FROM COMPLAINT TO CONFIRMED INJURY. FAST. MOBILE. LOP-READY.

✓ LOP Accepted · Houston & Rio Grande Valley

Mobile EMG & NCV electrodiagnostic testing for personal injury cases — delivered to your clinic, your patients, and your timeline. Serving Houston and the Rio Grande Valley.

Schedule a Referral WhatsApp Us See What We Confirm

⚡ Does EMG/NCV detect my client's injury? Check here ▼

✓

Radiculopathy

~100% specific when positive

✓

Carpal Tunnel

Definitive NCV test

✓

Ulnar Neuropathy

Localized via NCV

✓

Peripheral Neuropathy

Quantified by velocity & amp

✓

Brachial Plexopathy

Confirmed by EMG pattern

✓

Muscle Denervation

Only EMG detects this

✓

Acute vs Chronic

Differentiates injury timing

Cervical Stenosis

91% H-reflex specificity

✓

Tarsal Tunnel

NCV entrapment study

✓ = Confirmed high specificity · ~ = Confirmed with clinical exam · Per AANEM guidelines.

LOP

Always Accepted

~1 hr

Test Duration

~48 hr

Report Delivery

~100%

Specificity*
When EMG Positive

*Paraspinal EMG specificity — Haig et al., AANEM

SCROLL

Clinical Referral Tool

Does My Client Need EMG/NCV Testing?

Select all symptoms your client is reporting. The score updates in real time based on published AANEM diagnostic criteria.

Accident Type

Client's Symptoms (select all that apply)

🔥 Radiating Pain & Nerve Symptoms

💪 Weakness & Motor Loss

⏱ Timing & Pattern

EMG/NCV Indication Score

Select symptoms

Likely Positive —

What testing confirms:

Select symptoms above to see likely findings

For Personal Injury Attorneys

We Fit Into Your Existing LOP System

No new process to learn. No changes to your workflow. Bolt Diagnostics plugs directly into the LOP system you already use.

✓

LOP ACCEPTED

Attorney Issues LOP to Bolt Diagnostics

Same LOP your firm already uses — just addressed to us. Guarantees payment from settlement. No upfront cost to patient.

We Coordinate Everything

We contact the patient, schedule mobile testing at a convenient clinic, handle all logistics. Zero burden on your staff.

Report in ~48 Hours

Detailed medico-legal report emailed directly to your firm and/or treating provider. Ready for your case file.

Paid at Settlement — Never From Your Firm

Our fee comes from settlement funds per your LOP. Your firm is never billed directly. We manage our own lien.

Why EMG/NCV Moves Cases

Subjective pain alone rarely moves the needle in negotiations. EMG/NCV produces hard numbers — measured nerve conduction velocity, latency, and amplitude — that courts and insurers recognize as among the most credible medical evidence in PI litigation.

If EMG confirms nerve damage — that finding is real.

Not a patient complaint. A measured electrical value compared to published norms. Hard to dispute. Highly credible in court.

EMG/NCV confirms injury in ~9 out of 10 radiculopathy cases with clinical signs.

When your client has numbness, weakness, or radiating pain — and EMG finds it — you have objective medical proof.

When should I order it?

Any time your client reports numbness, tingling, radiating pain, weakness, or reduced grip strength — especially after auto accidents, slip and falls, or workplace injuries. Earlier testing yields cleaner acute findings.

→ Schedule for Your Client

Data per AANEM practice guidelines. Haig AJ et al., Spine 2005. Individual case results vary.

What EMG/NCV Confirms

The Gold Standard for Nerve Injury Evidence

Click any condition to see the supporting research.

🧠

Radiculopathy

✓ ~100% Specific When Positive

Confirms compressed nerve roots at specific spinal levels. EMG detects fibrillation potentials and reduced recruitment — the electrophysiologic signature of active root compression.

"Abnormal paraspinal EMG was 100% specific, in great contrast to the low specificity of diagnostic imaging."

Haig AJ, Tong HC, Yamakawa KS. Spine. 2005;30:2667–2676. | AANEM Practice Parameter, Muscle Nerve 1999.

🤘

Carpal Tunnel Syndrome

✓ Definitive NCV Diagnosis

NCV across the wrist is the definitive test for CTS. Prolonged median nerve latency confirms compression — widely accepted in auto and workplace injury cases.

"NCS is recommended as the standard for confirming CTS diagnosis before treatment decisions."

AANEM Model Policy for NCS and EMG, 2022. | American Academy of Neurology Practice Guideline, 2011.

⚡

Peripheral Neuropathy

✓ Quantified by Velocity & Amplitude

Identifies and quantifies nerve damage throughout the peripheral nervous system with measurable, objective severity grading.

"NCS provides data on nerve conduction velocity, amplitude of CMAP, and SNAP — characterizing the nature and severity of peripheral nerve lesions."

StatPearls: Nerve Conduction Studies and EMG. NCBI, 2025.

💪

Muscle Denervation

✓ Only EMG Can Detect This

Fibrillation potentials in resting muscle are the electrophysiologic signature of active nerve injury — findings that cannot be fabricated or exaggerated.

"Spontaneous muscle activity at rest suggests denervation — findings detectable only via needle EMG."

StatPearls: Nerve Conduction Studies and EMG. NCBI, 2025.

⏰

Acute vs. Chronic Injury

✓ Timestamps Nerve Injury

EMG can differentiate acute/subacute injury from pre-existing chronic conditions — critical for establishing causation timelines and countering pre-existing condition arguments.

"Needle EMG may document preexisting conditions, date the injury, or serve as a baseline for later studies."

AANEM Model Policy for NCS and Needle EMG, 2022.

🦾

Brachial Plexopathy

✓ Confirmed by EMG Pattern

Documents traumatic injury to the brachial plexus — the nerve network of the shoulder and arm. Common in high-impact auto accidents and falls.

"EMG testing can help identify the site of the plexus lesion and differentiate preganglionic from postganglionic involvement."

StatPearls: Electrodiagnostic Evaluation of Brachial Plexopathies. NCBI, 2025.

Who We Work With

Built for Your Workflow

⚖️

Personal Injury Attorneys

You need: objective evidence, fast reports, LOP

We deliver hard neurological data that substantiates claims, supports case valuation, and holds up under cross-examination — all within your existing LOP workflow.

🦴

Physical Therapists

Your referral builds the LOP paper trail

When you refer for EMG/NCV, that referral becomes part of the documented treatment record — strengthening the attorney's LOP justification and the medical foundation of the PI case.

🌿

Chiropractors

Your diagnosis supports the attorney's LOP case

A chiropractic referral adds a second treating provider to the record — corroborating nerve injury from a different clinical angle.

💊

Pain Management Physicians

Your treatment plan anchors the LOP bill

EMG/NCV before injections or surgery creates objective pre-procedure documentation — establishing medical necessity and giving the attorney a stronger damages picture at settlement.

How It Works

From Referral to Report in 4 Steps

📋

You Submit a Referral

Call, WhatsApp, or fill out our form. Send patient info and LOP. Takes 2 minutes.

Day 1

📅

We Schedule Everything

We contact the patient and coordinate mobile testing at a nearby clinic. Zero work for your staff.

Days 1–3

⚡

~1hr On-Site Study

Lucas arrives with the Cadwell Sierra Summit. Full EMG/NCV. No sedation, no recovery time.

~1 Hour

📄

Report to Your Inbox

Full medico-legal report delivered digitally within ~48hrs to your firm, clinic, or both.

~48 Hours

Lucas Farrow, PT, DPT

Meet the Clinician

Lucas Farrow, PT, DPT

Lucas Farrow is a Doctor of Physical Therapy and licensed Physical Therapist with over 10 years of clinical experience practicing in Texas. He founded Bolt Diagnostics to fill a critical gap in South Texas personal injury care — bringing precise, objective electrodiagnostic testing directly to the providers and attorneys who need it most.

With dedicated advanced training in EMG and NCV methodology, Lucas brings both a clinician's understanding and technical precision to every study — ensuring every finding is accurate, well-documented, and defensible.

Elon University — Doctor of Physical Therapy (DPT)

Elon, North Carolina · Physical Therapy Program

Doctor of Physical Therapy (DPT) Licensed PT — Texas 10+ Years Clinical Experience Advanced EDX Training — D-EDX Candidacy Cadwell Sierra Summit Operator 🇲🇽 Hablo Español

Sample Report

What a Bolt Report Delivers

Every report is structured for clinical accuracy and legal usability. Patient info is fully de-identified. Click to view the full report.

Full H&P — History, physical exam, sensation, reflexes, provocative testing. Documented per AANEM standards.
NCV Motor & Sensory Tables — Latency, amplitude, velocity with normative comparisons for every nerve tested.
Clinical Impression — Plain-language findings identifying injury type and consistency with mechanism of injury.
Peer-Reviewed References — Every report cites supporting AANEM and published EDX literature.

SAMPLE

⚡ BOLT DIAGNOSTICS

Lucas Farrow, PT, DPT · 1805 Chestnut Street, Houston, TX 77009
(346) 802-8678 · [email protected]

Patient:	████████	DOB:	32 y/o
Date of Service:	9/3/2025	Sex:	Female
Skin Temp:	32°C	D.O.I.:	01/01/2025

Impressions

There is no electrophysiologic evidence suggestive of a neuropathic, radiculopathic or myopathic process. This is a normal study.

NCS Motor Summary

Nerve / Site	Onset (ms)	Norm	Amp (mV)	Vel (m/s)
R Peroneal — Ankle	3.9	<6.5	8.8	—
R Peroneal — B Fib	10.8	—	8.3	49
R Tibial — Ankle	4.1	<6.1	12.5	—

Questions & Objections

Everything You Want to Know

Attorneys

Why is EMG/NCV considered the gold standard for nerve injury?

EMG and NCV produce objective, numerical data — nerve conduction velocity, latency, amplitude — compared to published norms. Measured values that courts and insurers recognize as the definitive diagnostic method per AANEM guidelines.

Logistics

How long does the test take?

A combined EMG/NCV study takes approximately 45–60 minutes. No sedation, no recovery time. Patients remain clothed for the NCV portion. The EMG involves brief needle electrode insertions — most patients tolerate it well.

Billing

Do you accept Letters of Protection?

Yes — always. Attorney issues LOP → we schedule and test → report delivered → paid at settlement. No upfront cost to patient. No billing to your firm. We manage our own lien.

Clinical

When should my client be tested?

Order testing whenever your client reports numbness, tingling, radiating pain, weakness, or reduced grip strength — especially after auto accidents, slip and falls, or workplace injuries. Earlier testing yields cleaner acute findings.

Reports

How fast do I receive the report?

Our target is approximately 48 hours from test completion. Reports delivered digitally — full NCV data tables, EMG findings, clinical interpretation, plain-language summary, and peer-reviewed references.

Accuracy

How accurate is EMG/NCV testing?

EMG/NCV is highly specific when performed with calibrated hospital-grade equipment — especially needle EMG, which has been shown to be ~100% specific for radiculopathy when paraspinal findings are positive (Haig et al., Spine 2005).

Objection

"You're a PT, not a neurologist. Will this hold up?"

PTs with appropriate training are recognized EDX providers by AANEM and are legally authorized to perform EMG/NCV in Texas. The equipment, methodology, and normative databases are identical to those used by neurologists. Quality of study matters — not just the provider's title.

Objection

"My client doesn't have insurance. Can they still get tested?"

Absolutely — that's exactly what LOPs are for. We accept Letters of Protection for patients without insurance or who can't pay upfront. Paid from settlement. No insurance required.

Objection

"What if the test comes back normal?"

A normal study demonstrates you pursued objective testing — showing thoroughness. EMG/NCV can be normal in early-stage nerve injuries — retesting after 3–6 weeks may reveal abnormalities not yet visible.

Objection

"We already use a different EDX provider."

Try us on one case. Compare the report quality, turnaround time, and how smoothly the LOP process runs. We earn relationships one report at a time.

Objection

"My patient is in a city you don't currently serve."

We're actively expanding and may be able to accommodate sooner than you think. Contact us directly — we'll be honest about timeline.

Objection

"Will the report hold up under cross-examination?"

Reports use the Cadwell Sierra Summit with Auto Findings Composer, compared against AANEM normative databases, and cite peer-reviewed literature. Findings are numerical, reproducible, and methodology-documented.

Nerve / Stim Site	Peak (ms)	Norm	Amp (µV)	Norm	Vel (m/s)	Norm
R Sup Peroneal Sensory	3.5	<4.2	16.7	>3.0	40	>33
R Sural Sensory	3.8	<4.5	14.5	>4.0	37	>31

FROM COMPLAINT TO CONFIRMED INJURY. FAST. MOBILE. LOP-READY.

Does My Client Need EMG/NCV Testing?

We Fit Into Your Existing LOP System

The Gold Standard for Nerve Injury Evidence

Built for Your Workflow

From Referral to Report in 4 Steps

Houston to the Valley

Lucas Farrow, PT, DPT

Cadwell Sierra Summit®

What a Bolt Report Delivers

Schedule a 15-Minute Intro Call

Everything You Want to Know

Schedule a Referral Today

Nerve / Stim Site	Onset (ms)	Norm	Amp (mV)	Norm	Vel (m/s)	Norm
R Peroneal — Ankle	3.9	<6.5	8.8	>1.3	—	—
R Peroneal — B Fib	10.8	—	8.3	—	49	>38.0
R Peroneal — Poplt	12.7	—	8.2	—	50	>42.0
R Tibial — Ankle	4.1	<6.1	12.5	>4.4	—	—
R Tibial — Popliteal	14.1	—	7.6	—	39	>39.0