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In the U.S. there are millions of people who suffer from migraines. Migraines are often characterized by unilateral pain with sensitivity to light and noise. They will often last for hours and in some cases days. Typically, patient will take medications over the counter such as acetaminophen or ibuprofen. When headaches are minimal this will often suffice as treatment. If they occur frequently, prophylactic medications or preventives are needed to control the symptoms. Lifestyle modifications in diet and exercise are also very important as well. An alternative or adjunctive treatment to medication is botulinim toxin or Botox. This is indicated in people who suffer from chronic migraines which is defined as 15 or more migraines a month. Botox can significantly reduce the frequency and severity of migraines in many patients. Most patient feel a definite improvement after two treatments. Side effects are minimal at best if they do occur. Sometimes patient may still need to take medication in conjunction with Botox. Treatments are usually every 3 months as the effect of the injection is temporary. It is thought that the injections work by inhibiting muscle contractility and modulating nerve function. If you suffer from chronic migraines, please call our office today!


Tennis Elbow

Tennis elbow is a painful condition of the elbow that occurs due to repetitive motion of the arm and hand. The tendons involved attach to the outer or lateral part of the elbow. With recurrent injury, the tendons become chronically damaged. We typically refer to this as a tendinopathy. Contrary to popular belief, people who play tennis are not the only ones who develop this condition. It is often seen in individuals who do manual labor such as construction, carpentry, and factory work. We even see this in people who work on computers and in the restaurant industry. MRI and ultrasound can help assess the scope of injury. Traditional treatments include anti-inflammatory medications, ice, rest, and physical therapy. Symptoms can still persist despite these therapies. In the office, we find that prolotherapy and platelet rich plasma work very well. Drying needling and cold laser can also be effective treatments



Peripheral neuropathy can occur when nerves get damaged. More often than not, one experiences burning, numbness, and tingling. Over time, various part of the peripheral nervous system can be affected. Patients may have an impairment in balance which can lead to frequent falls. If the autonomic nervous system is damaged, patients often experience dizziness, changes in heart rate, as well as bowel and bladder issues. Overall, Diabetes appears to be the most common cause. Control of blood sugar is very important in treating this type of neuropathy. Other causes may include B vitamin Deficiencies, alcohol consumption, exposure to toxins, lupus and other autoimmune disease, cancer, liver and kidney disease, chemotherapy, and blood disorders.

A complete neurological examination and diagnostic testing is necessary for optimal treatment. Medication can provide symptomatic relief when needed.



Stroke is one of the leading causes of disability and death in this country. It can result in permanent disability in about 2/3 of cases. What is a stroke? It happens when there is reduced blood flow and oxygen to the brain. This can occur from a clot or hemorrhage. Warning signs may include trouble speaking, weakness on one side of the body, dizziness, changes in vision, severe headache, and trouble walking. Stroke is a medical emergency which requires prompt attention. When patients are able to get to the hospital fast enough, a medication can be given to break up the clot and minimize long term disability. The longer you wait, the greater the damage. Don’t delay treatment!