Physical therapy and rehabilitation are our primary services to our patients. Our team of qualified, licensed professionals helps people of all ages recover from many kinds of injuries and afterward, shows them how to maintain their recovered agility and fitness levels.

Sports Performance Training

We also offer sports performance training to those athletes, young and older, who wish to improve their game of tennis, baseball, football, soccer, basketball, or even--yes, bowling. Excelling at your favorite sport, we all know, is not something that happens by itself, or even without practice. What we know at BPTI is that maximum performance in any sport is also a result of using your body to complement the equipment and achieve the desired affect.

Golf Clinic

For golfers who want to have more fun and better scores on the green, we offer our unique Golf Clinic. This class is individually tailored to your needs so that you can improve your physical performance and your enjoyment of the game.

Many physicians will recommend an EMG/NCS (electromyogram and nerve conduction study) for their patients with tingling/numbers, or weakness in an extremity or extremities. The physician hopes the EMG/NCS test will assist them in determining the cause of the problem and to aid in determining the best course of treatment and/or the need for other tests. How can you tell you are getting a quality study with information that will help you make an informed decision regarding your patient’s care?

1. The EMG/NCS exam should be customized for the patient’s specific complaints. To do this, the EMG/NCS clinician should address the referring physician’s concerns based on the referral. Further, the EMG/NCS provider should take a brief history and perform a neuromuscular screening exam to know where to direct the study.

2. The EMG/NCS provider should perform both the NCS and the needle EMG. The inclusion of the EMG exam is the only way to confirm the presence of a nerve root injury (radiculopathy), determine chronicity, axonal degeneration vs. just a neuropraxia, and assist in ruling out more serious disease.

3. The interpretation should be written in pathophysiologic terms. For example, instead of just providing a diagnosis of “carpal tunnel syndrome,” the EMG/NCS clinician should state if there is just myelin injury (neuropraxia) versus axonal injury, motor fiber versus sensory fiber involvement, the severity of the problem, and in some cases, the chronicity of the problem. In most entrapment neuropathies (like CTS), patients with myelin involvement of the sensory fibers is a mild problem compared to those with motor involvement (moderate), or those with axonal injury (severe CTS).

Greg Ernst, PT, PhD, ECS has been performing and interpreting quality EMG/NCV studies for over 19 years. He is board certified by the American Board of Physical Therapy Specialties and is now providing these services at the Boerne Physical Therapy Institute. Call 249-7211 to set up an appointment.