As an added convenience to our patients, Commerce Primary Care offers the following on site- procedures to our patients.
Please click the procedure below that you want to learn more about.
For most procedures, we ask that our patients schedule an initial appointment before we perform an excision, removal or in depth procedure.
The scalp, ears, back, face and upper arm are common sites of cysts though they can occur anywhere on the body. The physician will numb the area with local anesthesia, then make a small incision in the surface of the cyst. The cyst will be drained and packed with Iodoform packing. Inflamed cysts are difficult to excise and it is often preferable to postpone any excision until the inflammation has subsided.
Our physician can perform an Arthrocentesis on just the Elbow and the Knee. An Arthrocentesis is a procedure where a syringe is used to collect synovial fluid from a joint. After the fluid is removed from the joint, pressure and joint pain are usually relieved. It is typically used in the diagnosis of gout, arthritis and synovial infections such as septic arthritis. This procedure takes about 30 minutes depending on the area
Our physicians and medical assistants are able to perform ear wax removals with a curette or ear lavage. This is approximately a 25-30 min procedure.
An electrocardiogram (EKG or ECG) is a test that checks the electrical activity in your heart. This is usually done at an annual wellness exam or for pre-surgical clearance. A medical assistant performs this procedure.
Food sensitivity/food allergy testing is available in the office. There is a variety of panels to choose from. This is an out of pocket expense for patients and is paid directly to Cell Science (Alcat Lab). It is required that the patient pay for the food sensitivity panel up front. This will be submitted to Alcat. The patient can then submit a superbill to their insurance company for re-imbursement.
If this is something that may interest you, please call the office to schedule an appointment to discuss the variety of options with one of our physician’s prior to ordering testing.
We can administer most of the recommended vaccines for adults including seasonal flu shots. For adults, any necessary vaccines will be discussed during your annual physical exam.
*Please note: If there is an immunization or injection that we do not carry in the office, we can order it from our outside vendor. However, it is the patient’s responsibility to call their insurance company first to see if they will cover the vaccine. If the insurance does not cover the vaccine or just a portion, the rest of the cost will be the patient’s responsibility.
A punch biopsy is done with a circular blade ranging from 3mm-6mm and is a technique in which a skin lesion is removed and is sent to a pathologist for further review. If a biopsy requires a more in depth excision or biopsy, patient may be referred out to a local dermatologist for further treatment and evaluation.
Skin tags are small, harmless skin growths. Skin tags tend to appear on eyelids, neck, arms, back, etc. Our physicians can remove skin tags in the office by either freezing, tying off the skin tag with a thread or suture or cutting off the skin tag completely. After a skin tag is removed, it does not mean it will grow back. Some are just more prone to developing these on different areas of the body. This procedure typically takes about 30 minutes.
Surgical suture (typically called stitches) are used to close an open wound or laceration either from an injury or surgery. Our physicians can perform suturing or staples in the office. We can also remove any suturing that was done at the office or at an outside facility. This procedure typically takes about 20-30 minutes depending on the area.
Our physicians use cryotherapy to freeze warts. Some cases may require multiple treatments or referral to a local dermatologist or podiatrist if necessary.
Please call us with your questions or comments regarding your health care concerns at 248.363.7500