All Posts in Category: General Information

Memory Loss

Memory loss is a common neurological concern. Often, mild forgetfulness is due to stress, distraction, or even depression. Though patients can experience a little forgetfulness with aging, significant changes in memory or thinking are never only attributed to age.

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Writers Cramp

Task-specific dystonia, also known as “writers cramp” can occur in people who do repetitive movements.

It gets its name task-specific because classically, it only occurs during one specific task. It can be inherited, secondary to an underlying neurologic cause, or occur sporadically.

It is often initiated by voluntary movement with symptoms “overflowing” into adjacent muscles causing involuntary muscle cramping of adjacent fingers, wrist, and can include forearm. It can sometimes resemble a tremor. The most common task-specific dystonia is writers cramp, but this also frequently occurs in musicians due to the repetitive motions of playing an instrument. Treatments range from conservative measures such as occupational therapy and stretching to Botulinum toxin (Botox) injections of affected muscles if severely limiting function.

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Numbness of the Hands

Patients frequently complain of numbness and tingling of the hands.

The most common causes include:

    • Carpal Tunnel Syndrome (CTS)
    • Ulnar Nerve Compression
    • Spinal cord compression and other conditions of the spinal cord that cause cervical myelopathy.
    • Cervical radiculopathy
    • Peripheral neuropathy.
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Smoking adds complicated risks to spinal procedures

Many surgeons, especially neurosurgeons, urge patients to stop smoking before spinal procedures, particularly, spinal fusions.

Why?

An extensive amount of research has found that smoking cigarettes prolongs the healing process and causes complications. Below is a list of problems that can arise:

  • Decreased rate of successful fusion (called non-union or pseudoarthroses)
  • Poorer clinical outcomes, including pain reduction
  • Poor rehabilitation after surgery, and prolonged healing process
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Tremors

Tremor is an involuntary shaking movement, usually affecting the hands and head, but may affect any part of the body included the feet or torso.
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Bone Spurs

What is a bone spur?

A bone spur or ‘osteophyte’ is new bone that forms at the end of bones or joints. Bone spurs form in response to movement when one bone comes into contact with another bone across a joint or disk space.   Bone spurs can occur throughout the body but are common in the spine because of numerous bony joints and disks that make up and support the spine. Bone spur formation occurs to varying degrees and is expected in the aging spine but will be more common in patients that have significant arthritis.

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Parkinson’s Disease

Parkinson’s is a progressive disease caused by a decreased level of dopamine produced by nerve cells in the brain, in an area called the substantia nigra. Dopamine levels drop as the disease progresses.  Dopamine sends messages in the brain to areas that control movement and coordination. With decreased dopamine, patients have difficulty controlling their limb and overall body movement along with their emotions.

Approximately 1,000,000 adults in the USA have Parkinson’s Disease, while males have a 50% higher risk than females.

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Physical Therapist: experts in movement and function

Legacy Physical Therapy

Physical therapists are defined by the APTA as “experts in movement and function” but are very often associated with an environment in which they deal with patients who are ill or have undergone surgery. A large part of a physical therapist’s program is directed at preventing injury, loss of movement, and even surgery.

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Lumbar Disc Disease

Symptoms

Symptoms vary depending on the severity of the condition, and may range from no symptoms to severe pain in the back and or legs with variable degrees of numbness, tingling and weakness in the legs.

Causes

The lumbar discs are the cushions between each of the lumbar vertebrae in the lower back. These cushions are composed of an inner layer of material called the nucleus pulposus, which is surrounded by fibrous bands called the annulus. The nucleus material is a gelatinous core that has the consistency of “boiled shrimp”. These cushions serve as the shock absorbers in our lower back, just like the shock in your car. These “shock absorbers” experience daily wear and tear.

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Peripheral Neuropathy

Peripheral Neuropathy is a disorder caused from damage to the endings of the nerves. Peripheral Neuropathy is a symptom of an underlying disease or process and tested to find out the underlying cause.

Symptoms

Patients frequently report burning, itching, or shooting pain that often begins in the feet and gradually progresses to other areas.

Diagnosis and Treatments

EMG and nerve conduction testing performed by a trained physician can help rule out other causes of these symptoms and help plan for the best course of treatment. Our neurologists are trained in advanced EMG and nerve conduction testing and are well-versed in diagnosing and managing peripheral neuropathy.

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