General Practitioners

• Sleep Disorders
  Electroencephalography, or EEG, monitors brain activity through the skull.  EEG is used to help diagnose certain seizure disorders, brain tumors, brain damage from head injuries, inflammation of the brain and/or spinal cord, alcoholism, certain psychiatric disorders, and metabolic and degenerative disorders that affect the brain.  EEGs are also used to evaluate sleep disorders, monitor brain activity when a patient has been fully anesthetized or loses consciousness, and confirm brain death.

Neurologists

• Neurology
  There are more than 1,000 neurological disorders with complex and widely varied symptoms, the physicians at Paradigm Neurology are accustomed to spending the time needed to make a conclusive and accurate diagnosis. We welcome even the most complicated cases, and have earned a reputation for tenacity in solving challenging diagnostic puzzles. We’re sensitive to the worry our patients are experiencing, and we value open and honest communication and compassionate care. We take time to make sure our patients understand their neurological conditions, and involve them in weighing their options and making decisions about managing and treating their disorders.
• Multiple Sclerosis
  Cerebrospinal fluid analysis involves the removal of a small amount of the fluid that protects the brain and spinal cord.  The fluid is tested to detect any bleeding or brain hemorrhage, diagnose infection to the brain and/or spinal cord, identify some cases of multiple sclerosis and other neurological conditions, and measure intracranial pressure.
• Epilepsy
  A neurological examination assesses motor and sensory skills, the functioning of one or more cranial nerves, hearing and speech, vision, coordination and balance, mental status, and changes in mood or behavior, among other abilities.  Items including a tuning fork, flashlight, reflex hammer, ophthalmoscope, and needles are used to help diagnose brain tumors, infections such as encephalitis and meningitis, and diseases such as Parkinson’s disease, Huntington’s disease, amyotrophic lateral sclerosis (ALS), and epilepsy.  Some tests require the services of a specialist to perform and analyze results.

Psychiatrists

• Insomnia

Endocrinologist

• Diabetes Care

Radiologist

• Ultrasound
  Ultrasound imaging, also called ultrasound scanning or sonography, uses high-frequency sound waves to obtain images inside the body. Neurosonography (ultrasound of the brain and spinal column) analyzes blood flow in the brain and can diagnose stroke, brain tumors, hydrocephalus (build-up of cerebrospinal fluid in the brain), and vascular problems.  It can also identify or rule out inflammatory processes causing pain.  It is more effective than an x-ray in displaying soft tissue masses and can show tears in ligaments, muscles, tendons, and other soft tissue masses in the back.
• MRI
  The equipment houses a hollow tube that is surrounded by a very large cylindrical magnet.  The patient, who must remain still during the test, lies on a special table that is slid into the tube.  The patient will be asked to remove jewelry, eyeglasses, removable dental work, or other items that might interfere with the magnetic imaging.  The patient should wear a sweat shirt and sweat pants or other clothing free of metal eyelets or buckles.  MRI scanning equipment creates a magnetic field around the body strong enough to temporarily realign water molecules in the tissues.  Radio waves are then passed through the body to detect the “relaxation” of the molecules back to a random alignment and trigger a resonance signal at different angles within the body.  A computer processes this resonance into either a three-dimensional picture or a two-dimensional “slice” of the tissue being scanned, and differentiates between bone, soft tissues and fluid-filled spaces by their water content and structural properties.  A contrast dye may be used to enhance visibility of certain areas or tissues.  The patient may hear grating or knocking noises when the magnetic field is turned on and off.   (Patients may wear special earphones to block out the sounds.)  Unlike CT scanning, MRI does not use ionizing radiation to produce images.  Depending on the part(s) of the body to be scanned, MRI can take up to an hour to complete.  The test is painless and risk-free, although persons who are obese or claustrophobic may find it somewhat uncomfortable.  (Some centers also use open MRI machines that do not completely surround the person being tested and are less confining.  However, open MRI does not currently provide the same picture quality as standard MRI and some tests may not be available using this equipment).  Due to the incredibly strong magnetic field generated by an MRI, patients with implanted medical devices such as a pacemaker should avoid the test.
• X-Rays
• Nuclear Medicine
  Based on the result of a neurological exam, physical exam, patient history, x-rays of the patient’s chest and skull, and any previous screening or testing, physicians may order one or more of the following diagnostic tests to determine the specific nature of a suspected neurological disorder or injury.  These diagnostics generally involve either nuclear medicine imaging, in which very small amounts of radioactive materials are used to study organ function and structure, or diagnostic imaging, which uses magnets and electrical charges to study human anatomy.
• Computed Tomography
  Discography is often suggested for patients who are considering lumbar surgery or whose lower back pain has not responded to conventional treatments.  This outpatient procedure is usually performed at a testing facility or a hospital.  The patient is asked to put on a metal-free hospital gown and lie on an imaging table.  The physician numbs the skin with anesthetic and inserts a thin needle, using x-ray guidance, into the spinal disc.  Once the needle is in place, a small amount of contrast dye is injected and CT scans are taken.  The contrast dye outlines any damaged areas.  More than one disc may be imaged at the same time.  Patient recovery usually takes about an hour.  Pain medicine may be prescribed for any resulting discomfort.

Dermatologists

• Cyst

Physical Therapists

• Sports Medicine
  Our neurologists employ the most advanced techniques and procedures to help you or your loved ones overcome neurological conditions such as stroke, brain aneurysm, tumors, movement disorders, head trauma, sports injuries and spinal conditions. From initial diagnosis through treatment and rehabilitation, you’ll enjoy peace of mind knowing that you’re receiving neurological care from an experienced staff widely recognized for their diagnostic and therapeutic expertise.
• Physical Therapy
• Back Pain