnitude of an impulse may be reduced in certain neurological injuries and conditions. The test is typically performed by placing electrodes on various areas of the skin.


                                  Neurologist: Scott L. Heller, MD
                                  Dr. Heller graduated from the University of Illinois with Honors and received his M.D. degree from the University of Illinois College of Medicine. He completed his neurology residency at Northwestern University, in the Department of Neurology, and completed a two-year Muscular Dystrophy Association fellowship at the Jerry Lewis Neuromuscular Research Center at Washington University in St. Louis. Dr. Heller is board certified in neurology by the American Board of Psychiatry and Neurology and member of the American Academy of Neurology. He is a faculty member and Associate Clinical Professor of Neurology at Northwestern University's Feinberg School of Medicine and an attending physician at Northwestern Memorial Hospital.

                                  Dr. Heller is a general neurologist with special interests in neuromuscular disease, neuromuscular pathology and electromyography (EMG).

                                  How to Prepare For an EMG
                                  If you are scheduled for an EMG, here are some instructions to follow before you come in.

                                  Prior to scheduling your test, notify us if you are taking Plavix, blood thinners (like Coumadin), have a pacemaker, or have any other condition that may cause bleeding. These affect only the EMG, not the nerve conduction study, and in most cases you will still be able to have the test performed without any problem.
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                                        Physicians

                                              Michael I. Vender, M.D.
                                              Scott D. Sagerman, M.D.
                                              Prasant Atluri, M.D.
                                              Sam Biafora, M.D.
                                              Michael V. Birman, M.D. 

                                   Phone:
                                   Fax:

                                  (847) 956-0099
                                  (847) 956-0433


                                  Specialists in the Shoulder, Elbow, Wrist & Hand
                                  Hand Surgery Associates, S.C.