Conditions We Treat

Common Symptoms

• Moderate to severe throbbing or pulsating head pain, typically one-sided
• Nausea, vomiting, and sensitivity to light and sound
• Visual disturbances (aura) — flashing lights, zigzag lines, or temporary vision loss
• Sensory changes including tingling or numbness
• Difficulty concentrating and cognitive "fog"
• Neck stiffness and fatigue before or after episodes

Our Treatment Approach

Our headache clinic employs a systematic, evidence-based approach to migraine management. We begin with a thorough diagnostic evaluation to classify your headache type accurately, identify triggers, and rule out secondary causes. Treatment strategies include acute (abortive) medications for individual attacks, preventive medications to reduce frequency and severity, CGRP antagonist therapies (the newest class of migraine-specific treatments), lifestyle modification protocols, and patient education. Many patients experience dramatic reductions in headache frequency within the first few months of targeted care.

Common Symptoms

• Convulsions or rhythmic jerking movements of the limbs
• Sudden loss of consciousness or awareness
• Staring spells or brief "absence" episodes
• Unusual sensations, emotions, or déjà vu
• Temporary confusion or memory gaps after episodes
• Automatisms — repetitive, purposeless movements

Our Treatment Approach

We provide comprehensive epilepsy evaluation including on-site EEG monitoring, detailed seizure history analysis, and review of neuroimaging. Treatment is individualized based on seizure type, frequency, and patient lifestyle. We manage anti-epileptic medication selection and titration, monitor for medication side effects, and coordinate with surgical epilepsy programs for patients with medically refractory epilepsy. Our goal is to achieve the best possible seizure control with the fewest limitations on daily life.

Common Symptoms

• Numbness, tingling, or burning sensations in the hands and feet
• Sharp, stabbing, or electric shock-like pain
• Extreme sensitivity to touch — even light contact is painful
• Muscle weakness or loss of coordination
• Balance problems and increased fall risk
• Autonomic symptoms: dizziness, digestive issues, abnormal sweating

Our Treatment Approach

Accurate diagnosis of the underlying cause is the cornerstone of effective neuropathy treatment. We utilize on-site EMG and nerve conduction studies to characterize the pattern and severity of nerve involvement. Treatment addresses both the underlying etiology (e.g., optimizing diabetic control, correcting nutritional deficiencies, treating autoimmune causes) and symptom management through targeted medications. Many patients who were told their neuropathy was untreatable experience meaningful improvement with our systematic approach.

Common Symptoms

• Resting tremor — typically beginning in one hand
• Bradykinesia — slowness of movement and reduced arm swing
• Muscle rigidity and stiffness
• Postural instability and balance difficulties
• Micrographia — small, cramped handwriting
• Non-motor symptoms: sleep disturbances, depression, cognitive changes, constipation

Our Treatment Approach

Our approach to Parkinson's disease management begins with a thorough clinical evaluation to confirm the diagnosis and assess disease stage. We develop individualized treatment plans incorporating dopaminergic medications (levodopa, dopamine agonists), medication timing optimization, and coordination with physical and occupational therapy. We monitor disease progression closely and adjust treatment strategies as the condition evolves, always with the goal of maximizing function and quality of life.

Common Symptoms

• Vision problems — blurred vision, double vision, or optic neuritis
• Numbness, tingling, or weakness in limbs
• Balance and coordination difficulties
• Fatigue — often described as profound and disproportionate to activity
• Cognitive changes — difficulty with memory, concentration, and processing speed
• Bladder and bowel dysfunction

Our Treatment Approach

We provide comprehensive MS evaluation including clinical assessment, review of MRI findings, and coordination of additional diagnostic testing as needed. For patients with established MS diagnoses, we manage disease-modifying therapies (DMTs) — the medications that reduce relapse frequency and slow disease progression. We also address symptom management, monitor for treatment side effects, and coordinate multidisciplinary care with physical therapy, urology, and other specialists as needed.

Common Symptoms

• Sudden numbness or weakness of the face, arm, or leg — especially on one side
• Sudden confusion, trouble speaking, or difficulty understanding speech
• Sudden vision problems in one or both eyes
• Sudden severe headache with no known cause
• Sudden dizziness, loss of balance, or coordination problems
• Post-stroke: persistent weakness, speech difficulties, cognitive changes

Our Treatment Approach

Following a stroke or TIA, timely neurological evaluation is critical to preventing recurrence. We provide comprehensive stroke workup including assessment of stroke mechanism, vascular risk factor evaluation, and review of cardiac and vascular imaging. Our management focuses on secondary stroke prevention through antiplatelet or anticoagulant therapy, aggressive vascular risk factor control (hypertension, diabetes, hyperlipidemia), and coordination of rehabilitation services. We provide the long-term neurological follow-up essential in the months and years after a cerebrovascular event.

Common Symptoms

• Memory loss that disrupts daily life — especially forgetting recently learned information
• Difficulty with problem-solving, planning, or following familiar tasks
• Confusion with time, dates, or place
• Trouble understanding visual images or spatial relationships
• New problems with words — difficulty finding words or following conversations
• Changes in mood, personality, or behavior

Our Treatment Approach

We conduct detailed cognitive assessments using validated neuropsychological screening tools, review neuroimaging, and coordinate laboratory testing to arrive at an accurate diagnosis. We distinguish between treatable causes of cognitive decline (thyroid disorders, vitamin deficiencies, medication effects) and neurodegenerative conditions. For patients with established dementia diagnoses, we provide ongoing management of cognitive and behavioral symptoms, coordinate with family caregivers, and connect patients with community resources. We approach these conversations with sensitivity, clarity, and a commitment to supporting both the patient and their loved ones.