VS Diagnostics

VSD Testing

Vital System Assessment Tests

Heart Rate Variability

Heart Rate Variability

This is a sensitive quantitative measurement of the body’s experience of pain, stress, several co-morbidities, as well as potential imbalances in the Autonomic Nervous System. When used as a monitoring tool, i.e. before and after changes in medications or other treatments, HRV can act as a quantitative indicator of pain level change, improvement in overall health and measure compliance to treatment.

Measuring the 2 most heavily weighted biomarkers in the VSD Testing Score:

  • HEART RATE VARIABLITY: the ONLY known predictor of a heart attack

  • PHYSICAL STRESS INDEX: imbalance of the sympathetic and parasympathetic sides of the ANS and exaggerated by long-term chronic pain:

    • 3-LEAD ECG
    • Chronic pain patients have very high probability of a high PSI
    • 8:40 testing period with mild stressors and position changes

Sudomotor Function

Assessing Sudomotor Function

This is useful for monitoring patients BEFORE they are symptomatic of nervous system dysfunction, as the test will identify subtle abnormalities before the patient recognizes or reports physical symptoms. Early detection allows for early intervention and enables a significantly better outcome.

Sudomotor Function Testing:

  • Critical in identifying early onset or advancing neuropathies, many times before symptomatic

  • Long used by endocrinology in monitoring diabetic neuropathy
  • 1 of 4 biomarkers used to assess and validate pain scores

  • Physiological pain = REDUCED Sudomotor function

  • 12 minute testing component

Pulse Wave Velocity

Pulse Wave Velocity

This has long been the gold standard non-invasive test for arterial elasticity. The results will support system-wide inflammation due to an elevated PSI. Physicians in Pain Management, Obstetrics and Gynecology, Internal Medicine or Geriatrics may be the only physician that the patient sees regularly and therefore is their primary source for most diagnostic testing. Many patients may not have exposure or access to such life-saving testing if not for their specialty physician.

Pulse Wave Velocity Testing:

  • Gold standard for measuring arterial elasticity

  • Done bilaterally and upper & lower extremities
  • Key indicator for inflammation and direct correlation for capacity to heal/rehab
  • Powerful CPT code=billed twice
  • 3 minute test in upright position

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