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In-Office Testing

X-Rays & Smart-LEDA+ Testing

Sometimes an examination does not provide all the information needed. Our office offers digital X-rays and Smart-LEDA+ testing when the doctor determines that imaging, circulation, or autonomic nerve information could add useful information.

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Available in our office

Testing is available during a visit when the doctor determines it is useful.

Part of the evaluation

The doctor reviews the results along with your history and examination.

Clear explanation

The doctor can explain why a test may be useful and what information it can provide.

Digital Foot & Ankle X-Rays β€” 20/20 Imaging PXS-710D

20/20 Imaging PXS-710D

In-Office X-Rays

Digital Foot & Ankle X-Rays

Digital X-rays create images of the bones and joints in the foot or ankle. They can show details that may not be clear during a physical examination.

What This Test Does

  • Shows the bones and joints of the foot and ankle
  • The doctor reviews the images as part of your evaluation
  • Different views can focus on the area being examined
  • The doctor decides whether X-rays are needed based on your concern and examination

What X-Rays Can Show

  • Broken bones or stress injuries
  • Changes in bone or joint alignment
  • Arthritis-related joint changes
  • Bone spurs
  • Changes related to bunions or toe position
  • Changes in the arch or foot shape
  • Position of plates or screws placed during surgery when relevant
  • Certain foreign objects that may show on X-ray

What Happens During the Test

If X-rays are needed, a trained team member positions the foot or ankle and takes the views requested by the doctor. The doctor reviews the images together with the exam and the reason for the visit.

Smart-LEDA+ Vascular & Nerve Function Testing β€” Smart-LEDA+

Smart-LEDA+

Vascular & Sudomotor Testing

Smart-LEDA+ Vascular & Nerve Function Testing

Smart-LEDA+ combines vascular measurements with sudomotor testing. Depending on what the doctor needs to evaluate, the system can provide ankle-brachial index (ABI), toe-brachial index (TBI), pulse volume recording (PVR), microvascular, and sudomotor information.

What This Test Does

  • Measures ABI using blood pressure readings from the arms and ankles
  • Measures TBI using toe and arm pressures for additional information about smaller blood vessels
  • Records PVR waveforms that provide additional information about arterial circulation
  • Includes sudomotor testing that provides information about autonomic nerve function

What the System Can Help Evaluate

  • Peripheral artery disease (PAD) and other circulation concerns
  • Blood flow that may be relevant when diabetes or a wound is present
  • Microvascular information when toe pressures are clinically useful
  • Autonomic nerve function when peripheral autonomic neuropathy is a concern
  • Changes in vascular measurements when the doctor has a reason to compare results over time

What Happens During the Test

The exact test depends on what the doctor needs to evaluate. Vascular testing may use blood pressure cuffs and toe measurements, while sudomotor testing provides additional information about autonomic nerve function. Results are not immediate. Dr. Fernandez reviews the Smart-LEDA+ results after testing, and our staff will contact you after her review is complete. Please allow a few business days for review and notification. No single measurement establishes a diagnosis by itself.

Diagnostic Testing Available in Our Office

If you have a foot or ankle concern, request an evaluation. The doctor can determine whether X-rays or Smart-LEDA+ testing would add useful information.

(915) 995-1650
ADA Accessible FacilityAPMA Member PracticeBoard Certified Podiatric PhysiciansServing El Paso Since 2021