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Prevention in today’s dynamic health space is not only important, it is crucial. With the rising costs of health insurance and ACA or Obamacare in place, Fall Prevention for the elderly is of special concern, studies show that after the age of 55 one’s propensity to fall and injury themselves is statistically trebled. Due to chronic disease and osteoporosis in the elderly, these individuals are far more likely to break/fracture bones, tare ligaments and cause increase hospitalizations. Once hospitalized these elderly patients are more susceptible to other illnesses due to debilitating comorbidities that might be exacerbated by the fall in the first place. These are higher costs that the government is now inclined to pay as preventative medicine. It is far more cost effective for government health institutions like Medicare to reimburse and invest in a Fall Prevention program, where seniors are monitored and assessed for vestibular issues and can then be treated before a debilitating and life altering fall happens.

The significance of diagnosis is crucial to this concept. Medical diagnosis is the process of determining which disease or condition explains a person’s symptoms and signs. It is most often referred to as diagnosis with the medical context being implicit. The information required for diagnosis is typically collected from a history and physical examination of the person seeking medical care. Often, one or more ways to find a diagnosis is done through diagnostic testing. It is often challenging, because many signs and symptoms are nonspecific. For example, syncope or instability of gait (vestibular balance), are merely just a symptom, which does not expressly indicate any other comorbidities or linkages with other disorders.

Wouldn’t it be great if they have a specific medical diagnostic equipment to test to differentiate the specific diagnosis?

The equipment we offer has been clinically tested to provide sound and accurate diagnostic data to the healthcare provider, we strive to ensure that the software that runs these machines are updated regularly and approved by the manufacturer.

The VNG (Videostomography) unit offers testing used to determine if a vestibular (inner ear) disease may be causing a balance or dizziness problem, and is one of the only tests available today that can decipher between a unilateral (one ear) and bilateral (both ears) vestibular loss. VNG testing is a series of tests designed to document a person’s ability to follow visual objects with their eyes and how well the eyes respond to information from the vestibular system.

This test also addresses the functionality of each ear and if a vestibular deficit may be the cause of a dizziness or balance problem. To monitor the movements of the eyes, infrared goggles are placed around the eyes to record eye movements during testing. VNG testing is non-invasive, and only minor discomfort may be felt by some patients during testing as a result of wearing the infrared goggles. Appointments usually last about 1.5 hours, and testing is covered by all insurances.

The ANS unit offers the ability to assess the cardiovascular system by analyzing the arterial circulation and compliance with the use of heart rate variability.

Autonomic function testing (ANS) is covered as reasonable and necessary when used as a diagnostic tool to evaluate symptoms indicative of vasomotor instability, such as hypotension, orthostatic tachycardia, and hyperhidrosis after more common causes have been excluded by other testing, and the ANS testing is directed at establishing a more accurate or definitive diagnosis or contributing to clinically useful and relevant medical decision making for one of the following indications:

  1. To diagnose the presence of autonomic neuropathy in a patient with signs or symptoms suggesting a progressive autonomic neuropathy.
  2. To evaluate the severity and distribution of a diagnosed progressive autonomic neuropathy.
  3. To differentiate the diagnosis between certain complicated variants of syncope from other causes of loss of consciousness.
  4. To evaluate inadequate response to beta blockade in vasodepressor syncope.
  5. To evaluate distressing symptoms in a patient with a clinical picture suspicious for distal small fiber neuropathy in order to diagnose the condition.
  6. To differentiate the cause of postural tachycardia syndrome.
  7. To evaluate change in type, distribution or severity of autonomic deficits in patients with autonomic failure.
  8. To evaluate the response to treatment in patients with autonomic failure who demonstrate a change in clinical exam.
  9. To diagnose axonal neuropathy or suspected autonomic neuropathy in the symptomatic patient.
  10. To evaluate and treat patients with recurrent unexplained syncope to demonstrate autonomic failure, after more common causes have been excluded by other standard testing.


Physicians Choice Concierge is dedicated in giving our physicians the proper tools they need to be successful in their practice. We have the resources that allow physicians to properly diagnose their patients with Vestibular Disorders, Neuropathy, Pain and Autonomic Nervous System complications.

In all aspects of health care, the proper diagnosis is the most essential aspect in taking care of patients. By having the correct diagnosis and eliminating other differentials, we can assist in creating a specific treatment plan for their patients.

If you have a busy clinic with patients that suffer from complex diseases, we have what you are looking for. Give us a call and we will show you what you can do!

Most of the diagnostic equipment listed on our website have a diagnostic application, and diagnosing from a clinical perspective is obviously very important, but actually treating the core symptoms and maladies that ails the patient is not only important, it is vital for end to end patient care and verified systemic results over a measured recovery period. That is where the beauty of the Tesla Max comes into play…

Electrical muscle stimulation has been standard fare in DC, PT, and OT, clinics for over half a century; primarily for pain management. Nearly all units are based on the gait theory of pain by Walls The idea is to “short circuit” pain fibers at their junction or at the pain site by electrically over stimulating them thereby depleting calcium, and temporarily shutting off the pain transmission to the brain. Though it does not resolve the “Cause” it’s been very effective for temporarily blocking pain for the past 60 years. Treatment by electricity goes back hundreds of years when our predecessors discovered that some eels gave off electricity and could be used in a primitive method to reduce pain.

From the early “low and high voltage galvanic” units decades ago, TNS and interferential, to the newest units, virtually all (except the Tesla) use a direct current (DC) output at varying voltages, amperages, and wave forms; which means very little to anyone but the electrical engineers that create them. Virtually all designers want to create the perfect combination of energy output for optimum pain management, however they do so by simply tweaking what already exists, and then adding all sorts of fancy switches, digital readouts, suction cups, timers, alarms, and frequency variation programs; all (In my view) to increase the look (perceived value) and the price! When opened up, these “magic boxes” all have very small relatively similar circuit boards. Compared to a TV or a computer there is actually very little there electronically. In fact most practitioners fall into the rut of using only one or two of the many settings available and leave the rest to oblivion; never actually utilizing many of the machines capabilities. Asked what all the other different settings do, few if any can tell you. An analogy might be all the settings on washers and dryers no one uses, or the choice of performance or eco settings on many new cars. If they do anything at all, only the engineers can tell.

In the 60’s the Russians developed a type of electrical current that could be used to enhance muscle strength for Olympic weight lifters. It was in fact more effective than traditional DC Output systems but painful when used at a high enough voltage setting to create muscle contractions; therefore it was of little use in medical clinics. Eventually it fell out of favor among athletes due to the pain of usage. The reason it was so painful was due to the use of DC (direct current – all the electrons moving in only one direction) current instead of AC (alternating current – electrons moving back and forth alternating direction). It’s ratio of amperage to voltage, while better than other DC output systems was still too high for comfort.

One of our top Manufacturing partners has assembled a team of the world’s top Tesla Technology Engineers to optimize the use of Nikola Tesla’s patented technology in the TeslaMax® line of TBT electrical muscle stimulation devices to produce the deepest possible contractions at the greatest possible comfort for patients thus dramatically increasing deep muscle activity to better move out edema and significantly increase blood circulation in the treated area. The results speak for themselves.

It is important to note that the TeslaMax® AC output technology operates at nearly 2,300% lower maximum average amperage output (max 5 mAs) compared to traditional DC output systems (max 90 mAs) so that even at maximum output it cannot burn the patient or cause blisters unlike most of the other units tested. This is particularly important for peripheral neuropathy patients who can’t feel much of anything in their feet. Increasing intensity to the point of perception in severe patients most often results in electrode burns. This problem is eliminated by the Tesla.

This amazing diagnostic equipment basically surmises towards one end, the best possible patient care and treatment when considering the following maladies, symptoms and ailments:

  • Chronic Pain
  • Peripheral Neuropathy
  • Erectile Dysfunction -diagnosis and erectile dysfunction treatment
  • Urinary Incontinence
  • Atrophy
  • Muscle re-education
  • Relaxation of muscle spasms
  • Maintaining or increasing range of motion
  • Increase in local circulation, perfusion and oxygenation

 Challenges in your office?

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