James B. Meiling, D.O.

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SUMMARY

The research of James B. Meiling, D.O., focuses on neuromuscular ultrasound for diagnosis and to strengthen the electrodiagnostic assessment. The long-term goal of his research is to standardize the use of ultrasound as a recognized and invaluable third portion of the electrodiagnostic exam. The use of neuromuscular ultrasound may enhance the diagnosis of peripheral nerve and muscle disorders.

Focus areas

• Neuromuscular ultrasound. Dr. Meiling uses neuromuscular ultrasound as a noninvasive ultrasound to diagnose peripheral nerve and muscle disorders. He studies the clinical application of neuromuscular ultrasound and its utility as an adjunct to the electrodiagnostic exam. Dr. Meiling studies neuromuscular ultrasound in cases of mononeuropathies, brachial plexopathies, demyelinating polyneuropathies, motor neuron diseases, and muscle diseases.
• Ultrasound-guided needle electromyography. Classic needle electromyography is performed by relying on manual palpation of anatomic structures for needle placement. Ultrasound-guided needle electromyography uses ultrasound for needle placement. Dr. Meiling studies the clinical application of ultrasound-guided needle electromyography to enhance the electrodiagnostic exam and target key muscles to help in clinical decision-making.
• Traumatic brachial plexus and peripheral nerve injuries. Dr. Meiling has a special clinical interest in traumatic brachial plexus and peripheral nerve injuries. He is studying the expanded use of intraclinic application of diagnostic neuromuscular ultrasound and focused ultrasound-guided needle electromyography to assist in clinical decision-making. Neuromuscular ultrasound may assess changes in muscles and nerves both before and after reconstructive surgery.
• Peripheral nerve fasciculopathies. With constant improvement in ultrasound technology, peripheral nerve intraneural groups of nerve fibers, also called peripheral nerve fascicles, are becoming more visible with sonographic assessment. Dr. Meiling is studying the use of neuromuscular ultrasound for early detection of pathological fascicular changes, called fasciculopathies, in peripheral nerve conditions such as neuralgic amyotrophy.

Significance to patient care

Ultrasound is a noninvasive, painless, and cost-effective tool that may greatly improve the ability of rehabilitation professionals and neurologists alike to diagnose conditions of the nerve and muscle. Dr. Meiling believes that a correct nerve and muscle diagnosis is key to proper treatment. The goal of Dr. Meiling's research is to increase our understanding of each individual's peripheral nerves and muscles in order to help guide management and, hopefully, improve outcomes for each patient.