Comprehensive Medical Evaluation

New Patient Evaluation
Comprehensive Medical Evaluation Every person new to Premier Pain Treatment Institute receives an evaluation from a board certified interventional pain specialist and members of the clinical team. It is important to learn the full history of your pain. The pain history is followed by a thorough physical examination that pairs your symptoms with objective clinical findings. Available imaging results are used in combination with the history and examination to confirm or establish a diagnosis for what is causing your pain. At that point, we determine the course of your treatment plan. Oftentimes that plan will include additional imaging, an EMG, laboratory studies, and genetic testing to help guide your treatment. Urine drug screening is an essential component of the process for monitoring the use of controlled substances. Our board certified specialists will work with you to identify appropriate options for medications, interventional procedures, and adjunctive modalities. The treatment plan is individualized for each patient and we are committed to offering you the best options for improving your pain control and quality of life.

Imaging Modalities
There are many different types of imaging options, including X-rays, CT scans, and MRI scans. We will recommend one or more of these imaging modalities if we feel that it will be useful to your care. Up to date imaging is often essential for determining appropriate medications and identifying the correct targets for interventional procedures.

Electromyogram and Nerve Conduction Study
This is a study that is performed to identify disorders of the nerves or muscles. It is performed on either the upper or lower extremities. During the nerve conduction study (NCS), electrical impulses are measured to determine the presence or absence of nerve damage. The electromyogram (EMG) tests the response of a muscle when a nerve stimulates the muscle to contract to assess for abnormal muscle activity. NCS and EMG studies are typically performed at the same appointment.

Laboratory Studies and Urine Drug Screening
When a patient is prescribed a controlled substance, such as an opioid pain medication, urine drug screening is an essential component of monitoring for appropriate medication use. Additionally, certain laboratory studies provide useful information regarding bleeding disorders, liver and kidney dysfunction, hormonal and vitamin abnormalities. These results can frequently impact choices for medications and injections.

Genetic Testing
Abnormalities in a person's genetic profile can impact their response to many different classes of medications. If you have a history of multiple medication allergies and side effects or multiple medications have been ineffective, genetic testing can be helpful in guiding future medication choices.

Medication Management
Pain management is much more than prescribing opioid pain medications. At PPTI, we strive to optimize applicable non-opioid medications to help your pain. Combined with other treatment options, this strategy helps to reduce or eliminate the need for opioid pain medications.

Interventional Pain Procedures
As you will read throughout our website, there are a wide variety of interventional procedures that may be applicable for your painful condition.