STL Injury Specialist

03/26/2026

02/24/2026

ARE YOU INVOLVED IN MOTOR VEHICLE COLLISION?
Want to get treated to decrease the pain?
Not fully better and want to get state of the art treatment.

CALL STL Injury Specialist
Phone 314-733-5140

02/24/2026

USE OF EMG,nerve condcuton study in Accident cases.

Are you treating muscle pain… or identifying the true neurologic source?
As chiropractors, primary care and Physical therapist they see patients every day with radicular pain, weakness, numbness, and persistent musculoskeletal complaints. But when symptoms don’t follow the “typical” pattern, we have to ask:
👉 Is this purely biomechanical… or is there nerve involvement?
That’s where diagnostic EMG with Nerve Conduction Studies (NCS) and needle examination becomes invaluable.

🔎 Before Diagnostic EMG & NCS
Patients may present with:
Radiating arm or leg pain
Numbness and tingling
Muscle weakness
Muscle atrophy
Failed conservative care
Post-surgical symptoms
Clinically, we may suspect:
Radiculopathy
Peripheral neuropathy
Carpal tunnel syndrome
Ulnar neuropathy
Plexopathy
Motor neuron involvement
But clinical suspicion alone is not confirmation.
Diagnostic EMG + NCS provides objective neurologic data:
Is the nerve compressed?
Where exactly is the lesion?
Is it acute or chronic?
Is there axonal loss?
Is reinnervation occurring?
Is weakness neurologic or pain inhibition?
This changes everything.

⚡ What the Needle EMG Adds
The needle examination evaluates:
Denervation potentials
Fibrillations and positive sharp waves
Motor unit recruitment patterns
Chronic neurogenic changes
Myopathic vs neuropathic patterns
It answers the critical question:
Is this a true radiculopathy… or something else?
That distinction protects both the patient and the provider.

📊 After Proper Diagnosis
When diagnostic clarity is achieved:
Treatment becomes targeted
Unnecessary care is avoided
Surgical referrals are appropriate and timely
Conservative care is validated when neurologically safe
Patients gain confidence in their care plan
For many patients, this means:
Avoiding unnecessary surgery
Getting appropriate interventions sooner
Preventing permanent nerve damage
Understanding the true cause of their symptoms
That level of clarity can truly change a patient’s life.

🤝 How a Physiatrist Strengthens the Team
A board-certified Physiatrist specializing in electrodiagnostic medicine brings:
Advanced EMG/NCS expertise
Differentiation of radiculopathy vs peripheral neuropathy
Evaluation of double crush syndromes
Assessment of complex post-surgical cases
Coordination of interventional spine care when necessary
Collaboration between chiropractors and physiatrists allows for:
Evidence-based co-management
Objective neurologic documentation
Improved patient outcomes
Reduced medico-legal risk
Higher-level multidisciplinary care
This is not about replacing chiropractic care.
It’s about elevating it.

When we combine skilled hands with precise diagnostics, patient care reaches a different level.
Are you co-managing complex radicular cases with electrodiagnostic support?
Let’s move from assumption to confirmation — and give our PATIENTS the clarity they deserve.

Naseem Shekhani, MD
Florissant, MO.\314-733-5140

02/01/2026

An electrodiagnostic (EDX) study—which includes nerve conduction studies (NCS) and electromyography (EMG)—is performed when you need to evaluate nerve or muscle function and localize a neuromuscular problem.

Common indications (when to perform it)

1. Suspected peripheral nerve disorders

Numbness, tingling, burning, or pain

Suspected entrapment neuropathies (e.g., carpal tunnel, ulnar neuropathy)

Peripheral neuropathy (diabetic, toxic, hereditary, inflammatory)

2. Muscle weakness of unclear cause

To distinguish neuropathy vs. myopathy vs. neuromuscular junction disorder

Unexplained focal or generalized weakness

3. Radiculopathy (nerve root compression)

Cervical or lumbosacral radiculopathy (disc herniation, spinal stenosis)

Usually done ≥3 weeks after symptom onset to allow denervation changes to appear on EMG

4. Motor neuron disease

Suspected ALS or other anterior horn cell disorders

5. Neuromuscular junction disorders

Suspected myasthenia gravis or Lambert-Eaton syndrome

6. Traumatic nerve injury

To assess severity, prognosis, and recovery

Best timing:

Immediate: to document pre-existing injury

2–3 weeks post-injury: to detect axonal loss

7. Monitoring disease progression or recovery

Guillain-Barré syndrome

Chronic inflammatory demyelinating polyneuropathy (CIDP)

Post-surgical nerve recovery

When not to perform it

When diagnosis is already clear clinically and results won’t change management

Very early after nerve injury (before ~2 weeks), unless baseline documentation is needed

If you want, tell me the symptoms or condition you’re thinking about (e.g., back pain with leg weakness, hand numbness, suspected neuropathy), and I can help you decide whether EDX is indicated and the best timing.

Naseem A. Shekhani, MD
STL Injury Specialist, Florissant Mo Ph: 314-733-5140

11/06/2025

ELECTROMYOGRAPHY: Electromyography (EMG) is a diagnostic test used to assess the health of muscles and the nerves that control them. It helps doctors understand whether muscle weakness, pain, numbness, or tingling is caused by a problem in the muscles themselves or in the nerves that supply them.
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🧠 What the EMG Test Entails
An EMG is usually performed by a neurologist or physiatrist and has two main parts:
1. Nerve Conduction Study (NCS)
• Purpose: Tests how well and how fast electrical signals travel through your nerves.
• Procedure:
o Small electrodes are placed on your skin over certain muscles.
o Mild electrical pulses are sent through the nerves.
o The response is recorded to measure the speed and strength of nerve signals.
• Sensation: You may feel brief tingling or discomfort during each pulse.
2. Needle Electromyography
• Purpose: Evaluates the electrical activity of muscles themselves.
• Procedure:
o A very fine electrode is inserted into the muscle.
o You’ll be asked to relax and then gently contract the muscle.
o The electrode records electrical activity during both states.
• Sensation: Feels like a pinprick; muscles may feel sore afterward.
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⚙️ Why EMG Is Used
Doctors order EMG when there are symptoms suggesting nerve or muscle dysfunction, such as:
• Muscle weakness
• Tingling or numbness
• Unexplained pain or cramping
• Muscle twitching or atrophy (wasting)
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🩺 Conditions EMG Can Help Diagnose
• Nerve disorders:
o Peripheral neuropathy (e.g., from diabetes)
o Carpal tunnel syndrome
o Radiculopathy (pinched nerve in spine)
o Sciatica
• Muscle disorders:
o Muscular dystrophy
o Polymyositis or dermatomyositis
o Myasthenia gravis
• Neuromuscular junction disorders
o Diseases affecting the connection between nerve and muscle
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🕒 Duration and Aftercare
• The whole test usually takes 30–60 minutes.
• There’s minimal risk; some soreness or bruising can occur at needle sites.
• You can resume normal activities right after.

10/08/2025

INDEPENDENT MEDICAL EXAMINATION:
Empower your case with clear, unbiased medical insights. We support in St. Louis many attorneys with fast, reliable Independent Medical Examinations and expert reports that strengthen injury and workers’ compensation claims. Accuracy, credibility, and confidence in every evaluation. Fast Turn around time, with backing of sound medical knowledge and research. Can also perform social security and disability medical evaluations. , and for h and .

08/28/2024

MILD TRAUMATIC INJURY:

08/11/2024

Dealing with a complicated case? Personal injury cases can take an average of 11.2 months to resolve, and in the meantime, your client has surely gone through several surgeries and dozens (possibly hundreds) of visits to specialists. 

As a reliable medical consultant for personal injury cases, we provide: 
- Records organization for complicated cases
- Clarification of case-related issues by meeting with treating doctors
- Ongoing record coordination across care providers
- Court assistance through table-side support or question preparation
- And accurate estimates of long-term impact of the injury

Looking for a reliable medical partner to inform your next case? We provide efficient case consultation without breaking the bank.

Click the link below or send us a message to partner.


http://www.advancepaincarestl.com/contactus.html
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*Information provided is for informational purposes only and is not intended to be used as a substitute for consultation with a qualified healthcare provider. For personalized medical recommendations, we encourage you to schedule a consultation with us at the link in our profile.





* https://www.forbes.com/advisor/legal/personal-injury/personal-injury-settlement-amounts/ #:~:text=According%20to%20one%20study%2C%20the,on%20a%20contingent%20fee%20basis.

02/09/2024

STL INJURY SPECIALIST IN ST. LOUIS, MO