Our Services


Interventional Pain Management

  • Facet Joint Injections
  • Nerve Blocks
  • Neuroaugmentation
  • Spinal Cord Stimulation
  • Peripheral Nerve Stimulation
  • Implantable Drug Delivery Systems
  • Radiofrequency Procedures

Acute Diagnostics specializes in supporting physicians performing pain procedures. Our equipment and support technicians will help ensure successful outcomes for your patients. Common procedures we assist on are facet nerve injections, neuroaugmentation, spinal cord stimulation and peripheral nerve stimulation, and implantable drug delivery system.

Interventional Pain Cases

  • Low back and leg pain
  • Neck and arm pain
  • Muscle pain
  • Neuralgia or pain following a nerve injury
  • Pain resulting from shingles
  • Reflex sympathetic dystrophy
  • Pain from cancer
  • Pain following amputation
  • Pain from a spinal cord injury
  • Pain due to poor blood circulation
  • Body wall pain
  • Surgical incision pain

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Many complex interventional pain procedures require the use of advanced imaging techniques (e.g. c-arm, fluoroscopy, digital subtraction angiography, computerized tomography and others) to accurately guide needles to the proper location, evaluate potentially therapeutic or dangerous spread patterns for medications injected via the needles and assist in the intraoperative placement of devices. Proper knowledge of imaging safety considerations and technical interpretation of advanced imaging and management of potential life threatening complications require highly specialized medical training. This is where a state certified (RT) Radiologic Technician can make a positive difference.


As an example, fluoroscopic imaging, (C-arm) is a vital imaging technique used to assist interventional pain physicians in the diagnosis and treatment of chronic pain. A clear understanding of how to obtain and interpret fluoroscopic images is critical to obtaining successful outcomes and avoiding devastating complications. While this tool helps to safely and effectively perform interventional pain procedures, the risk of radiation overexposure to patients and staff increases when professionals who are partially or inappropriately trained engage in operating the C-arm.


Orthopedic Procedures

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  • Spine Surgery
  • Joint Surgery
  • Laminectomy
  • Diskectomy
  • Fusion
  • Spinal Decompression
  • Kyphoplasty

Acute Diagnostics can assist you on orthopedic surgical cases to help improve function and to help patients reduce their pain levels. We can work in surgery centers or in your office. Additionally we can move through the state to service any of your satellite offices.

Orthopaedic surgeons are increasingly using X ray based fluoroscopic techniques in the operation room or in the fluoroscopy room. Procedures such as kyphoplasty, vertebroplasty, deformity correction, pelvic fixation, and intramedullary inter-locking nails, have become commonplace.


Image-guided techniques have been well established in all surgical disciplines for years. To achieve an efficient work flow during image-guided surgery, the surgeon should be able to manipulate the visual feedback and therefore the imaging unit. C-arm fluoroscopy is the imaging modality routinely used for intraoperative imaging in orthopaedic surgery. The C-arm (fluoroscope) is positioned and handled by a radiographer on vocal commands, which means that the surgeon depends on external help to manipulate the visual feedback.


Fluoroscopically guided interventional procedures in the operating room are increasing in developing countries. As fluoroscopy (C-arm) makes interventions less invasive, there is less patient morbidity and mortality. For some high risk patients, interventional procedures may be the only alternative as routine surgery may have an increased risk for the patient.
Fluoroscopy is now being used by medical personnel spanning a wide range of clinical specialities.Orthopaedic surgeons use fluoroscopy to perform procedures such as joint replacement, vertebroplasty or kyphoplasty, implant localization and other procedures that correct structural deformities of the skeleton. Percutaneous nephrolithotomy (PCNL), stone extraction, nephrostomy and other relevant procedures are performed under fluoroscopic (C-arm) guidance by urologists in operating rooms. Vascular surgeons and anaesthesiologists also use fluoroscopy in the operating room.


Surgery Centers

  • Buy vs. Rent
  • Rent an Extra C-arm
  • No Repair Liability
  • No Technician Issues
  • Multiple Surgery Centers

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It may be a better option to rent a C-arm than buy one because of all of the problems that come with owning expensive electrical equipment. We take care of everything, all your facility needs to do is to call and say when you want us there. Also if your facility already has a C-arm you may want a unit on standby for sensitive cases or when you have heavy case load days and want to be able to help more patients during a given day. Acute Diagnostics can be at different facilities on different days because we are mobile and this could be very cost-efficient for multiple facility organizations.


Podiatry

  • Repair/Reconstruction
  • Diabetic Issues
  • Surgical Stabilization

Acute Diagnostics can assist you on orthopedic surgical cases to help improve function and to help patients reduce their pain levels. We can work in surgery centers or in your office. Additionally we can move through the state to service any of your satellite offices.

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Dynamic Weight-bearing Fluoroscopy: A World of Possibilities
Graham, Michael E. April 2010


The article discusses the use of dynamic weight-bearing fluoroscopy in the diagnosis of foot and ankle conditions. The use of an orthoposer allows a podiatrist to obtain weight-bearing images which are immediately available without the need for film processing as is the case in traditional radiology. The benefits of dynamic fluoroscopy include allowing the podiatrist to visualize the dynamic motion of the foot bones while also allowing for static imaging when required.


Fluoroscopy is a medical imaging procedure that produces moving real-time images of the internal structures within the foot and ankle to help diagnose and treat a wide range of conditions affecting the joints, ligaments and many other conditions. A fluoroscopy exam can produce close to 30 images per second and these are fluid images similar to those that appear on live television. Some of the most common uses for fluoroscopy exams in Podiatry include:


  • Guiding anesthetic injections

  • Viscosupplementation injections

  • Evaluation of the bones, muscles and joints

Cadaver Teaching Courses

Cadaver courses can help in the education of many different techniques, such as:

  • Facet Joint Radiofrequency Ablation Techniques:
    Cervical, Thoracic, and Lumbar
  • Epidural Steroid Injections:
    Intralaminar and Transforaminal Cervical, Thoracic, and Lumbar
  • Sacral Nerve Root Injections and Caudal Lysis of Adhesions:
    Techniques in Utilization of Epidural Catheters
  • Abdominal Pain:
    Celiac Plexus and Splanchnic Nerve Blocks
  • Facial Pain:
    Trigeminal Nerve, Sphenopalantine Ganglion, Gassarian Ganglion, and Stellate Ganglion Blocks
  • Pelvic Pain:
    Hypogastric Plexus, Sacral Nerve Root, & Ganglion of Impar Blocks
  • CRPS:
    Stellate Ganglion and Lumbar Sympathetic Plexus Blocks
  • Discography:
    Needle Placement and Nucelogram Interpretation

C-arm assisted cadaver courses will allow students to spend as much time as needed in small groups with expert instruction. Multiple cadaver stations can be set up to allow different techniques to be displayed and implantation of the latest FDA cleared devices.

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