Services Offered:

EMGs and Nerve Conduction Studies

EMGs and nerve conduction studies are used to diagnose diseases such as carpal tunnel syndrome, pinched back nerves, Lou Gehrig’s disease, and more. It is imperative that a physician trained in electrodiagnostic medicine perform the study to ensure that the final diagnosis is the correct one. Before your study, tell the physician if you are taking aspirin or blood thinners (like Coumadin®), have a pacemaker, or have hemophilia. Take a bath or shower to remove oil from your skin. Do not use body lotion on the day of the test.

Some patients find EMGs mildly uncomfortable, like a pinch. With the newer needles used today, there is less discomfort. In addition our physicians use techniques to minimize discomfort.

For more information you can check out our videos from the links below:

There are two parts to an EMG;

Nerve Conduction Study:

Needle EMG:

Read more about EMG and NCS testing

Regenerative Medicine: Platelet Rich Plasma (PRP) Injections

PRP is a natural injection used to heal tissue and reduce inflammation using a component of ones own blood platelets. Platelets contain growth factors which promote the healing process. A member of our staff will collect a sample of your blood to process for injection into the affected area.  Since we are using your own blood side effects are uncommon. As a result of the growth factors, one should expect some inflammation and initial discomfort.

Regenerative Medicine: Stem Cell Therapy

Stem cell therapy, also known as regenerative medicine, promotes the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. The two defining characteristics of a stem cell are perpetual self-renewal and the ability to differentiate into a specialized adult cell type. Studies have discovered that stem cell therapy can help enhance the growth of new healthy skin tissue, enhance collagen production, stimulate hair development after incisions or loss, and help substitute scar tissue with newly developed healthy tissue.

Hyaluronic Acid Joint Injections

When you have osteoarthritis, the naturally present hyaluronic acid of the joint thins. We offer injections to treat osteoarthritis pain in the joints. Injections range from a one-time injection to a weekly injection for up to five weeks. Frequency of injections is dependent on insurance coverage, patient tolerance and preference. These injections can help reduce pain in the knee and increase mobility. The effects have been shown to last for several months.

Steroid Injections

Corticosteroid injections are useful for treating flare-ups of OA pain and swelling in the joints, painful areas of muscle that contain trigger points, and other painful conditions such as tennis elbow and bursitis.

These injections help relieve symptoms by reducing inflammation in the affected area.

Botox Injections

Botox ® is approved by the FDA for the treatment of migraines, spasmodic torticollis, also know as cervical dystonia, and increased muscle stiffness in the elbow, wrist, and finger muscles of adults with upper limb spasticity. Botox can be given approximately every 3 months to help improve the quality of life for those suffering these conditions.

Follow this link for a demonstration by Dr. Arbit on using Botox to treat Migraines:

Epidural Steroid Injections/Interventional Procedures

Interventional Pain Management is a medical subspecialty which treats pain with interventions such as facet joint injections, nerve blocks, epidurals, medial branch blocks or rhizotomy/radiofrequency ablation.

Dr Shawn Achtman is specialty trained in Interventional Pain Management providing these services at the Novi Surgical Center and in Downtown Rochester in a tranquil office setting.

Follow this link to hear Dr. Shawn Achtman fill you in on some specifics of Interventional Pain Management:

Pain Management

Pain management involves assessing the patient as a whole, including history and duration of pain to develop a plan of care including but not limited to opioid pain management.

The safety and wellbeing of our patients is of the utmost importance, therefore we monitor all opioid patients with regular physical assessments and review of conditions.

Sports Medicine

Sports injuries can result from acute trauma or repetitive stress associated with athletic activities.  Such injuries can affect bones or soft tissues such as muscles, ligaments and tendons. Some of the common injuries we treat include tennis elbow or golfer’s elbow, shin splints, knee pain, ankle sprain, hamstring strain, shoulder injuries, tendinitis, etc.

Physical Therapy

Physical Therapy is a service used to develop, maintain and restore maximum movement and functional ability throughout ones lifespan. The service can be provided in circumstances where movement and function are jeopardized by aging, injury, pain, diseases, disorders, conditions or environmental factors.  Our Physical Therapists put together a treatment plan that is designed for each patient’s individual goals, challenges and needs.

Graston Technique

Graston Technique ® is an evidence based form of instrument-assisted soft tissue mobilization. This technique allows clinicians to detect and break down scar tissue and fascial restrictions and maintain optimal range of motion. Providers at all of our locations offer this service.


Acupuncture is most commonly used to treat pain.  This involves the insertion of extremely thin needles through the skin at strategic points on your body to boost your body’s natural painkillers and increase blood flow.