Diagnostic Testing

Advanced Care Physical Therapy provides quality testing for EMG Electromyography), NCS (Nerve Conduction Studies) and MSKUS (Musculoskeletal Ultrasound and Neuro-Ultrasound) testing.  Having the availability of diagnostic testing in our clinics improves the patient experience by providing highly accurate diagnostic information to ensure our patients are getting the appropriate treatment when, and where they need it.  On site diagnostic testing is available for both patients and providers to ensure care is directed down the appropriate path. To schedule an appointment, please call 716.282.2888.

To learn more about diagnostic services provided by Advanced Care Physical Therapy and to see how we can help you, please view the video below:

“Too often we have patients entering our physical therapy clinics for the first time after spending unnecessary healthcare dollars for tests, and procedures (including surgeries that could have been avoided). It is our goal to get our patients to the highest functioning physical level in the most efficient time period, all while helping them reduce unnecessary medical expenses.”  Dr. Kristy Frye

Meet the Diagnostics Team:

Reinstein_Craig_AdvancedCare cropCraig Reinstein, Advanced Care Physical Therapy owner, opened the first Advanced Care Physical Therapy office in WNY in 1999. It was at this time he committed to providing the highest level of hands-on manual therapy in the area. Since opening his doors, he has grown his practice to 25 employees, and five offices to conveniently serve his patients and referral sources in Western New York. Each year, members of Craig’s clinical team attend continuing education courses to ensure all Advanced Care Physical Therapy patients receive cutting-edge-care during every visit. At Advanced Care Physical therapy, his team never stops learning and sets the standard for patient care in the area.   All Advanced Care facilities are equipped with state-of-the-art equipment to ensure all stakeholders (patients, staff and referring physicians) have the necessary tools and resources to exceed everyone’s expectations.  Craig is certified in diagnostic testing and completed a Fellowship in Applied Functional Science as well as Chain Reaction Biomechanics (FAFS). He is certified in myofascial trigger points, Dry Needling (CMTPT), Nero-structural taping, Cupping Therapy, graston technique, and band stretching as well as a number of other specialty programs. He is also recognized as a Health fitness instructor through the American College of sports medicine and the National Strength and Conditioning Association (NSCA).

Dr. Dimitrious Kostopoulos is world renowned, leading expert in Myofascial Pain and the co-founder of Hands-On Care Physical Therapy and Hands-On Seminars in New York. He earned his Doctorate (PhD) and Master’s degrees at New York University and his second Doctorate of Science (DSc) degree at Rocky Mountain University (Clinical Electrophysiology). He is also a medical graduate from UHSA School of Medicine. Dr. Kostopoulos has extensive training and teaching experience in different areas of manual therapy with emphasis in Trigger Point, MyoFascial, NeuroFascial Therapy and Manipulation. He also specializes in Electroneuromyography Testing and he is a Board Certified Clinical Electrophysiology Specialist. He is past faculty member of Mercy College, a Diplomate of the American Academy of Pain Management and an active member of the American Physical Therapy Association and the American Academy of Orthopedic and Manipulative Physical Therapy. Dr Kostopoulos is currently serving as Co-chair of AIPT (the private practitioners’ special interest group of the New York Physical Therapy Association). Dr. Kostopoulos has taught students in the US, Europe, Asia and Africa and has published numerous research articles. He is an Associate Editor for the Journal of Bodywork and Movement Therapies published by Elsevier and Contributing Editor of the Indian Journal of Physical Therapy. Dimitrios Kostopoulos and Konstantine Rizopoulos are the authors of the Book, the Video and the Posters in “Trigger Point & MyoFascial Therapy” and a Video Series in Manual Therapy. They are also the developers of a comprehensive therapeutic approach that integrates trigger point, myofascial, NeuroFascial, Proprioceptive and manipulative therapy techniques.

Dr. Konstantine Rizopoulos is world renowned, leading expert in Myofascial Pain and the co-founder of Hands-On Care Physical Therapy and Hands-On Seminars in New York. He earned his undergraduate degree from the University of Athens, Greece and has completed extensive post-graduate courses. He has earned his Doctorate in Physical Therapy through Evidence in Motion. Mr. Rizopoulos has extensive experience in the area of manual therapy, particularly in MyoFascial and Trigger Point Therapies, neuromobilization, strain and counterstrain and muscle energy technique approaches. He is a Master Practitioner of Neurolonguistic Programming and specializes in consulting individuals and businesses to identify and unleash their true potential. Mr. Rizopoulos is an active member of the APTA, Fellow member of the American Back Society and a member of the Hellenic Medical Society. He lectures internationally in conferences and continuing education courses through Hands-On Seminars and has published numerous studies. He is a Contributing Editor for the Indian Journal of Physical Therapy.

Dr. Kristy Frye is the Vice President of Clinical Operations at Advanced Care Physical Therapy. She attended Ithaca College in Ithaca, NY, where she received her undergraduate degree in health sciences and then went on to receive her masters and doctorate in physical therapy. Kristy started working at Advanced Care following graduation, where she focused on rehabilitation of orthopedic conditions such as low back, neck and shoulder dysfunction. She has attended numerous continuing education courses for both spine and extremity rehabilitation to further advance her clinical skills.  She wanted to work at a facility that promoted an overall health and wellness model using an integrative approach. At ACPT, her patient’s have access to aquatic based physical therapy, conventional treatment methods, sports specific training and exercise programs which encourage continued participation in an active lifestyle. Kristy most enjoys working in an environment that encourages continued learning. She enjoys participating in continuing education classes and mentoring PT and PTA students. Kristy is an Orthopedic Clinical Specialist (OCS) and certified in Spinal Manipulative Therapy (Cert. SMT) and Neurostructural Taping. She is a Member of the American Physical Therapy Association and a 2014 winner of Business First Health Care 50 award.

Dr. Mohini Rawat is a Board Certified Electrophysiology specialist by the ABPTS and Registered in Musculoskeletal Sonography ARMDS. She is also the Clinical Director of Hands-On EMG Testiing and an integral part to the success of our organization. Dr. Rawat has been actively conducting and has published research in the area of Clinical Electrophysiology.  Her teaching appointments extend to Chief ElectroNeuroMyography faculty of Hands-On Seminars as well as guest lecturer for various PT university programs in the NY metropolitan area. She has been trained in EMG/NCV testing by Dr. Dimitrios Kostopoulos, PT, DPT, PhD, DSc, ECS, who specializes in Electroneuromyography Testing, and is a Board-Certified Clinical Electrophysiology Specialist. In addition to her expertise in electrophysiology, Dr Rawat also specializes in Musculoskeletal Ultrasound Imaging which adds significant value in the area of Orthopedic Manual Therapy. She believes that good interpersonal relations and compassion, along with a sound clinical background, can work wonders in patient care. Her experience includes providing comprehensive direct patient care in broad-scope departments ranging from Orthopedics, Neurology, Sports Injury, Critical Care, Geriatrics, Sub-Acute and Home Health, with a special interest in Orthopedic and Sports Physical Therapy. She has a Doctorate in Physical Therapy degree from MGH institute of health professions in Boston and an Advanced Masters in Biokinesiology from the University of Southern California in Los Angeles. As part of her Master’s thesis, she studied human tendons, especially Achilles tendon, using Ultrasonography to investigate the effects of overuse, disuse and tendinopathy on the tendon morphology.  She presented her tendon work as a platform presentation in the APTA CSM conference in San Diego, California. She is an APTA-credentialed Clinical Instructor and a Certified Mulligan Practitioner, and is currently pursuing her Clinical Orthopedic residency from Touro College in New York. Dr. Rawat is a member of the APTA (American Physical Therapy Association), the NYPTA (New York Physical Therapy Association) and the ACE (American Congress of Electroneuromyography).  Dr Rawat is the Clinical Director of Muscluloskeletal Ultrasound Studies of Hands-On Diagnostic Services.

Types of Tests:

Electromyography(EMG) Testing measures the electrical activity of muscles at rest and during contraction. Nerves control the muscles in the body by electrical signals (impulses), and these impulses cause the muscles to react in specific ways. Nerve and muscle disorders cause the muscles to react in abnormal ways. During an Electromyography study, a very small pin is inserted in the muscle that helps us evaluate the condition of your muscles.

Nerve Conduction Studies (NCS) are used to measure the health of your nerves. Mild electrical stimulation is administered to the skin directly overlaying the nerve. The response is measured by a second set of electrodes applied to the surface of the skin. This impulse produces a visual signal on a computer monitor and when analyzed it can provide information about the condition of the nerve. Measuring the electrical activity in muscles and nerves can help find diseases that damage muscle tissue (such as myopathy and muscular dystrophy) or nerves (such as amyotrophic lateral sclerosis or peripheral neuropathies). EMG and Nerve Conduction Studies are often done together to provide us with more complete data. The results of EMG/NCS testing can be an invaluable tool for you and your doctor to determine various conditions that can affect your nerves and muscles, which will help them manage your care more effectively.

MSKUS (Musculoskeletal Ultrasound and Neuro-Ultrasound) is noninvasive and offers real-time imaging, allowing for examinations of structures at rest and in motion. This ability to capture the movement of musculoskeletal components, differentiates it from other imaging modalities, and can permit more accurate diagnoses.  Joint and muscle pain are complaints that many patients suffer from on a daily basis. It is important to find the real source of the symptoms, so you can make the proper diagnosis and prescribe the right treatment.  X-Rays, CT Scans and MRI’s have been for the longest time the tests to evaluate musculoskeletal problems.  Recent advances in sonar and ultrasound technology have created a more functional and practical approach to evaluate joints, muscles, ligaments and even nerves.  This technology is called musculoskeletal ultrasound. Clinical evidence and research support using ultrasound as the first diagnostic test for numerous musculoskeletal conditions. Diagnostic ultrasound offers a number of important advantages compared to X-Ray, CT and MRI, in terms of safety and effectiveness. Musculoskeletal ultrasound simply uses sonic waves, and there is no exposure to radiation.

For Physicians:

If you are in private practice looking for Diagnostic Services for your patients or clients, please contact us at (716) 282-2888 to discuss collaborative opportunities to improve healthcare delivery, and the overall patient experience within your practice.  Our Diagnostic Services Group is available to provide high quality, and timely tests at any of our six Advanced Care Physical Therapy locations, or on-site at your practice on a fee-for-service basis.

What our partners are saying:

“The team at Advanced Care Physical Therapy completed the necessary diagnostic test for one of my patients within two days of my referral. This was after she was told by another group she would have to wait two months.  We now know where her pain is coming from and were able to take corrective action.”  Dr. Joe A., Williamsville

“My client was in a severe car accident and received the care she needed with Advanced Care.  Having the ability to do diagnostic testing on-site ensures ALL of my current and future clients  receive the right care when they need it.”  Craig, Buffalo Attorney

“I was told I had to wait three weeks to get a diagnostic test from another provider so I called Advanced Care Physical Therapy.  I had the test completed and sent to my doctor within two days. Thank You Advanced Care!”  Melinda, Buffalo Patient