If you or your loved one is in need of neurological care, it is vital that you receive treatment from experienced and skilled neurologists. At Boca Raton Neurologic Associates, we are composed of top-tier, highly-trained neurologists who are committed to making sure that you receive an outstanding level of care.
We provide help with:
Alzheimer’s is a progressive neurodegenerative disease. It is characterized by memory loss that worsens over time, mood and personality changes, problem-solving difficulties, confusion with place or time, and withdrawal from work or social activities.
Parkinson’s disease is a progressive nervous system disorder. It is associated with a deficiency of the neurotransmitter dopamine and the degeneration of the basal ganglia of the brain. It is characterized by tremors, muscular rigidity, bradykinesia (slowed movements), speech changes, and impaired balance or posture.
Dementia is a general term used to describe symptoms of impairment in memory, thinking, reasoning, and other mental abilities. It is not a single disease in itself. Dementia can range from mild (when it’s just beginning to affect a person’s functioning) to severe (when the person is completely dependent on others for help with daily living activities).
Neuropathy is a term used to refer to general malfunctions or diseases of the nerves. Nerves at any location in the body can malfunction due to a disease or an injury. Some types of neuropathy include peripheral neuropathy, autonomic neuropathy, and cranial neuropathy.
Myasthenia gravis is a chronic autoimmune neuromuscular disease. It causes weakness in the skeletal muscles, which are the muscles that your body uses for movement. Myasthenia gravis occurs when communication between the muscles and nerve cells becomes disrupted.
Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig’s disease, is a progressive neurodegenerative disease. ALS attacks the cells in the brain and spinal cord which control voluntary muscles. For people with ALS, the motor neurons in the brain and spinal cord eventually shrink and die, leading to muscle weakness and paralysis.
Migraines are recurring, painful, and severe headaches. Typically, it affects one side of the head and it is usually accompanied by disturbed vision and nausea.
A headache is a pain that arises from the head or upper neck of the body. There are three major categories of headaches (based on the source of pain), namely primary headaches; secondary headaches; and cranial neuralgias, facial pain, and other headaches.
Spasms are sudden, involuntary contractions of a muscle, a group of muscles, or a hollow organ. It can affect various muscles in the body, leading to different symptoms.
Dizziness isn’t a disease; rather, it can be a symptom of different disorders or illnesses. Generally, it is the feeling of being woozy, lightheaded, and/or unbalanced.
Nerve pain (also known as neuropathic pain) is caused by a condition affecting the nervous system of the body. It is often described as a stabbing, aching, burning, or shooting type of pain. Sometimes, it can be sharp and sudden like an electric shock. Typically, individuals with neuropathic pain are very sensitive to cold or touch and can experience pain from stimuli that are otherwise not painful.
Myopathy is a type of muscle disease wherein the muscle fibers don’t function properly, leading to muscular weakness. It is characterized by symmetric proximal muscle weakness, fatigue, delayed motor skills, noticeable facial weakness, and muscle cramps or contractions.
Shingles and Pain After Shingles
Shingles is a type of infection caused by the varicella-zoster virus—the same virus that causes chickenpox. It occurs when the dormant varicella-zoster virus is reactivated in your nerve tissues. Early signs of shingles include localized pain, tingling, and a blistering rash.
Spinal stenosis occurs when the spaces within your spine narrow down, putting pressure on the nerves that travel through the spine. Spinal stenosis commonly occurs in the neck and lower back. Some people with spinal stenosis may experience numbness, tingling, muscle weakness, and pain; on the other hand, some people may not have symptoms at all.
Radiculopathy is a condition that occurs due to a compressed spinal nerve. It can cause numbness, pain, weakness, or tingling along the course of the nerve. Radiculopathy can affect any part of the spine; however, it is commonly occurs in the neck (cervical radiculopathy) and in the lower back (lumbar radiculopathy).
Tests Performed in the Office
Nerve Conduction Tests
Nerve conduction tests are medical diagnostic tests performed to evaluate the ability of the nerves to conduct impulses. This test can be done to identify nerve damage and the affected nerve.
Electromyography (EMG) is a diagnostic test used to evaluate muscle health and the nerve cells that control them (motor neurons). EMG can be used to detect muscle dysfunction, nerve dysfunction, or damage with nerve-to-muscle signal transmission.
An electroencephalogram (EEG) is a diagnostic test used to assess electrical activity in the brain. It is used to track and record brain wave patterns. An EEG is used to distinguish any problems in the brain’s electrical activity that may be linked with certain brain disorders.
An ultrasound is a medical test that utilizes high-frequency sound waves to capture images from the inside of your body. An ultrasound enables your physician to see problems with tissues, vessels, and organs without surgery.
Neuropsychiatric testing is a comprehensive evaluation of cognitive processes. Through this test, neurodevelopmental or neurological disorders can be better understood and diagnosed.
Cognitive testing is used to assess an individual’s cognitive capabilities. There are various forms of cognitive tests, each with their own specific function. Some examples of cognitive tests include Intelligence Tests (i.e. Stanford–Binet Intelligence Scales); Cognitive Development Tests (i.e. Cambridge Neuropsychological Test Automated Battery); Memory Tests (i.e. Iconic Memory Tests); and Self-Tests (i.e. Intelligent Self-Assessment).
Procedures Performed in the Office
Treatment of Migraines with Botulinum Toxin
The FDA has approved the use of botulinum toxin (Botox®) for the treatment of chronic migraines. Botox is injected into the pain fibers involved in headaches. Once botox enters the nerve endings, it can block the release of chemicals included in pain transmission which prevents the activation of pain networks in the brain.
Treatment of Spasticity of Botulinum Toxin
Botulinum toxin (Botox®) can be used to reduce spasticity in certain muscle groups. It works by blocking the chemical signals between muscles and nerves that cause the muscle to tighten or contract. This results in relief from spasticity symptoms, such as muscle stiffness and pain.
Occipital blocks are an injection of steroids or other medications around the lesser and greater occipital nerves located on the back of the head (just above the neck area). It is used to treat chronic headaches.
Trigger Point Injections
Trigger point injections involve directly injecting medication into the trigger point or painful muscle to provide relief. These injections can be used to treat various conditions, such as tension headaches, myofascial pain syndrome, and fibromyalgia.
The Epley maneuver, which is also known as repositioning maneuver, is a technique that you can use to relieve dizziness caused by benign paroxysmal positional vertigo (BPPV). It involves performing a series of movements which can be done on your own, or a doctor can perform it on you.
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