Neurology has evolved over the years and many diseases once thought to be incurable can now be very well controlled with new modalities of treatments. At our clinic both physicians are well trained to offer such latest modalities to our patients. Our treatments go beyond medications to provide the best and latest care for our patients. If the required treatment is outside our scope of neurology, you will be referred to other specialists.
Occipital nerve block for headaches
Occipital nerve block is typically used in patients who have pain originating primarily from the neck and occiput area. Numbing medications like lidocaine and steroid is injected in the greater occipital nerve area. This has been proven to abort a migraine and help patients with occipital neuralgia. The procedure takes minutes and afterwards the patient often is headache free and is always able to drive home.
Trigger Point injections
Trigger point injections are used to relieve myofascial pain or pain over tender “trigger” spots often found in the back or shoulders. These injections are completed with saline mixed with 1% lidocaine ( numbing medication). Pain relief typically occurs within 15 minutes and may last approximately 1 month.
Botox for dystonia and headache
Botulinum toxin may be injected in small doses for various neurologic conditions. Although it was first used for cosmetic purposes, we use it for the treatment of medical ailments. BOTOX ® may be injected in the forehead and neck for migraine headaches, near the eyes for blepharospasms (uncontrolled blinking of the eyes), torticollis (involuntary, painful turning of the neck muscles), hemifacial spasms, and spasticity.
Evaluation and management of Vagus Nerve Stimulator (VNS)
Vagus nerve stimulation therapy is another form of treatment that may be tried when medications fail to stop seizures. It is currently approved for use in adults who have partial seizures that are poorly controlled with medication. The therapy is designed to prevent seizures by sending regular small pulses of electrical energy to the brain via the vagus nerve, a large nerve in the neck. Once the device is placed, the physician can control and manipulate the settings in the office.
Evaluation and management of Deep Brain Stimulator (DBS)
Deep brain stimulation (DBS) is a surgical treatment involving the implantation of a medical device that acts as a brain pacemaker, by sending electrical impulses to specific parts of the brain. DBS in select brain regions has provided remarkable therapeutic benefits for otherwise treatment-resistant disorders such as Parkinson’s disease, tremor and dystonia. Once placed by the neurosurgeon, the neurologist can control and manipulate the settings in the office.
Sphenopalatine Block (SPG)
Catheters are attached to a syringe that contains numbing medication. The medication is pushed through the syringe once the catheter is placed into the correct position, and delivers numbing medication to the SPG to help treat headache and facial pain.
The SPG, located behind the nose, carries information about sensation, including pain, and plays a role in autonomic functions, such as tearing and nasal congestion.