Page 18 - SITC Legal Flip Book

The MRI reveals a herniated disc with nerve impingement and a referral is made

to a physiatrist to check for nerve damage. To rule out nerve damage, the Stanger

Injury Treatment Centers physiatrist (specialist in physical medicine and
rehabilitation) feels it is necessary to perform nerve conduction and

electromyelogram (EMG) studies.

A positive EMG is obtained, suggesting nerve damage and a decision is made at

this point to make a referral to a neurosurgeon for a consultation to assess the
possible need for more invasive pain management or neurosurgical procedures.

At this juncture, the neurosurgeon may decide to administer a trial of epidural

injections or some other type of invasive pain management procedures or may
decide that the only option is spinal surgery.

The above somewhat simplified hypothetical case study illustrates how Stanger
Injury Treatment Centers physicians medically manage care. It is the position of

Stanger Injury Treatment Centers physicians that proper delivery of services to
auto accident patients should, from beginning to end, follow a logical sequence of

events and decision-making junctures, incorporating, on an as needed basis,

appropriate diagnostic studies and medical specialist referrals.

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