Tuesday, May 24, 2022

What Does A Neurologist Do For Neck Pain

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How Are Orthopedists And Neurosurgeons Similar

In the last several decades, many doctors have been trained extensively in spinal surgery including both neurosurgeons and orthopedic surgeons. Many orthopedists have sought additional fellowship training in spinal surgery thus blurring the divide that previously existed with regard to the spine.

Due to the expanding nature of the field of orthopedic medicine, more and more orthopedic surgeons are becoming capable of performing certain types of spinal surgeries. However, the most important criteria in finding a spine surgeon is whether the surgeon actually specializes in spinal surgery.

Why Is A Neurologist Helpful In Back Pain Diagnoses

A neurological doctor is one who has training and is licensed in the practice of neurology, that is, the study of the nervous system.

A neurological specialist can do an examination of the patient and help the patient to discover which type of pain they are experiencing.

A neurological exam usually begins with a history of symptoms.

Based on the history, the neurologist will then do a physical examination of the back to assess muscle function, range of motion, joint stiffness, and any tenderness or spasm.

Tests such as these may reveal problems that a normal medical examination might miss. They may also be able to detect the existence of neurological problems that a doctor would otherwise not be able to observe.

A neurological exam and review of symptoms by a trained professional to provide valuable information that can be used to help someone get the treatment they need.

A good Neurologist will know how to ask questions when the patient is lying on the table and can refer the patient to a specialist for more in-depth testing.

The results of neurological tests will determine what is causing the back pain and how to treat it.

A specialist can often suggest exercises that will help prevent the recurrence of back pain problems.

If a person is suffering from chronic back pain, getting the right diagnosis and treatment from a qualified professional can make all the difference between living a life that is pain free and suffering another back pain episode.

Get The Answers You Need

Headaches, neck pain, back pain, sleep disorders, and multiple sclerosis. As the founder and a top neurologist at a major neurology center, I have seen a lot of tough cases of each of these conditions. Theyre complex and disruptive to your quality of life. But, what most dont realize is that they can all be connected. In this guide, I dissect each of these neurological conditions and show you how the symptoms youre experiencing may all be related.

I have created free online video series to help you better understand your symptoms and disorder and take back control of your life.

What To Expect At Your Neurologist Consultation

Neurologists work specifically with the nervous system to diagnose and treat neurological disorders in the brain, spine, and nerves. Atlanta neurologists are highly skilled in diagnosing and treating health issues and conditions such as epilepsy, neurodegenerative disorders, multiple sclerosis, , and more.

It can be stressful to worry about a potential neurological diagnosis, so a smooth consultation process can help alleviate your concerns and provide you with the information you need.

Heres what you can expect out of a neurologist consultation.

Informed Choice Can Help You Choose A Trustworthy Provider

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    There are as many choices as there are colors in the rainbow. There are a number of distinct physicians within the medical world that you have a choice from. Internists, family physicians, orthopaedists, neurosurgeons, spine surgeons, physical medicine and rehabilitation specialists, neurologists, anesthesiologists, and even some psychiatrists that treat lower back disorders. There are places that have multiple specialists who treat these disorders as a group.

    There are a number of distinct physicians within the medical world that you have a choice from. Photo Source: 123RF.com.There are many types of nonmedical practitioners to choose from, and they vary greatly even within their own specialty. You can go to a chiropractor, physical therapist, massage therapist, athletic trainer, acupuncturist, Feldenkrais or Pilates practitioner, personal trainer, or even an aroma therapist.

    Signs Its Time To Consult With A Neurosurgeon For The Treatment Of Neck Pain

    Neurosurgeons treat the source of neck pain when severe symptoms persist without responding to conservative forms of treatment. There are four common signs, regardless of the condition causing your neck pain, thats its time to speak with a neurosurgeon.

    1. When Pain Treatments Fail

    If severe pain symptoms arent alleviated by pain injections or other forms of pain management, then its possible the underlying cause of your neck pain is not curing itself and may need surgical correction.

    2. When Physical Therapy or Visits to the Chiropractor Dont Help

    For the most part, physical therapy and chiropractic therapy arent intended to provide immediate results. However, if severe neck pain symptoms persist after several weeks of visiting a physical therapist or chiropractor, it may be time to consult with a neurosurgeon about surgical treatment.

    3. When You Experience Symptoms that Need Addressed Urgently

    When neck pain radiates down one or both arms or is associated with numbness or weakness in the arm, this could be a sign of severe nerve root compression. Spinal cord compression can cause numbness and weakness in the hands or arms, or you may feel an imbalance when walking. These symptoms signal a potential emergency and should be addressed soon.

    4. When an MRI or Physician Consult Reveals Surgery is Necessary

    If youre experiencing any of the four examples above, its likely time to consult with a board-certified neurosurgeon.

    Causes Of Neck Pain And Treatment Options

    Neck pain is a common complaint across the country, and is particularly prevalent among those who work in sedentary conditions. Most of the time, neck pain is temporary and is not a cause for alarm. However, when pain continues for an extended period of time, or you find yourself unable to find relief, it is prudent seek the services of a pain management professional. This is especially the case if or loss of strength in the arms or hands, or shooting pain in the shoulder or down the arm occur. Living with pain can not only negatively impact quality of life, but can also exacerbate the condition through feedback loops in the nervous system.

    Where Can I Get More Information

    For information on specific neurological disorders or research programs funded by the National Institute of Neurological Disorders and Stroke, contact the Institutes Brain Resources and Information Network at:

    “Neurological Diagnostic Tests and Procedures”, . April 10, 2019.

    Publication No. 19-NS-5380

    Prepared by: Office of Communications and Public LiaisonNational Institute of Neurological Disorders and StrokeNational Institutes of HealthBethesda, MD 20892 

    health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the National Institute of Neurological Disorders and Stroke or any other Federal agency. Advice on the treatment or care of an individual patient should be obtained through consultation with a physician who has examined that patient or is familiar with that patient’s medical history.

    All NINDS-prepared information is in the public domain and may be freely copied. Credit to the or the is appreciated.

    Neurologist For Herniated Discs

    Neurologists also come in many areas of focus with spinal and brain experts being at the top of the medical hierarchy. Always seek out a spinal neurologist whenever possible for best results.

    Herniated discs are theorized to cause pain through one of several possible methods, but every single one of these possibilities involves nerve tissue. Therefore, the neurologist may be the better choice for care. Neurologists are far better qualified to correlate structural findings with exact symptomatic expression, decreasing the chance for misdiagnosis compared to other types of doctors.

    Additionally, I find neurosurgeons to be far more cautious in their recommendations to undergo surgical intervention than orthopedic surgeons. This is always an advantage, since herniated disc surgery should always be a last resort option.

    Neurologist or Orthopedist for Herniated Discs Guidance

    In general, I advise patients see a neurologist for disc-related back and neck pain concerns. Even many skeletal issues implicated in causing dorsopathy only do so due to nerve involvement. So this is an absolute piece of advice.

    Of course, any type of physician can be wonderful and any type can be greedy and opportunistic. Always take into account the personality and motivation of any doctor you see. If you get the impression that you are only valuable to them as a source of income, rather than as a human being, go elsewhere. This is a good piece of advice for all personal and business interactions in life.

    Neck Pain Treatment By Injections

    If there is an imaging find that allows the clinician to match or correlate the neck pain and related symptoms to the anatomy, then targeted and specific neck injections may be properly utilized to both test where the pain is coming from, such as targeted epidural injections for disc and/or related nerve issues, and/or facet joint injections  for joint area problems of the neck.  Sometimes, neck symptoms can come from a mixed source of pain generators:  most often disc and/or joint issues. 

    Such injections are best strategized and guided by a neurosurgeon, although most often delivered by a pain interventional pain specialist.  The key follow-up is to determine how much of the symptoms were improved by a particular injection, but also what specific areas were improved. 

    Any residual symptoms may need to be addressed by different injections.  Unfortunately, these injections do not last forever, and repeat injections and similar procedures are appropriate in an effort to delay surgical options.

    What Happens During A Back And Neck Pain Evaluation

    Your provider at Complete Neurological Care conducts an in-depth clinical evaluation to find the root cause of your back or neck pain. Your evaluation includes a review of your symptoms, physical exam, and diagnostic imaging such as X-rays or CT scans. 

    Complete Neurological Care may also perform an electromyogram and nerve conduction studies to look for nerve damage that might explain your back or neck pain. 

    What Is Neuropathic Pain

    Neuropathic pain occurs when nerve fibers become damaged, traumatized and/or otherwise dysfunctional.

    To best understand neuropathic pain, let’s talk briefly about what nerves do. Their job is to relay messages to and from the brain and spinal cord about what’s going on. Nerves are found in tissues, organs, muscles and more.

    If you burn your hand on a hot stove, for example, your nerves go right to work communicating this input to the brain and spinal cord. Nerves also carry response signals from the brain, delivering these back to those body tissues that were involved in the inciting incident, in this case, your hand. The response signals show up as pain and impulses to move. They will likely prompt you to take your hand away from the stove burner or to run it under cold water to decrease the pain.

    This pain felt from this example of the normal workings of nerves is not neuropathic pain, but nociceptive pain. Nociceptive pain refers to pain related to actual tissue damage. In the hot stove example, it’s your skin, and not your nerves, that experiences the nociceptive pain.

    With neuropathic pain, the signals sent to you by the damaged fibers may sometimes “go haywire.” They may seem like they don’t make sense. The reason is, over time, these nerves may become active for no reason. That is, they “fire” but it’s not in response to changes that are going on in the tissues, organs or muscles they serve.

    Why A Neurologist Use Emg Tests To Assess The Injury To Nerves In Back Pain

    Neurosurgery  Flexidy

    Many doctors of chiropractic recommend EMG testing to assess the injury to muscles and nerves in back pain. These tests are usually used for chiropractic treatment where the joints are subluxated. Chiropractic treatment usually consists of adjustments to restore joint mobility and this is the reason why this test is often used before a chiropractor recommends an adjustment to patients.

    During EMG testing, electrodes are attached to the subjects body and they are made to feel a tap on the skin above the area that is being tested.

    The electrodes are then supposed to produce different sensations depending on what is tapped by the subject.

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    If the nerves are being disrupted in some way, it will be able to be identified and treated accordingly.

    However, if the tests do not disrupt the nerves, then it is important to know if there is nerve damage because then, it can be treated with the proper exercises that the chiropractor will suggest to the patient.

    Neurologist use this test in order to find out if the patient has inflammation on the brain which can cause other problems like memory loss or other mental disorders.

    This test is also very helpful for diagnosing other diseases like multiple sclerosis. The tests are usually used to confirm or exclude the diagnosis of other diseases that the patient may have.

    Do You Need To See A Neurologist For Neck Pain

    Everyone experiences neck pain from time to time, and often, the pain goes away on its own. Sometimes, though, you need medical care from an experienced New York neurologist. If you have any of these red flags, schedule an appointment with your neurologist. That is the first step to finally living free of pain.

    Its Difficult To Know Whats Causing Your Pain

    Sometimes pain in the back or the neck is acute. It often results from an injury; maybe you moved heavy furniture without warming up your muscles, you made a sudden movement working in the yard, or youre ill. Acute pain typically goes away on its own without treatment after a few days or weeks.

    However, chronic pain lingers and persists for more than 12 weeks. It can be constant or it can come and go, but it typically requires some type of treatment.

    Several things can cause back pain and neck pain:

    • sedentary living
    • kidney stones
    • illnesses

    Its important to see a medical professional because there are so many possible causes for your pain. A neurologist can help diagnose the source of your back pain, and recommend the best treatment approach, which may involve physical therapy, seeing a pain specialist, or consulting with a surgeon. 

    Neurological Diagnostic Tests And Procedures Fact Sheet

    Where can I get more information

    Diagnostic tests and procedures are vital tools that help physicians confirm or rule out a neurological disorder or other medical condition. A century ago, the only way to make a definite diagnosis for many neurological disorders was to perform an autopsy after someone had died. Today, new instruments and techniques allow scientists to assess the living brain and monitor nervous system activity as it occurs. Doctors now have powerful and accurate tools to better diagnose disease and to test how well a particular therapy may be working.

    Perhaps the most significant changes during the past 10 years have occurred in genetic testing and diagnostic imaging. Much has been learned from sequencing the human genome and developing new technologies that detect genetic mutations. Improved imaging techniques provide high-resolution images that allow physicians to view the structure of the brain. Specialized imaging methods can visualize changes in brain activity or the amounts of particular brain chemicals. Scientists continue to improve these methods to provide more detailed diagnostic information.

    Dr Jeffrey Gross Neurosurgeon Provides Second Opinions To Surgery

    Dr. Jeffrey Gross, the chief neurosurgeon at SPINE enjoys finding ways for his patients to avoid and/delay surgery.  He works directly and strategically with other medical colleagues, including pain specialists to perform tailored injections for both diagnostic and therapeutic purposes, customized to address an individual patients specific neck pain and related symptoms.

    Pain Caused By Trauma

    If youve been in a car accident,  slip and fall, workers comp injury, or experienced some other type of trauma, be mindful of your symptoms. Pain after a trauma needs to be treated. Trauma can cause a variety of issues, including fractures. Fast action is needed to treat trauma-related pain. Your neurologist has the skills necessary to find and treat the source of the pain.

    What Does A Neurologist Do For Spinal Stenosis

    4.2/5spinalspinal stenosisspinemore on it

    Spinal stenosis is a condition in which the spinal canal narrows and pinches the nerves, resulting in back and leg pain. In adults 50 years of age and older, the risk of developing spinal stenosis increases, although younger people who are born with a small spinal canal may also develop symptoms.

    Beside above, what can a neurologist do for spinal stenosis? If you have lumbar spinal stenosis, many kinds of medical practitioners can help you, such as arthritis specialists, nerve specialists, surgeons, and physical therapists. Treatment can include medication, physical therapy, and surgery.

    Similarly, you may ask, should I see a neurologist for spinal stenosis?

    Is Spinal stenosis a serious condition?

    Myelopathy describes any neurologic symptoms related to the spinal cord and is a serious condition. Myelopathy occurs from spinal stenosis that causes pressure on the spinal cord. If untreated, this can lead to significant and permanent nerve damage including paralysis and death.

    What Is A Neurological Examination

    neurological examination assesses motor and sensory skills, hearing and speech, vision, coordination, and balance. It may also test mental status, mood, and behavior. The examination uses tools such as a tuning fork, flashlight, reflex hammer, and a tool for examining the eye. The results of the neurological examination and the patients history are used to determine a list of possibilities, known as the differential diagnosis, that help determine which additional diagnostic tests and procedures are needed.

    Neurologist Appointment For Headaches What To Expect

    How to Fix a Stiff Neck in Seconds (3 TIPS)

    Headaches are common discomforts of nerves that cause pain in the head or facial parts of the head. This pain causes inflammation of the nerves around the head, neck, and shoulders. It is possible to control the pain with regular medication. When that fails, then you need a referral to a neurologist. Though a visit to a neurologist is a basic procedure, many worry about that initial visit. Today we will demystify the question, what to expect at a neurologist appointment for headaches.

    The Aica Orthopedics Experience

    Our team of experienced neurologists and medical professionals is dedicated to providing individualized care for each of our patients. AICA Orthopedics doctors are trained and skilled in all conditions of the nervous system and provide evaluations, diagnoses, and treatment plans for all types, regardless of how complex they may be.

    We are dedicated to using a non-invasive approach when possible, and we have a team of surgeons who are also highly qualified to address more invasive, surgical approaches when necessary.

    At AICA Orthopedics, we take nervous system health concerns very seriously because it controls so many important parts of the body. We will use every resource to provide you with the best quality treatment available, all in one office at AICA Orthopedics. Contact us today for more information and to schedule a consultation with one of our neurologists.

    The Messages Sent To The Brain Are Often Complicated In Nature And Require The Expertise Of A Skilled Neurologist

    • These professionals have many years of experience in the field and are able to decipher what is being said to decipher the actual cause of the pain.
    • Often it will take more than one type of treatment to successfully relieve the pain. The neurologist is also able to provide patients with information about the importance of diet, exercise and supplements in assisting them in their efforts to deal with their pain and neurological damage.
    • Neurologists make a long term relationship with their patients and their dedication to their patients well-being is immense.
    • They make sure that they prov
    • ide them with an environment that enables them to participate in activities that they enjoy such as recreational sports and visiting other physicians in their field.
    • Most importantly, they continue to educate themselves about pain management so as to continue to help their patients in the future. Without a neurologist, patients could find themselves at a loss when it comes to pain management and treatment. Patients and doctors both benefit from having a good rapport.

    When Should You Consult A Neurosurgeon

    Below are some of the indications that you should consider seeing a neurosurgeon to relieve your pain.


    Persistent Pain

    If your pain is still nagging after three to four weeks, it may be chronic. At this point, the earlier the diagnosis and treatment of your condition the better for solving the problem and aiding healing. In addition, if the pain results in the inability to function, it is also advisable to seek the earliest possible solution via evaluation by a professional.


    Conservative Measures Are Not Helping

    If you have tried non-surgical treatments, and the pain persists, it may be time to consult a neurosurgeon, specifically a spine specialist. This allows for a thorough evaluation and analysis of the condition, and if necessary, the consideration for spine surgery.


    Your Symptoms Indicate Disc Problems

    This includes sudden pain with movement, such as bending your lower back, or even a previous diagnosis of bulging or herniated discs that have not resolved on their own or with non-surgical measures.


    You Have Experienced Trauma

    A fall or an accident resulting in neck or back pain, even the onset of pain hours or several days afterward, may be the result of trauma.


    You Are Older

    Complications from various conditions increase with age. Certain conditions that lend themselves to back and neck pain, such as osteoarthritis and osteoporosis, are more common in the aging population.


    You Have Symptoms that Should Be Addressed Urgently


    What Does A Neurologist Do For Leg/back Pain And Balance Issues Due To A Fall

    Dr. Bennett MachanicDr. Jeffrey Gouldback pain

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    Have pain in back. Doctors say its nerve and I need to go neurologist. My leg jerks on its own and have severe pain. What could this be?Had blood test done by a neurologist and all items came back normal besides low aldolase. 1.9 U/L. My symptoms are leg cramps in the back calves?

    Treatment For Back And Neck Pain

    An experienced spine surgeon will help make a using a variety of methods. A thorough exam, including a medical history, may be combined with tests .


    While a variety of non-surgical methods are available, surgery would only be considered if necessary. Minimally invasive surgery is used whenever possible.


    At Advanced Neurosurgery Associates, our experts utilize the most advanced methods of diagnosis and . Make an appointment today with Dr. Vivek Ramakrishnan for a consultation. Dr. Ramakrishnan has a uniquely specialized background with training in both neurosurgery and orthopaedic spine surgery.


    Neurologists Can Provide Most Informed Referral To A Surgeon As Last Resort

    • Neurologists are very knowledgeable about the human body.
    • They are highly trained medical specialists and masters in their field who have obtained certifications from either the American Board of Medical specialties or the American neurologic association.
    • Their areas of specialization are brain functioning, neurology, psychology and behavioral health.
    • A neurologist is also certified by the state to provide diagnostic and therapeutic services in neurology and brain injury/illness.
    • They are also qualified to treat brain injuries. There are many neurologists around the country, but some specialize in treating the following conditions; stroke, traumatic brain injury, Multiple sclerosis, Parkinsons disease and Cerebral palsy.

    As you may understand, there are many risks when referring someone for surgery or procedure such as a neurological procedure.

    Due to the nature of neurology, not every hospital has one of these highly trained doctors on staff.

    Many times neurologists who perform invasive procedures are referred to plastic surgeons due to the complexity of the procedure.

    Because of the nature of plastic surgeons, it is imperative that the patient fully understands everything that is involved and that their neurologist is willing to explain everything to them. This allows the plastic surgeon to make the best decision possible and ensure that the patient receives the best outcome possible.

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