Having the Midlevel Provider manage the primary care of patients with chronic conditions allows a better and more functional balance of time and care spent between patients and physicians.
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.
Emergency Care
At 6:30, physicians from the FTMC Emergency Department and Advanced Neurologic Associates will present the latest stroke information and tell you what you need to do if you suspect you or someone around your is having a stroke.
Advanced Neurologic Associates, Inc is pleased to welcome neurologist Adam M. Kapler, DO, to our team. Dr. Kapler will start seeing patients July 24th 2017. Dr. Kapler recently finished a Neurology residency at Loyola University Medical Center in Chicago. He received his medical degree from Des Moines University in Iowa. Adam Kapler, DO, provides treatment for general neurological conditions, with special interest in stroke and other cerebrovascular disease. He is currently accepting new patients at our Norwalk and Sandusky locations. He moves here with his wife and daughter, and when not spending time with them he enjoys working on the house, in the yard, or in the garage.
Carpal Tunnel Syndrome
Carpal tunnel syndrome occurs when the median nerve, which runs from the forearm into the hand, becomes pressed or squeezed at the wrist. The median nerve controls sensations to the palm side of the thumb and fingers (although not the little finger), as well as impulses to some small muscles in the hand that allow the fingers and thumb to move. The carpal tunnel - a narrow, rigid passageway of ligament and bones at the base of the hand houses the median nerve and tendons. Sometimes, thickening from irritated tendons or other swelling narrows the tunnel and causes the median nerve to be compressed. The result may be pain, weakness, or numbness in the hand and wrist, radiating up the arm. Although painful sensations may indicate other conditions, carpal tunnel syndrome is the most common and widely known of the entrapment neuropathies in which the body's peripheral nerves are compressed or traumatized.
Multiple Sclerosis
Evoked potentials (also called evoked response) measure the electrical signals to the brain generated by hearing, touch, or sight. These tests are used to assess sensory nerve problems and confirm neurological conditions including multiple sclerosis, brain tumor, acoustic neuroma (small tumors of the inner ear), and spinal cord injury. Evoked potentials are also used to test sight and hearing (especially in infants and young children), monitor brain activity among coma patients, and confirm brain death.
Epilepsy
Epilepsy is a brain disorder in which clusters of nerve cells, or neurons, in the brain sometimes signal abnormally. Neurons normally generate electrochemical impulses that act on other neurons, glands, and muscles to produce human thoughts, feelings, and actions. In epilepsy, the normal pattern of neuronal activity becomes disturbed, causing strange sensations, emotions, and behavior, or sometimes convulsions, muscle spasms, and loss of consciousness. During a seizure, neurons may fire as many as 500 times a second, much faster than the normal rate of about 80 times a second. In some people, this happens only occasionally; for others, it may happen up to hundreds of times a day.
Advanced Neurologic Associates, Inc. has provided excellence in neurological care and pain management for over 30 years and offers a wide array of services. All our physicians have achieved Board Certification in Neurology through the American Board of Psychiatry and Neurology. In addition, several of the physicians are specialized and achieved additional credentials including Certifications in Electrodiagnostic Medicine, Vascular Neurology and Electrophysiology and Somatosensory Testing.
Magnetic Resonance Imaging (MRI) is an extremely useful diagnostic imaging tool, performed an estimated 28 million times annually in the United States, enabling interpreting physicians to visualize the structure and function of the body. As it provides detailed images of the soft tissue of the body, magnetic resonance is especially helpful in diagnosing issues related to neurological (brain), musculoskeletal, cardiovascular and oncological (cancer-related) conditions.
Computed Tomography
Brain tumors may have a variety of symptoms ranging from headache to stroke. They are great mimics of other neurological disorders. It is sometimes hard to know whether a CT scan or MRI should be done if someone you know has some of the symptoms and signs noted below, but it is important to know that these studies will usually establish whether a brain tumor is behind them.
Sciatica is generally caused by the compression of lumbar nerves L4 or L5 or sacral nerves S1, S2, or S3, or by compression of the sciatic nerve itself. When sciatica is caused by compression of a dorsal nerve root (radix) it is considered a lumbar radiculopathy (or radiculitis when accompanied with an inflammatory response). This can occur as a result of a spinal disk bulge or spinal disc herniation (a herniated intervertebral disc), or from roughening, enlarging, and/or misalignment (spondylolisthesis) of the vertebrae, or as a result of degenerated discs that can reduce the diameter of the lateral foramen through which nerve roots exit the spine. The intervertebral discs consist of an annulus fibrosus, which forms a ring surrounding the inner nucleus pulposus. When there is a tear in the annulus fibrosus, the nucleus pulposus (pulp) may extrude through the tear and press against spinal nerves within the spinal cord, cauda equina, or exiting nerve roots, causing inflammation, numbness or excruciating pain. Sciatica due to compression of a nerve root is one of the most common forms of radiculopathy.
The group is led by Holmes and Occupational Therapy Assistant Connie Beard. The group meets from 2-3:30 p.m. on the fourth Thursday each month and has educational discussions on a variety of topics such as diet, exercise, visual changes, community re-entry and communication.Â