City Employee Care

Vital Medical Services is part of the Vital Imaging family. With our innovative radiology resources we have the ability to provide city personnel with these services. Our medical team consist of highly skilled and trained staff members. When a city employee is injured additional radiology tests may be needed to help determine the ailment and to properly obtain a diagnosis. Often times just waiting for this approval for these expensive tests can take weeks and sometimes months, resulting in personnel being placed on limited and or full restrictive duty. Our goal is to provide these tests for city employees with no up front financial approval. We will perform these tests and provide a full complete radiology report that can be reviewed by the physician of choice. Our goal is to have these tests completed quickly without the city having to wait for financial approval. We have the ability, resources and medical staff to safely return your employees to work expeditiously.


What is an MRI?

Magnetic Resonance Imaging (MRI) is a noninvasive medical test conducted by physicians to look inside the human body. MRIs utilize magnetic fields and radio signals to produce an image of the targeted body part. Images are then reviewed by a specially trained physician (radiologist), who reports the findings to the referring physician.

What is a Stand-Up MRI?

Built by Fonar Corporation (Melville, NY), the Stand-Up MRI allows patients to be imaged in multiple positions as opposed to traditional single position (recumbent only) MRIs. The multiple position capability of the Stand-Up MRI allows imaging in weight bearing, standing, sitting, flexion, extension, or any position in which the patient is experiencing the symptoms. Unlike the traditional MRI where the patients are imaged in a relaxed state when lying down, the Stand-Up MRI with its front and top open design allows patients to be positioned specifically where their symptoms occur. This allows specific and accurate diagnosis of what is causing the patient»s pain. Many surgeons find this information to be very helpful in their surgical planning. Multiple plane imaging also allows the radiologist to produce more detailed reports assisting the treating physician in selecting proper treatment options. The multi-positional scans and detailed anatomical reports further contribute to a more accurate permanent impairment rating in medical-legal cases.

The equipment is highly conducive for patients who are claustrophobic because of the front open design with patients able to watch television while being scanned. Additionally, small children can be scanned while sitting on their parent»s s lap and watching cartoons. Geriatric patients, especially those with Kyphosis, can feel more at ease in the open environment and the fact that they are not forced to lay down. The openness is also ideal for obese patients who cannot fit in the tradition MRI»s s tube-like environment.

The administration of the scans is greatly beneficial to a patient»s s pursuit of seeking the correct diagnosis. Simultaneously, by imaging in symptomatic positions and giving value to weight and motion conditions that can affect injury, the scans aid in determining whether surgery would be a viable option for the patient»s s treatment. When conducting a Flexion scan, the patient must decrease the angle between the targeted body part and the rest of him or herself. In an Extension scan, the patient increases the distance angle. Please refer to the images on the right for a demonstration.


The nerve conduction velocity test (NCV) is an electrical test used in detecting nerve injury. The test involves the nerves being electrically stimulated to measure the electric impulse and it is done with surface patch electrodes placed on the skin. The calculations recorded from the test illustrate the speed of impulse transmission between the electrodes. An NCV test can be used to detect numbness, tingling, and/or burning sensations, as well as more serious nerve disorders. In conjunction with the NCV test, an electromyogram (EMG) test is conducted to detect the electrical activity of the muscles.


X-rays are a form of electromagnetic radiation that creates images of structures inside the body. The process involves radiation being emitted into the body, striking a film plate, and creating a two-dimensional image of the body structure and its cavities.