Call us: Monday - Friday Until 7:30 PM

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 machine 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.

What is your practice worth? Find out how we can help!