Ancillary Services

Allergy

Allergies, also known as allergic diseases, are a number of conditions caused by hypersensitivity of the immune system to something in the environment that usually causes little problem in most people. These diseases include hay fever, food allergies, atopic dermatitis, allergic asthma, and anaphylaxis. Symptoms may include red eyes, an itchy rash, runny nose, shortness of breath, or swelling. Food intolerances and food poisoning are separate conditions.

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Most primary care or family health practices can provide and bill for this service. We provide the services to your clinic, while you or your physicians oversee total patient care.

Yes. Allergy testing and immunotherapy is an FDA recognized treatment with established results. Most insurance providers reimburse for these services.

A simple skin test includes 58 of the most common airborne allergens in your region. Results are read after 15 minutes.

What’s “out there” is not working. Patients suffer in silence without knowing there is an alternative. Patients prefer their family doctor oversee their total care. Diagnosing and treating airborne allergies in your clinic is within your scope of practice. This presents a huge patient care opportunity in addition to a financial opportunity.

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Work with your Family Physician

Ask your provider about Allergy
Testing and Immunotherapy. Life-long relief
is an option.

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Get Informative Results Right Away

Test for 58 most common local airborne
allergens in 15 min. High quality extracts ensure
dependable test results.

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Have an Accurate, Bloodless Test

Testing is done using a microscopic
skin prick. All our procedures are FDA
approved and very safe.

NCV

Nerve Conduction Velocity (NCV) Testing

A nerve in the body works somewhat like an electrical wire in your house. If you want to see if the wire is functioning properly, you need to make sure that electricity can run through it. If there are any problems along its length, you will know it by a failure of the electrical current to go through.

Similar to testing current flow in a wire, nerve conduction velocity test (NCV) is an electrical test, ordered by your doctor, used to detect abnormal nerve conditions. It is usually ordered to diagnose or evaluate a nerve injury in a person who has weakness or numbness in the arms or legs. It also helps to discover how severe the condition is and how a nerve is responding to injury or to treatment. In this test, electrical signals are sent down specific nerves of the arms or legs, where an electrode placed on the skin detects the electrical impulse ‘down stream’ from the first. The nerve is stimulated with a tiny electrical current at one point. A nerve stimulator placed over the nerve supplies the nerve with a very mild electrical impulse. This electrical activity is recorded by the recording skin electrode. When this happens, you will feel a tingling sensation that may or may not be uncomfortable. Between the brief shocks you will not feel discomfort. The distance between the skin electrodes and the time it takes for electrical impulses to travel between electrodes is used to calculate the speed of the nerve signal. A decreased speed suggests nerve disease. A healthy nerve will transmit the signal faster and stronger than a sick nerve.

Usually NCV testing takes less than 30 minutes depending on the number of nerves tested.

The small amount of current delivered to the nerve is always at a very safe level. Patients wearing pacemakers or other electrical devices need not worry since this current will rarely interfere with such devices.

The electrical stimulation may be mildly uncomfortable but this is usually very brief when testing is done by an experienced physician. Most of our patients comment that the test was far easier to complete than they were told or expected.

You may be given instructions about how to prepare for a nerve conduction velocity test. Generally keeping the area to be tested warm, dry and free of lotions provides the best result. Skin temperature should be warm if possible for the test, because low body temperatures slow nerve conduction and falsely change test results.

Normal results from a NCV test only mean that there is no evidence of measurable damage or disease in the nerve. This test does not measure pain. In a small number of cases, nerve disease may still exist despite normal results. This is because other healthy fibers in the same nerve may show a normal reaction time.

Any other questions or concerns can be answered when you are seen in the office or can be answered by our staff by phone before you test.

COMPOUNDING PAIN RELIEF CREAMS

Pain is the most common symptom for which individuals seek medical help. Acute pain easily can evolve into chronic pain, which can become difficult to treat. Many commonly prescribed, commercially available pain relief medications help the symptoms associated with chronic conditions such as arthritis, fibromyalgia, migraine headaches, and other nerve and muscle pain, but they can also result in unwanted side effects such as drowsiness, dizziness or stomach irritation. Many patients taking these medications come to accept these conditions as part of daily life, but they may find a better solution through pharmacy compounding.

Compounding offers personalized pain relief.

Compounding enables pharmacists to work closely with both the athlete and their physician or trainer to prepare customized dosage strengths, potency and delivery systems to provide the maximum effect in therapy.

Athletes, coaches, trainers, team physicians, physical therapists, and sports enthusiasts are faced with problems such as:

  • Acute pain
  • Inflammation
  • Muscle spasms
  • Fungal infections of the skin and nails (athlete’s foot, jock itch, and onychomycosis)
  • Hemorrhoids
  • Excessive perspiration

Our compounding specialists can help with these problems and more, with customized medications that contain the correct ingredients in the best form to most effectively supply the required medication to the affected area.

Many medications used to manage pain, decrease inflammation, and ease muscles also carry the risk of adverse side effects. If these medications are applied topically, however, therapy can be achieved and side effects can be reduced significantly.

• Pain Cream
• Peripheral tissue activity
• Systemic side effects are less likely
• If analgesic, applied directly over painful site
• Insignificant serum levels

• Systemic activity
• Potential for adverse side effects
• If analgesic, may be applied directly over painful site
• Serum levels necessary for effect

Pharmacy technician Eddie Buchanan creates pill capsules in the non-sterile compounding room of SBH Medical in Worthington, Thursday afternoon, October 18, 2012. SBH Medical is a central Ohio compounding pharmacy that deals with all sorts of prescription needs for physicians and veterinarians in the area as well as in other states. (The Columbus Dispatch / Eamon Queeney)

Topical therapies and combination preparations may have many advantages over orally administered pain relievers, especially for the elderly. Fewer side effects, painless administration and reduced treatment costs are among them. There is growing evidence on the effectiveness and safety of topical agents in a variety of pain disorders, including the most prevalent neuropathic pain conditions.

Neuropathic pain is often resistant to opioids, so other medication classes – such as tricyclic antidepressants, anticonvulsants, and local anesthetics – are often used. Central sensitization, or pain “wind-up”, may perpetuate chronic neuropathic pain even when ongoing peripheral sensory input is absent. Wind-up is thought to cause allodynia, hyperalgesia, and hyperpathia. Receptors such as NMDA, AMPA, and Metabotropic glutamate (mGlu) have recently been identified for their role in central sensitization and antagonists of these receptors have produced pain relief.

Individuals experience pain in a variety of places and to varying degrees. By combining various agents which utilize different mechanisms to alter the sensation of pain, physicians have found that smaller concentrations of each medication can be used.

Topical and transdermal creams and gels can be formulated to provide high local concentrations at the site of application. Side effects associated with oral administration can often be avoided when medications are used topically. Studies suggest that there are no great restrictions on the type of drug that can be incorporated into a properly compounded transdermal gel. When medications are administered transdermally, they are not absorbed through the gastrointestinal system and do not undergo first-pass hepatic metabolism.

If you are a practitioner, please contact our compounding pharmacist to discuss the dosage form, strength, and medication or combination that is most appropriate for your patient. If you personally suffer from acute or chronic pain, our highly trained pharmacists will work closely with your doctor to identify and implement a personalized treatment plan.

• NSAID Therapy
• Topical Opiods
• Migraine
• Iontophoresis / Phonophoresis
• And more