what happens on first visit to neurologist

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Questions to Ask Your Neurologist at Your First Appointment

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By: Mathew Pulicken, MD

June 27, 2023

When it comes to your neurological health, seeking the expertise of a specialist is crucial. The Renown Institute for Neurosciences  provides comprehensive care for complex diseases affecting brain, spinal cord and peripheral nerves.

Let us help guide you through the appointment process to ensure a productive and informative first appointment.

What to Expect at Your First Appointment at the Renown Institute for Neurosciences

Duration and Purpose: Your first appointment will last approximately one hour. This time allows the doctor to ask specific questions, do a thorough neurological exam and discuss your concerns.

Specialized Care: You will be matched with a provider who specializes in assessing and treating your specific ailment or condition. This tailored approach ensures that you receive care from an expert who has the specialized interest and expertise to address your needs effectively.

Initial Assessment: During your visit, you will first see a medical assistant who reviews your medication history and standard screening questions provided by your doctor. Following this portion of your appointment, the neurologist will ask specific and detailed questions about your condition and conduct a non-invasive neurological examination to evaluate your brain and nervous system functioning. This exam involves painless tests assessing your cognitive function and nerve operation, including tests for sensation, strength and coordination.

Treatment: After performing the neurological exam and addressing your questions, the neurologist will review the possible diagnosis and treatment plan, including any medication needs to help with your condition. Finally, your doctor may discuss the role of additional testing, including imaging studies ( CT / MRIs ), peripheral nerve testing ( EMG ) or brain wave testing ( EEG ), which will be scheduled for a later date.

Making the Most of Your Visit

To make your appointment as beneficial as possible, consider the following tips:

• Arrive Early: Plan to arrive at least 10 minutes early to fill out any necessary check-in items before your appointment's scheduled start time. This will ensure a smooth and timely visit.
• Bring Insurance Information: Have your insurance details readily available to facilitate the administrative process. This will help avoid any delays or confusion.
• Gather Medical Records: If you have received treatment or undergone tests with other healthcare providers relevant to your condition, bring along any medical records or test results. This information will assist your neurologist in gaining a comprehensive understanding of your medical history.
• The frequency, duration and severity of your symptoms.
• Share information about any medications or treatments you have tried for the condition and the outcomes.
• Prioritize questions to help the neurologist answer your most significant concerns during the initial visit.

Your first appointment with a doctor at the Renown Institute for Neurosciences is an opportunity to receive expert care and gain insights into the best method of treatment for your condition. By understanding what to expect and following the tips provided, you can maximize your visit and be on your way to achieving overall health and wellness.

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What Does A Neurologist Do On Your First Visit?

A neurologist is a medical expert responsible for the diagnosis and treatment of various nerve-related ailments. This includes disorders that affect the brain and the functionality of the nervous system. Although they are certified medical doctors, they do not perform any major surgical procedures. Then what does a neurologist do on your first visit? That is the main focus of discussion in this article.

Most of the patients visiting a neurologist are referrals from other medical institutions and you can also get the online medical second opinions . There are various tests that a neurologist does on you to get the right diagnosis. These tests are to determine whether your ailment is related to any nerve dysfunction. On the first neurologist appointment, you do not need any specific preparations. The interactions are generally cordial and simple medical procedures. The primary focus is usually on body reflexes, muscle strength, and sensory nerves coordination.

The initial encounter in the first visit to neurologist is usually an interaction session. It starts with introductions and brief interrogation of your medical history. After that, the neurologist will decide what route to take in your diagnosis. The procedures focus on the reaction of nerves to certain stimuli. After the analysis, the neurologist then concludes the report back to the referring doctor. Essentially that is what a neurologist does on your first visit.

Neurological testing is wide. Whereas some patients get their analysis over with physical examinations, others end up with laboratory tests. At the neurological clinic, the nerve specialist follows a medical procedure that involves the testing of nearly all the body faculties. Since the nervous system is the central body control, it takes time for a correct diagnosis to come out. Although most neurologists are private practitioners, they work with most insurance companies . When booking an appointment, try and get information about the billing methods of the neurologist. If their payment criterion is different, try and arrange for optional billing methods for your convenience. But most of the nerve experts use the local medical insurance payment methods.

When To See A Neurologist?

There is no definite cut time to see a neurologist. It is essential to seek neurological services when you experience one of these situations. Headaches and migraines are frequent in people . When they persist beyond the regular medication, seek further attention. The second is muscle numbness and chronic pain. Muscles react to nervous stimuli, and if you cannot respond appropriately, there is a problem. Poor or blurring of vision is another reason for neurological attention. It could be a case of multiple sclerosis developing. Amnesia, loss of memory, and confusing things could be a trigger for brain damage. Lastly is insomnia. When you suddenly start having difficulty in sleeping, seek neurological help.

Some people worry a lot about what to expect at a first visit to neurologist. After the initial diagnosis, a nerve specialist has a rough idea. But other tests may be necessary to corroborate the initial diagnosis. Laboratory tests of the blood and urine expose any infections in your system. Electromyography tests are where electrodes on your muscles detect the coordination between nerves and muscles.

Electroencephalograph is a test of the brain that recognizes the activities of the brain nerves. Electrodes on your scalp measure the magnetic actions of your brain’s electric impulses. Sometimes a biopsy is necessary. Neurologists observe a sample of your body tissue under a laboratory microscope for a diagnosis.

Electronic imaging is necessary, depending on the initial analysis. This test exposes any tumors, and poor aligning of the bones, nerves, tissues, and discs in the patient. A neurologist can also measure the effectiveness of the touch, sight, taste, and hearing senses. This measures the ability of the brain to respond to regular stimulation.

When you see a neurologist for back pain , a more serious test is necessary. The neurologist will perform the spinal tap procedure. It could mean severe damage to the spine, which controls all the nervous operations. He extracts some spinal fluid for checks. This procedure exposes any infection in the blood or injury of the spinal nerves or discs.

A neurologist serves a delicate balance in the therapy of a nervous patient. To help in your diagnosis in the initial visit, try answering the simple question. What does a neurologist do on your first visit? Have your medical history available with you when you visit. If possible, prepare your concerns, questions, and list them beforehand. It will help your first visit to yield more information aiding to a precise early diagnosis.

Doctor, author and fitness enthusiast, Ahmed Zayed, MD, is a surgery resident with a passion for helping people live a happy healthy life. He is the author of numerous health-related books and contributor to several medicine, health and wellbeing.

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Prepare for Your First Appointment

Before your first appointment

• Please plan on two to four hours for your first appointment. 
• Review the following information and prepare your questions. You’ll find a checklist for what you need to do and bring to your visit.
• We make every attempt to collect your medical records before your first appointment so that the care team can review them ahead of time. If we cannot obtain them in time, we may need to reschedule your appointment.
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On the day of your appointment

• Plan to arrive at least 90 minutes before your appointment time.
• If you need assistance when you arrive, please stop at the reception desk in the lobby. Our navigators will be happy to escort you to the clinic.

Your first appointment—meeting your care team

At your first appointment, you will meet the team who will take care of you throughout your treatment. Your care team will include four primary members:

• Your doctor, who may be a surgeon, neurologists, neuro surgeon, or interventional neuroradiologist, depending on the type of treatment you will receive
• Advanced practice provider (APP), who works with your doctor during diagnostic evaluation and treatment
• Multidisciplinary care coordinator (MCC), your main point of contact throughout your course of treatment
• Clinical administrative assistant (CAA), who helps with scheduling your appointments and managing your paperwork

You may have other doctors and care providers on your team, depending on the type of treatment you receive. You may not meet them at your first visit, however.

What to expect during your first appointment

During this visit, your doctor will discuss your medical history with you in detail, perform a physical examination, and discuss possible treatment options. Your doctor may send you for laboratory tests during your first appointment. You will not need to fast prior to the lab tests, unless your doctor notifies you otherwise. You may also need to have additional imaging done.

During your first visit, we will share some important information about your condition and your treatment options.

To help you remember everything we discuss, please bring a family member or friend. You may want to write down your questions so you can raise them with your doctors.

Please be prepared to take notes during your appointment.

Collecting your medical records

We collect your medical records before your appointment so that you have one less thing to worry about. We need to review your medical history so our doctors can better understand your current health, symptoms, and any previous tests or treatments. We will contact all non-Stanford hospitals, clinics, and imaging centers to ask for your records, including pathology slides, scans such as X-rays, and other reports.

If we are unable to obtain the appropriate records in time for your first appointment, we may ask you to help us obtain them. We also may need to reschedule your appointment until we obtain them. Depending on the facility, we may need you to sign and submit record release forms. Our goal is for you to have a productive first appointment with your doctor.

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For confidential help with your health care questions, contact the Stanford Health Library. Professional medical librarians and trained volunteers can help you access journals, books, e-books, databases, and videos to learn more about medical conditions, treatment options, and related issues.

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What Does a Neurologist Do on Your First Visit? Preparing for Your Appointment

January 24, 2024 | Brain and Spine Specialists

As we step into a new year, prioritizing health becomes a key resolution for many. Visiting a neurologist for the first time can be a part of this journey. This blog aims to demystify the process and help you prepare effectively for your appointment.

Understanding the Role of a Neurologist

A neurologist is a medical specialist focusing on diagnosing and managing disorders of the brain, spinal cord, and nerves. These experts handle a variety of conditions, including epilepsy , multiple sclerosis , Parkinson’s disease , stroke , and more . Neurological health is a crucial aspect of overall well-being, as it affects numerous facets of life. Early and accurate diagnosis, followed by effective management of neurological conditions, is vital. It not only addresses immediate health concerns but also plays a significant role in maintaining long-term quality of life. Visiting a neurologist, therefore, is an important step towards ensuring comprehensive health care.

Preparing for Your Neurology Appointment

Preparation is key to a successful neurology appointment. Being well-prepared can ensure that your neurologist has all the necessary information to make an accurate diagnosis and develop an effective treatment plan.

Gathering Your Medical Records

Before your appointment, gather all relevant medical records, test results, and a list of current medications. This includes any previous neurological evaluations, MRI or CT scan results, and blood work. Having these documents at hand allows the neurologist to gain a comprehensive understanding of your medical history. It’s also important to include records of treatments or medications you’ve tried in the past, as this information can be crucial in determining the best course of action for your condition.

Making a Symptom Diary

Maintaining a symptom diary is an invaluable tool for both you and your neurologist. In this diary, record the nature of your symptoms, their frequency, intensity, and any potential triggers or alleviating factors. Also, note any patterns or changes in your symptoms over time. This detailed account can provide critical insights into the nature of your neurological issues, helping your neurologist to make a more precise diagnosis and tailor your treatment accordingly.

What to Expect During Your First Neurologist Appointment

A first-time visit to a neurologist, especially at a referral-based practice like Brain & Spine, can be an important step in addressing your neurological health. Understanding what to expect, starting from obtaining a referral to the appointment itself, can make the process smoother.

Starting with a Referral at Brain & Spine

Before scheduling your first appointment at Brain & Spine, which operates primarily on a referral-only basis, you’ll need to obtain a referral from your primary care physician. This is a standard procedure at Brain & Spine to ensure that patients receive specialized care in a coordinated manner. Your primary care physician will evaluate your symptoms and, if they deem it necessary, will refer you to a neurologist at Brain & Spine. This referral not only helps in streamlining your care but also ensures that the neurologist has a comprehensive understanding of your medical background right from the first visit.

The Initial Consultation

The initial consultation is a critical component of your visit. Here, the neurologist will engage in a detailed discussion about your medical history. This includes understanding any symptoms you’ve been experiencing, reviewing past medical records, and discussing any previous treatments or diagnostic tests you’ve undergone. This conversation is pivotal for the neurologist to form an initial understanding of your neurological health and to identify potential areas that require further examination or testing.

Comprehensive Neurological Examination

Following your initial consultation, you will undergo a comprehensive neurological examination. This examination includes various assessments such as tests for muscle strength, reflexes, coordination, sensation, balance, and mental function. These tests are essential for detecting any neurological abnormalities and guiding further diagnostic procedures.

Embracing Your Neurological Health

Embarking on your neurological health journey with Brain & Spine is a proactive step towards better health. Their team of specialists is dedicated to providing comprehensive care, from initial consultations to detailed follow-up appointments. By being well-prepared and engaging actively with your neurologist, you’re setting a strong foundation for effective management of your neurological condition. Remember, at Brain & Spine, your neurological health is a priority, and their tailored approach to treatment and care is designed to support you every step of the way on this important journey.

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What Is a Neurologist and When Should You See One?

Neurological diseases and conditions can affect nearly every part of your body. Learn about neurologists, what they do and when to visit one.

This article is based on reporting that features expert sources.

What Is a Neurologist?

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A neurologist is a doctor who specializes in conditions that affect your brain, spinal cord and nervous system. Your nervous system controls all your body's functions – from processing memories to the beating of your heart. Neurologists focus on understanding and treating neurological problems, including headaches, sleep disorders and Alzheimer’s disease .

In this guide we explore what neurologists do and how they handle neurological issues. You'll learn the distinction between neurologists and other health care providers who work with disorders of the brain , such as neuroscientists and psychiatrists.

What Does a Neurologist Do?

Neurologists are medical doctors with specialized training in evaluating, treating and managing signs and symptoms related to the nervous system.

You could be referred to a neurologist for a number of symptoms, including:

• Headaches .
• Problems with focus or concentration.
• Cognition or memory issues.
• Numbness and tingling .
• Nerve pain, often described as burning or electric shock.
• Muscle weakness, spasms or twitching.
• Vision problems.
• Taste or smell disturbances.
• Imbalance when walking.

“In general, you're talking about something related to an issue that's involving the nervous system, meaning the brain, spinal cord, peripheral nerves or neuromuscular system,” says Dr. Vernon Williams, a board-certified sports neurologist, pain management specialist and founding director of the Center for Sports Neurology and Pain Medicine at Cedars-Sinai Kerlan-Jobe Institute in Los Angeles. “Neurologists are much more actively involved in not only ameliorating symptoms but reversing disease."

Neurological Problems

Common neurological conditions that neurologists diagnose, treat and manage include:

• Alzheimer’s disease or other forms of dementia.
• Headaches or migraines.
• Concussions.
• Brain or spinal cord injury.
• Brain, nerve or spine tumor .
• Nerve pain .
• Meningitis.
• Peripheral neuropathy .
• Epilepsy and seizures.
• Muscular dystrophies.
• Multiple sclerosis .
• Parkinson's disease .
• Amyotrophic lateral sclerosis  (ALS or Lou Gehrig’s disease).
• Infections of the nervous system, such as meningitis and encephalitis .

Neurologist vs. neuroscientist 

Neuroscientists are medical scientists who perform clinical research to better understand the body’s nervous system. They do not diagnose, treat or manage conditions directly with a patient population. Rather, they may perform clinical trials, study human activity and write academic research papers.

Neurologists, on the other hand, are medical doctors who work directly with patients to treat conditions affecting the nervous system.

Neurologist vs. neurosurgeon

“Most people think we’re surgeons,” says Dr. Elaine C. Jones, a neurologist and medical director of quality for Access TeleCare, a nationwide specialty telemedicine company. She is also a Fellow of the American Academy of Neurology.

Though there is a fair amount of overlap between neurologists and neurosurgeons, they’re not the same. The fields of neurosurgery and neurology are both made up of specialized doctors who diagnose and treat conditions of the brain, spine and nervous system.

Neurologists focus on treating and managing neurological disorders through medication, lifestyle modifications or other nonsurgical therapeutic interventions, whereas neurosurgeons undergo additional training in surgery to treat patients too. Neurosurgeons may treat conditions through nonsurgical or surgical interventions, such as brain surgery or spinal surgery to treat conditions like a brain tumor, aneurysm or herniated disc.

Neurologist vs. psychiatrist

“The difference between psychiatry and neurology is the most complex,” Jones says.

Both psychiatrists and neurologists work with conditions affecting the brain. Jones says that psychiatrists typically care for conditions that are less of a “structural issue” and more of a “chemical process” issue within the brain, such as anxiety or depression.

That means that neurologists work to address physiological dysfunctions in the brain, whereas psychiatrists address mental health disorders .

“But there is a lot of overlap, especially when you come to diagnoses like dementia,” Jones says. “We do collaborate a lot with our colleagues, both internal medicine and pediatrics, and certainly neurosurgery and psychiatry.”

What to Expect at Your First Neurologist Visit

When visiting a neurologist, there are generally two processes – an emergency or inpatient situation versus an outpatient setting.

Inpatient visit

Some neurological signs and symptoms may require more emergent care.

“In an emergency situation, a patient will come into the ER if they have anything that seems to be affecting the nervous system,” Jones says.

For example, that could mean the patient had a stroke or seizure, or they’re experiencing weakness, numbness, trouble walking or speaking, or visual changes.

Jones practiced for about 17 years as a solo practice neurologist in Rhode Island, but now she works in teleneurology for a nationwide company that covers the emergency room. When she’s on call, she could receive a call from an emergency department in any of the 26 states where she’s licensed to practice.

“We’ll assist with the local emergency room team on figuring out what needs to be done,” she says.

That may mean prescribing medication, making a diagnosis or referring the patient to another specialist within the hospital.

Outpatient visit

Outpatient visits are typically less pressing, and the patient is sometimes referred by their primary care physician.

• Comprehensive history.

Physical examination

• Review of findings.
• Treatment plan.

Comprehensive history

Taking the patient’s comprehensive history includes a review of symptoms, discussing medical history and social history.

First, Williams says they’re asking questions about symptoms, such as:

• How did your symptoms start?
• When did they start?
• Are there any clear patterns or characteristics to the symptoms?
• How is it affecting your daily function or quality of life?

Next, Williams says your doctor will review your medical history, asking questions like:

• Do you have any other conditions or diagnoses that may predispose you to certain kinds of neurologic conditions?
• What medications are you taking?

He adds that neurologists will sometimes do a “review of systems,” where they ask questions about other body parts or systems unrelated to the brain or nervous system that may be causing symptoms. Lastly, Williams says they’ll take a comprehensive social history, with questions that may include:

• Do you smoke?
• Do you drink alcohol?
• Have you used drugs?
• Do you exercise?
• How’s your sleep?

Your neurologist will focus the physical examination on the nervous system. This can include examining your:

• Vision, hearing and speech.
• Muscle strength, which includes assessing muscle tone or stiffness.
• Motor function, including balance and coordination.
• Mental health, which could entail memory and cognitive function assessments.
• Sensory function, such as temperature sensitivity and pain tolerance.

Depending on the outcome of the comprehensive history and physical examination, your doctor may order further neurological tests. If you’re lucky, your doctor may offer those in-house.

“In my particular practice, I try to do as much as possible in real time when the person is with me and as much as possible in the office so that we can really improve continuity of care,” Williams says.

Testing may include blood work and laboratory testing. It could also involve electrodiagnostic testing, which tests the nerves and how they’re sending signals throughout the body. It could also involve electrical testing of the brain. Looking at brainwave activity could involve imaging like MRIs, CAT scans, PET scans or functional imaging, Williams says.

Here are some common neurological tests:

• Electroencephalography, or EEG. This measures electrical activity of the brain and detects brain wave abnormalities.
• Electromyography, or EMG. This assesses muscle function and nerve cells that control them and is often used when someone is experiencing symptoms like tingling, numbness or weakness.
• MRI, or magnetic resonance imaging. This medical imaging technique can create detailed images of the brain and spinal cord. The test could detect abnormalities like tumors or structural issues.
• CT scan, or a computed tomography scan. CT scans use X-rays to create cross-sectional images of the brain, blood vessels and soft tissues.
• Biopsy. This procedure is done to remove a piece of tissue from a muscle, nerve or brain for further testing or analysis.
• Genetic testing. This may be used to identify genetic mutations associated with neurological conditions, like Huntington's disease.

Review of findings

Your doctor will review their patient’s symptoms, physical examination, test results and any other relevant information that was discussed during their appointment, Williams says.

Treatment plan

Your neurologist will then map out a “curated, personalized, individualized approach to their care, to their treatment or intervention,” Williams says.

Treatments included in a personalized care plan will vary depending on your specific diagnosis, severity of symptoms and individual needs. However, common treatments that may be prescribed as part of a neurological care plan may include:

• Medications. Medications are frequently used to manage symptoms, such as anticonvulsants for epilepsy and seizures.
• Physical therapy , which can help improve strength, mobility and coordination for some neurological conditions.
• Occupational therapy, which can be beneficial for conditions that affect motor skills or activities of daily living .
• Speech therapy, which may be used for patients with speech, language or swallowing conditions.
• Surgical interventions. For example, you may be referred to a neurosurgeon to have a tumor removed or to repair damaged nerves.
• Lifestyle modifications, which could mean dietary modifications or exercise recommendations.
• Mental health therapy or group counseling , as some neurological conditions can have a significant psychological impact.

How Should I Prepare for My First Neurologist Appointment?

To ensure you get the most out of your first visit, preparing ahead of your neurologist appointment is key. Here are some steps to help you prepare for your first appointment:

• Send over a copy of your medical records.

Make a list of symptoms.

Bring a list of medications and supplements., write down a list of questions., bring a friend or family member., send a copy of your medical records..

Your doctor will want a full picture of your medical history. The best way to ensure your neurologist has the complete picture is to make sure all of your medical records have been sent to your doctor's office ahead of time. Not only will this give the full picture, but it can help avoid duplicate testing and speed up the process of getting a diagnosis.

This includes gathering any past test results, imaging scans like CT scans or MRIs, surgeries and major illnesses. Even something that seems insignificant to your visit may provide valuable information to your neurologist.

You should write down any symptoms you're experiencing, even if they seem minor or unrelated. Your neurologist will want to know additional details like when your symptoms started, their frequency and duration and if you've noticed any triggers or patterns.

A list of any and all medications, vitamins and supplements you're taking will help ensure nothing is missed. Be sure to include dosage and frequency as well.

Your neurologist needs to know what you're taking for two reasons: They could be contributing to or causing your symptoms, or they could interact with some neurological medications.

Doctor's appointments go quickly, and writing down your questions in advance of the appointment can help ensure no questions are left unanswered. Your questions likely vary greatly depending on your individual symptoms or diagnosis, but examples may include:

• Are there any major red flags with my condition I should be aware of?
• What are potential side effects of my treatment and/or medication?
• What can I do to monitor my condition at home?
• How often should I follow up with you?
• What can I expect at my next appointment?

A visit to the neurologist can be overwhelming – particularly if you're facing a neurological illness that is associated with cognitive issues. Having a loved one with you to take notes and be your advocate during the appointment can be helpful logistically to keep information organized. Receiving a diagnosis for a neurological disorder can also be a lot to process, so having a loved one available may provide emotional support.

Neurology Specialties

There are a range of subspecialty areas in the field of neurology, such as:

• Pediatric neurology.
• Geriatric neurology.
• Sports neurology.
• Nerve specialist.
• Sleep medicine.
• Specializing in particular disorders, like epilepsy, headaches/migraines or multiple sclerosis.

Williams is a practicing neurologist who subspecialized in sports neurology, “which is a relatively new subspecialty in neurology that’s involved in evaluating and treating injuries that can occur to the nervous system through participation in sports.” He often sees concussions or head injuries, but he also sees spinal cord injuries or peripheral nerve injuries. “In addition to treating injuries, sports neurologists will often assist people with other neurologic conditions in improving their function,” Williams says. “For instance, we know people who have Alzheimer’s disease and Parkinson’s will benefit greatly from exercise and from physical activity that really improves their symptoms and prolongs deterioration.”

The U.S. News Health team delivers accurate information about health, nutrition and fitness, as well as in-depth medical condition guides. All of our stories rely on multiple, independent sources and experts in the field, such as medical doctors and licensed nutritionists. To learn more about how we keep our content accurate and trustworthy, read our  editorial guidelines .

Jones is a neurologist and medical director of quality for Access TeleCare, a nationwide specialty telemedicine company. She is also a Fellow of the American Academy of Neurology.

Williams is a board-certified neurologist, pain management specialist and founding director of the Center for Sports Neurology and Pain Medicine at Cedars-Sinai Kerlan-Jobe Institute in Los Angeles.

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Preparing for Your Neurologist Appointment

Take control of your condition by being an active participant in your healthcare, by karen hales, neurology solutions contributing writer.

Receiving or awaiting a diagnosis of a potentially debilitating movement disorder can bring about a sense of unease and uncertainty. Many patients may become overwhelmed and feel they have lost control over their life. Some may want to ignore their diagnosis and put off seeking care.

Neurological disorders such as ataxia, dystonia, Parkinson’s disease and Multiple Sclerosis bring with them a host of potential symptoms affecting movement, daily activities and mental status, and no two cases are the same. One way to feel more in control is to become informed about your disease and to take an active role in your healthcare, which includes preparing for your neurologist visit.

Choosing a specialist to supervise your overall healthcare is essential. An open relationship with your physician can be a powerful factor in maintaining your physical and emotional well-being for the long term. This article is to assist you in having productive appointments with your neurologist to make sure your questions are answered and you can feel and function better despite your condition.

New patients of Neurology Solutions Movement Disorders Center will be asked to complete a medical intake questionnaire , which is available to download in advance. The questionnaire will ask for details on your health history, the condition you are being referred for, and any other conditions for which you are being treated. New patient consults are approximately 45-60 minutes and will include a thorough neurological exam. Follow up exams will take approximately 30-45 minutes. Parkinson patients are seen again in three to six months. Call Neurology Solutions at 512-865-6310 to make an appointment.

Only you know what is going on in your body on a day-to-day basis. Some things may be minor and some may progress over time. Your role is to provide your doctor information about your health, health history, medications and symptoms, and to report any specific changes in your condition since your last medical appointment.

Before Your Appointment

• Prepare to arrive a little early for your scheduled appointment to provide time to fill out any necessary paperwork and so you can gather your thoughts before you meet with the doctor.
• Bring the name and address of your primary care physician so he can receive a copy of the medical report following your visit. Have your insurance card and doctor’s referral form with you. Bring a record of medical test results and reports related to the condition.
• Have a list of all medications and dosages, including supplements, you are taking, as some medications can interact poorly with others.
• Since some conditions may have a genetic component, find out your family medical history specifically related to walking or coordination problems of family members, including grandparents, parents, aunts and uncles, siblings and cousins.
• Keeping a log or journal of your symptoms to refer to is a helpful tool in tracking your condition’s progression and to better determine what treatments or medications are working.
• Be specific in describing your symptoms and how they affect your daily living activities, including estimated periods of time when the symptoms became apparent or worsening. Select the top three symptoms or problems that are most severe to discuss during your appointment.
• Be prepared to answer: What other medical conditions do you have? Have you had an adverse reaction to any medications? How and when did symptoms of your condition come on? How have your symptoms changed since that time? What activities does your condition make difficult to do? What makes your symptoms worse? What makes your symptoms better?
• If you have recently started a new medication or therapy regimen, be prepared to discuss any side effects or results of the treatment. Have a list of three or four key questions you would like to discuss with your neurologist so you don’t leave the appointment with additional worries.
• If you think you will have difficulty remembering or understanding your doctor’s instructions, bring along a loved one or friend to your appointment to take notes and help ask questions.

Many neurological conditions require lifestyle changes. Many neurological medications are started or changed gradually according to instructions provided during your appointment. Let your neurologist know if you are unclear on the instructions and the information you are given. Often, a nurse or other staff member can spend more time with you if needed.

After Your Appointment

Make appointments for any follow-up tests, therapies or other medical orders immediately. Make sure your primary care physician receives a copy of your neurologist’s report. There may be a list of recommendations to discuss with your doctor.

Begin taking any medication prescriptions immediately, and report any troubling side effects to your neurologist as soon as they appear.

You should be reassessed every six months or with any sudden decline in mobility or change in behavior to best manage your condition. A variety of resources and healthcare organizations are available to help expand your understanding of your condition and provide support and programs to help you stay active and maintain a high quality of life.

To learn more about maximizing your visit with your neurologist, see the Parkinson’s Disease Foundation’s Checkup Checklist .

Stay informed by frequenting Neurology Solutions’ blog , or join Neurology Solutions Movement Disorders Center’s e-mail list to stay up to date on the latest in treatments, how to manage stress and maintain quality of life while battling illness, and tips for staying healthy.

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How To Prepare For Your First Neurologist Visit.

If your primary care physician refers you to a  Neurologist , here’s what you  can  expect. During your  first appointment , a  Neurologist will  likely ask you to participate in a physical exam and neurological exam. Neurological exams  are  tests that measure muscle strength, sensation, reflexes, and coordination.

Your First Visit to Dr. Eddie Patton’s Office

Neurological disorders such as muscle diseases, peripheral neuropathy, dementia, ataxia, dystonia, Parkinson’s disease and Multiple Sclerosis bring with them a host of potential symptoms affecting movement, daily activities and mental status, and no two cases are the same. One way to feel more in control is to become informed about your disease and to take an active role in your healthcare, which includes preparing for your neurologist visit.

Preparing for Your Neurologist Appointment

Choosing a specialist like Dr. Patton to supervise your overall healthcare is essential. An open relationship can be a powerful factor in maintaining your physical and emotional well-being for the long term. To have a productive appointment with Dr. Patton please fill out a medical intake questionnaire and during your  make sure your questions are answered. Good communications will assist with the appropriate health and medication regiments so you can feel and function better despite your current condition.

New patients will need to complete a medical intake questionnaire, which is available to download in advance. The questionnaire will ask for details on your health history, the condition you are being referred for, and any other conditions for which you are being treated. New patient consults are approximately 45-60 minutes and will include a thorough neurological exam. Follow up exams will take approximately 30-45 minutes. Parkinson patients are seen again in three to six months.

Only you know what is going on in your body on a day-to-day basis. Some things may be minor and some may progress over time. Your role is to provide your doctor information about your health, health history, medications and symptoms, and to report any specific changes in your condition since your last medical appointment.

Take control of your condition by being an active participant in your healthcare.

Receiving or awaiting a diagnosis of a potentially debilitating movement disorder can bring about a sense of unease and uncertainty. Despite many patients that feel overwhelmed and lost control over their life it are those who, this is a time to be active in your care. By focusing on care provisions you will out pace those who may want to ignore their diagnosis and put off seeking care. Dr. Patton will do his best to inform, direct, and track your care with you on your care journey.

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• Information

What to Expect From a Neurology Appointment?

When faced with neurological symptoms or concerns, scheduling an appointment with a neurologist is a crucial step toward understanding and addressing your condition.

Consult the best neurologist in Brooklyn today!

Neurologists are medical specialists trained to diagnose and treat disorders of the nervous system, which includes the brain, spinal cord, and peripheral nerves. In this comprehensive guide, we will walk you through what typically happens at a neurologist appointment, what to expect, and how to prepare for your visit.

What Happens During the Neurologist Appointment?

Now, let’s explore what typically takes place during your neurologist appointment:

Patient Registration and Medical History Review

Your appointment will begin with patient registration, where you’ll provide your identification and insurance information. The neurologist’s office will also ask you to fill out medical history forms or questionnaires. This information helps the neurologist understand your overall health and any relevant medical conditions.

Physical Examination

After reviewing your medical history, the neurologist will conduct a physical examination. This may involve checking your reflexes, coordination, muscle strength, and sensation. They will also assess your cranial nerves and look for any signs of neurological abnormalities.

Discussion of Symptoms

One of the most critical parts of the appointment is the discussion of your symptoms. Be thorough and honest in describing your experiences, as this information is essential for the neurologist’s evaluation. They may ask questions to gain a deeper understanding of your symptoms and their impact on your daily life.

Diagnostic Tests

Depending on your symptoms and medical history, the neurologist may recommend specific diagnostic tests. These can include:

• Imaging studies: Such as MRI or CT scans to visualize the brain and spinal cord.
• Electroencephalogram (EEG): To assess electrical activity in the brain.
• Nerve conduction studies: To evaluate peripheral nerve function.
• Blood tests: To check for specific markers or underlying conditions.

The choice of diagnostic tests will depend on your individual case and the neurologist’s assessment.

Discussion of Diagnosis and Treatment

Once the neurologist has gathered all necessary information, they will discuss their findings with you. This may include a preliminary diagnosis or a need for further tests. They will also provide information about treatment options, potential therapies, and lifestyle changes that could benefit your condition.

Addressing Your Questions and Concerns

This is the time to ask any questions you’ve prepared. Don’t hesitate to seek clarification on your diagnosis, treatment plan, or prognosis. A neurologist should be patient and willing to provide you with clear explanations.

Follow-Up Appointments and Ongoing Care

Depending on your condition, you may require follow-up appointments for further evaluation, adjustments to your treatment plan, or monitoring of your progress. Neurological conditions often require ongoing care and management, so it’s essential to maintain regular communication with your neurologist and follow their recommendations.

How long does a neurology appointment take ?

A neurology appointment typically takes 15 to 30 minutes for a follow-up visit , while an initial consultation may last 45 minutes to an hour or more. The duration can vary based on the complexity of the case and the need for tests or procedures.

Preparation for Your Neurology Appointment

To ensure a smooth and productive consultation with your neurologist, it’s essential to prepare adequately. Taking a few steps beforehand can help you convey your concerns effectively and make the most of your appointment.

• Organize Your Medical History: Begin by compiling a detailed list of your past medical conditions, surgeries, medications, and allergies.
• Document Neurological Symptoms: Keep a record of any neurological symptoms you’ve experienced, including their frequency and duration.
• Gather Reports: If you’ve had imaging tests or neurological evaluations in the past, bring along the reports and results.
• Prepare Questions: Make a list of questions or concerns you want to discuss during the appointment, such as the potential causes of your symptoms and available treatment options.

By taking these steps, you’ll help your neurologist better understand your situation and streamline the appointment process.

Scheduling Your Neurology Appointment

Depending on your situation, there are various ways to schedule your neurology appointment:

• Emergency Care: If you have severe symptoms, consider visiting the nearest emergency room or urgent care center.
• Primary Care Physician: Consult your primary care physician, who can evaluate your symptoms and refer you to a neurologist if necessary.
• Online Booking: Contact the neurology clinic directly through their phone lines or use their online appointment booking system.

Treatment Plans in Neurology

Treatment plans in neurology are highly individualized and aim to improve your quality of life. After a comprehensive evaluation, your neurologist will work with you to create a personalized strategy.

Components of Your Treatment Plan:

• Medications: Your treatment plan may include medications to manage symptoms or neurological disorders. Your neurologist will discuss benefits, potential side effects, and proper usage.
• Therapeutic Interventions: Physical therapy, occupational therapy, speech therapy, or counseling may be recommended to enhance your functional abilities and well-being.
• Lifestyle Modifications: Your plan may incorporate dietary changes, exercise, stress management, and adequate sleep to positively impact your neurological health.
• Regular Follow-up: Schedule regular follow-up appointments to monitor progress, adjust treatment strategies, and address new concerns.

Active participation in your treatment plan and open communication with your neurologist are essential to achieving the best outcomes in managing your condition. Taking these steps will help you take control of your neurological health effectively.

A neurologist appointment is a vital step in addressing neurological concerns and obtaining a diagnosis and treatment plan. By understanding what to expect and adequately preparing for your visit, you can ensure that your appointment is productive and informative.

Remember that open communication with your neurologist is key to receiving the best care and managing neurological conditions effectively. If you’re experiencing symptoms or have concerns about your nervous system, don’t hesitate to schedule an appointment with a neurologist to get the answers and support you need for your health and well-being.

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Services & treatments, provider search, location search, first neuropathy appointment here’s what you need to know.

You hurt. You hurt a lot, and the pain is frequent. As a result, you’ve conducted research and discovered your pain symptoms matched  common signs  of nerve pain. Empowered with that information, you begin taking  steps  to ease your neuropathy by making healthier lifestyle choices and working with a physician to identify the cause of your pain.  

Upon completing several examinations, you receive an  official diagnosis  of neuropathy from your primary care physician. Your  questions  have been answered, you’ve discussed different treatment options and have decided that Intraneural Facilitation or  INF™   is a fit for you. You’ve made your appointment and now you want to know: what comes next? 

In that spirit, here are three things to expect out of your first office visit to Loma Linda University Health’s Neuropathic Therapy Center. 

1. A thorough discussion of your pain history

For your first appointment, I recommend you bring your medical files, notes and be prepared to talk about your pain history. Topics you will discuss with your therapist will include your symptoms, timeline for your pain and severity. Additionally, the therapist may ask questions about physical, nutritional and lifestyle factors that can be contributing to your pain symptoms. The more information you can provide in this session, the better the therapist will be able to understand your pain needs.

2. Partake in a sensory exam

A sensory exam tests neurological performance. Typically, this detailed examination includes a balance test, a pain and light touch test, strength assessment, temperature, and vibration testing. This will help the therapist customize a treatment plan for your specific pain-needs. In addition to INF™, patients will receive a comprehensive plan that includes exercises, a nutrition guide, and other pain management recommendations.

3. First tailored therapy session

Upon finishing the sensory exam, you will have your first  INF™ session . While the treatment plan varies patient to patient, INF™ is a noninvasive therapy that stimulates healing the nerves by improving blood flow to them. Utilizing three unique holds, tiny openings occur in the arteries surrounding the nerves allowing blood to flow to the nerves. We have found that more than 75% of patients begin to feel relief and experience improved flexibility after their first treatment. 

In following the traditions of Loma Linda University Health, we are committed to a whole-person approach to your pain. We want you to succeed in leading a healthy and pain-free life. Our goal for your first visit is to provide you quality treatment and empower you with the necessary tools to get you on that path. 

Take the Next Step

If you’re suffering from nerve pain, our Neuropathic Therapy Center may be able to help using a breakthrough physical therapy treatment called Intraneural Facilitation or INF.™ For more information and to schedule an evaluation, call 909-558-6799 or request information online .

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Five Questions to Ask Your Neurologist

You've waited weeks to see your neurologist. When you arrive, she conducts a physical examination and asks about your symptoms since the last visit, all of which is vital. But when you or a family member has a chronic or life-threatening neurologic condition—such as Parkinson's disease (PD), Alzheimer's disease (AD), multiple sclerosis (MS), or a brain tumor—the concerns that keep you up at night might not make it into those discussions. Maybe you're concerned about your job, but you can't seem to find the right opportunity to bring it up.

In the last issue of Neurology Now , we discussed five tests or treatments that you might not need . Here, neurologists choose five questions they think patients should ask to get the best possible care.

Should I Get a Second Opinion?

Bruce H. Cohen, M.D., Fellow of the American Academy of Neurology (AAN) and director of pediatric neurology Akron Children's Hospital, treats adults and children who have brain tumors. He recommends asking your neurologist if you should get a second opinion.

"Brain tumor treatment, especially if the tumor recurs, may differ depending on the medical center and the equipment available," Dr. Cohen says. "Ask your doctor if there are different ways to treat your tumor and whether technology better suited to treat it might be available elsewhere." Most medical centers can't afford all the different radiation therapy machines used to treat brain cancer, he says—nor provide all types of experimental chemotherapy, including gene therapy or vaccine therapy. "For example, a proton beam accelerator, which is used in patients who require very precise treatment of their brain cancer, is found at only a few centers across the United States," Dr. Cohen notes.

When Dr. Cohen recommends a specific treatment, he informs his patients which therapy is available at his hospital and whether treatment differs elsewhere. He often offers his first and second choice of treatment options and provides patients the opportunity to get a second opinion if additional options are offered at other facilities.

That's exactly what he did in 1994 after diagnosing a young child who had what appeared to be a slow-growing malignant brain tumor . Although he had recommended chemotherapy to the mother, he also referred her to another expert whom he respected but thought might disagree with him. Indeed, that second neurologist recommended radiation therapy; later, a third neurologist recommended a watch-and-wait approach. The family returned to Dr. Cohen after opting for the third option of cautious observation. And the child, now an adult, has been returning to Dr. Cohen once a year...for the past 19 years.

Most of the time, doctors welcome questions such as this. If for some reason your doctor is offended, you can always seek out another opinion or contact a patient advocacy group.

Should I Start Making Plans to Change My Home or Job?

Make it a point to let your neurologist know where you live and what you do for a living, and ask whether you should anticipate changes over the course of your illness that would require adjustments. Caregivers should be involved in these discussions as well; in the case of many neurologic conditions, the patient may not have the insight to recognize when he or she is having cognitive difficulties. "Often, we get so caught up responding to what patients are dealing with in the present that we forget to help them anticipate and plan for the future," says Janis Miyasaki, M.D., associate professor and associate clinical director of the Movement Disorders Centre at the University of Toronto.

"Young doctors whom I train are often baffled when I ask them, 'Does this person live in a one- or two-story home, and does their main floor have a bathroom?'" Dr. Miyasaki says. She recommends that patients, caregivers, and family members bring up subjects such as living space or work conditions.

For example, for many people living with PD, climbing stairs may become difficult over time. These patients may benefit from advice about how to adapt their living space, such as by adding a chair lift for the stairs or a ramp. Moving to a single-level dwelling can often help them maintain independence for longer. In Dr. Miyasaki's experience, it may take a year or two for someone to accept the necessity of moving to a single-level dwelling. But after the first six months, she has found, most people say it was their wisest decision.

It's also important for family members to discuss any of their own health problems that might interfere with the caregiving role. The wife of a man with PD revealed to Dr. Miyasaki that she was about to undergo a total hysterectomy. She hadn't considered how this would affect her husband, whom she regularly assisted up the stairs. Dr. Miyasaki was able to help arrange for temporary home care so that they could both remain safe.

Dr. Miyasaki also advises people with chronic neurologic conditions to discuss their job responsibilities with their neurologist, who may be able to help if or when modifications become necessary.

"Physically, it might be easy to anticipate when you need modifications to your job—for example, changing a variable shift to a set schedule or switching to a more flexible role with built-in rest periods in case sleeping patterns are disrupted," Dr. Miyasaki says. One of her patients, a research technician, noted that he had difficulty measuring liquids when his PD medications began to wear off. She was able to support him by writing a letter requesting modification to alter his schedule accordingly. She assisted another patient, the CEO of a large investment firm, in getting long-term disability benefits. He'd developed cognitive problems as the result of his PD and couldn't properly fulfill his duties any longer.

How Will This Test Impact My Care?

Ronald C. Petersen, M.D., Ph.D. AAN member and director of the Mayo Clinic Alzheimer's Disease Research Center in Rochester, MN, recognizes that more testing isn't always better—especially for dementia , in which biomarkers are becoming increasingly available to help identify causes. (A biomarker is a laboratory measurement that reflects the activity of a disease.) "Nevertheless, a condition such as AD is diagnosed on the basis of a thorough history and neurologic examination, not a test," he says.

"When a doctor recommends a PET scan (an imaging test that uses a radioactive substance to look for disease), an amyloid imaging scan (a type of PET scan that detects beta-amyloid deposits characteristic of AD), or a spinal tap for tau and beta-amyloid, patients should ask what each test would add to the certainty of the diagnosis. Patients should also ask if a test will lead to any different recommendations or help with the prognosis, and if any risks are associated with it," Dr. Petersen says. Keep in mind that testing often is not covered by insurance.

Clinical symptoms and history are often enough to diagnose AD with a reasonable degree of certainty, according to Dr. Petersen. "If an 85-year-old man with a gradual history of forgetfulness becomes unable to use his checkbook but is able to live alone, the probability of AD is high, and you don't need to do an exotic test," he says. Additional testing is typically warranted when the person has unusual symptoms—such as problems with language instead of memory—or is unusually young with no family history of AD, he says.

What Side Effects Can Occur With This New Medication?

You may be reluctant to start taking a drug because you've heard about someone doing poorly on it. Maybe you've been warned about its side effects. Sometimes, the side effects do outweigh the benefits of treatment. Asking your neurologist about possible side effects allows her to address your concerns and set the record straight about potential harms.

Jay E. Selman, M.D., AAN member, and chief of neurology at Blythedale Children's Hospital in Valhalla, NY—whose areas of expertise include epilepsy , autism, Tourette's syndrome, and traumatic brain injury-believes it's essential to have an open and thorough discussion about all the possible side effects of any medication you're about to start.

The parents of an 8-year-old boy evaluated by Dr. Selman declined a trial of methylphenidate (Ritalin) for severe attention deficit-hyperactivity disorder (ADHD). The reason was that the father—who'd heard methylphenidate was "just like what the street gangs were selling"—was dead set against all medications. But after Dr. Selman informed him about potential side effects and explained that the medication was not addictive when used appropriately and supervised by a physician, the father agreed to a trial. "At the next visit, the reports from teachers and family noted a significant improvement in his attention, and we were able to make further adjustments to the dose," Dr. Selman recalls.

When children are patients, the subject may require discussion with the patient as well as with parents. "All communication requires a framework based upon the child's chronological and developmental age, the seriousness of the underlying condition, and the family dynamics," Dr. Selman explains. He typically asks children and teens to notify their parents if they don't feel well, or if something is different, so that the family may contact him. He asks older adolescents to call him directly, as well. He advises all patients to call him immediately if they observe something of concern.

Your neurologist typically discusses those side effects that he or she believes are most likely to occur or have the most serious consequences. Dr. Selman first addresses those that are potentially dangerous, such as a rash that may develop with the anticonvulsant lamotrigine (Lamictal). He then mentions those that may occur frequently, such as gastrointestinal upset with a nonsteroidal anti-inflammatory drug or appetite suppression and sleep problems with an ADHD drug. He likens the discussion to the other day-to-day decisions we all make about relative risks and benefits. "I might say to someone, 'To get to my office today, you had to decide whether to take the parkway or local streets by weighing travel time, the risk of weather and road conditions, and so forth. We do the same thing when we weight the benefits of the treatment versus the potential adverse effects.'"

Giving the patient and the family as active a role as possible in decision-making is important to Dr. Selman, who lets patients know he will continue to work with them, even if they decide not to follow his recommendations.

How Will This Treatment Improve My Quality of Life?

Lily Jung Henson, M.D., has been taking care of patients with MS for 23 years, currently as chief of staff at Swedish Issaquah Hospital and medical director of Swedish Issaquah Neurology, both in Issaquah, WA. "Neurologists tend to think about treatment success as it pertains to disease activity—in the case of MS, relapses or progression. But patients may care more about how they feel between the disease episodes or as a result of the side effects of the medicine," she notes.

"For example, we may be very happy because the patient is having fewer exacerbations of the disease and showing no progression. But, the patient might be miserable because she is unable to participate in activities she used to love, like going to her child's soccer game," Dr. Jung Henson says.

"In a situation like that, no matter how well the drug is doing in terms of reducing flare-ups, the side effects demand switching to a more tolerable drug," she says. In addition, Dr. Jung Henson says, she would discuss adjusting the woman's schedule to leave more energy for soccer games, consider prescribing anti-fatigue medications to give her more energy while there, and recommend that she wear a cooling vest and drink cool liquids in very warm weather.

The goal of a given treatment may not directly address quality of life, such as physical activity, social activity, personal fulfillment, mobility, and independence. Don't forget to remind your doctor that these things matter.

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• Brain, Spine, & Nerve Treatment: Neurosciences

When to See a Neurologist

What is a neurologist.

A neurologist is a doctor who is an expert in nervous system conditions. Your nervous system includes your brain, spinal cord, and peripheral nerves (nerves that connect your brain and spine to your arm, legs, and organs).

Top 10 Reasons You May Want to See a Neurologist

1. headaches.

Headaches are one of the most common reasons people visit the doctor. Everyone experiences head pain at some point. But you should see a specialist for ongoing, severe pain or pain that interferes with your usual activities.

A neurologist can identify what type of headache you have. Then, they will provide effective, targeted treatment to reduce your pain.

2. Chronic Pain

It’s common to experience discomfort after an illness or injury. But pain that lasts longer than the usual recovery period could be a symptom of something else. Chronic pain is pain that lasts for months or even years.

Many neurologic conditions can cause chronic pain. Neurologists are experts in evaluating your symptoms and finding the root cause of your pain. You should see a neurologist if you have pain along with numbness, weakness, or problems with bladder or bowel control.  

3. Balance Disorders

People can experience dizziness and balance problems for many reasons. Your inner ears, eyes, central nervous system, and other parts of your body work together to coordinate your balance.

You may benefit from seeing a neurologist if you have dizziness because of vertigo or disequilibrium. Vertigo makes you feel like you or your environment is spinning. Disequilibrium causes balance problems and instability.

4. Numbness or Tingling

Sitting in one position for a long time can cause numbness or tingling. But numbness or tingling that comes on suddenly or lasts for long periods could be a deeper concern. A neurologist can help determine what’s causing these symptoms and offer treatment options. 

Numbness or tingling that affects one side of your body could also be a sign of a stroke . Call 911 or seek emergency medical help if you experience any stroke symptoms.

5. Weakness

Lifting heavy weights or other intense activities can cause muscle fatigue. Sudden muscle weakness or loss of mass could be a symptom of a neurological condition.

Speak with your doctor if you experience sudden or severe weakness. A neurologist can order tests to understand why and find effective treatment. 

6. Movement Problems

Unintentional jerks, movements, or tremors can all point to problems with your nervous system. Sometimes, movement problems can be a medication side effect, symptom of anxiety, or sign of a neurological condition.

A neurologist will run tests to diagnose or rule out movement disorders . They offer long-term treatment to help you manage symptoms if you have a movement disorder. 

7. Seizures

Seizures are uncontrollable bursts of electrical activity in your brain. They can cause a range of symptoms, from staring spells and strange sensations to a loss of consciousness. Seizures are often a symptom of a neurological disorder called epilepsy .

Untreated seizures can be dangerous. It’s important to see a neurologist if you experience seizures. A neurologist can order tests to find out what’s happening in your brain during a seizure. They can also offer medications and other treatments to control your seizures.

8. Vision Problems

Vision loss is often a normal part of aging. But sudden, severe vision loss could have a neurological cause.

See your doctor if you experience any sudden vision changes. Your primary care provider or eye doctor can help you determine whether you need to see a neurologist.

9. Memory Problems or Confusion

Memory loss and confusion can point to problems with your brain, spine, or nerves. Brain injuries, tumors, and conditions like Alzheimer’s disease can all cause memory problems.

A neurologist can help determine whether dementia or another underlying disease is causing memory challenges. They may prescribe medications to slow dementia and treat other memory-related diseases. 

10. Sleep Problems

Many people have trouble sleeping if they stay up too late or drink too much caffeine. But long-term sleep problems can be a sign of a medical condition.

Talk with your primary care provider if you experience sleep problems. Some sleep disorders , such as narcolepsy or restless leg syndrome , are neurological problems. A neurologist can prescribe medications and other treatments to manage these conditions. 

What Does a Neurologist Do?

Neurologists diagnose and treat nervous system conditions. They may use tests to evaluate your neurological function:

Ability to feel sensations

Balance and coordination

Muscle strength

Vision and speech skills

After diagnosis, they provide ongoing treatment for neurologic conditions. For example, they may prescribe medications, monitor your condition, and connect you with therapy services.

Many neurologists treat a wide range of neurological conditions. Others subspecialize in certain conditions, such as headaches , epilepsy , or cognitive disorders .

Differences Between a Neurologist and Neurosurgeon

You may see a neurologist or a neurosurgeon for a brain, spine, or nerve condition. Usually, you’ll see a neurologist for diagnosis and ongoing care. You’ll see a neurosurgeon if you need surgery.

Both neurologists and neurosurgeons will examine you and ask about your symptoms. Both specialists may order tests to understand your condition better. 

You’ll typically see a neurosurgeon for a shorter period. They will help you understand surgical options and what to expect during surgery. You will see a neurosurgeon for follow-up care after surgery, but work with a neurologist to manage your condition long-term.

Why Would I Be Referred to a Neurologist?

Your primary care provider may refer you to a neurologist for a brain, spine, or nerve condition. They may recommend you see a neurologist if they’re unsure of your diagnosis or unable to treat your symptoms effectively.

What to Expect at Your Neurologist Appointment

Your first neurologist appointment may take 1–2 hours, depending on your condition. It’s helpful to prepare for your first visit with a neurologist. You’ll want to take several steps to make the most of your appointment:

Fill out medical history forms and other paperwork the office sends you.

Make a list of your medications to give to the neurologist.

Send any previous imaging to your neurologist’s office.

Write down your questions.

Talking With Your Neurologist

Your neurologist will ask about your health history during your first visit. They’ll want to know several details about your condition:

How long you’ve had symptoms

What symptoms you experience

What treatments you’ve tried

Physical Exam

Your neurologist will conduct a physical exam. They may use tests that evaluate several aspects of your nervous system:

Coordination

Additional Testing

Your neurologist may order additional tests, depending on your symptoms:

Blood tests

Electroencephalograms (EEGs)

Lumbar puncture

Nerve conduction studies and electromyography (EMG)

Diagnosis & Treatment

Your neurologist will use the information from your health history, physical exam, imaging, and other tests to make a diagnosis. Then, they will come up with a treatment plan. Your treatment may include several aspects, depending on your diagnosis:

Ongoing monitoring

Prescription medications

Recommendations for lifestyle changes

Referrals to other specialists, such as a physical therapist , pain specialist , or neurosurgeon

How to Make an Appointment With Our Neurologists

Call 801-585-7575 or request an appointment online to see one of our neurologists. Provider referrals are welcome but not necessary.

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Knowing What To Expect And Ask For Neurologist Appointment

Seeing a neurologist for migraine can make people feel anxious and nervous, but this feeling often stems from unpreparedness because many people do not know what to expect at a neurologist appointment. Once you gather all the necessary paperwork and know what to expect at a neurologist appointment, this feeling may subside or even vanish completely. Once you are prepared, you are closer to finding a neurologist specializing in migraine near you!

Another reason for dismay is the classic fear of the unknown. If you don’t know what to expect from a visit to your neurologist, it can bring up a myriad of concerns and a high level of anxiety. Not knowing what’s waiting for you in the doctor’s office – what kind of uncomfortable procedures, tests, or questions you will be asked – will unequivocally raise disquietness and make the whole experience needlessly stressful.

We’ve devised a comprehensive guide that will come in handy next time you’re preparing for your neurologist appointment.

What Questions Will Your Neurologist Ask On Your First Visit?

Your very first visit to a neurologist might be the most uncomfortable for you, simply because you’re not sure what to expect. You may even be hesitant to visit a migraine doctor because you do not know when to see a doctor for a migraine. However, it is important to still consult a migraine doctor specialist to review your symptoms. Plus, the first visit usually entails a number of personal questions or unpleasant tests and procedures. Knowing what a migraine doctor does on your first visit will help you to better prepare yourself. For starters, a neurologist or migraine doctor will be enquiring about some headache or migraine-related information from you:

Step 1: Migraine Patient History

The first step will be to allow the neurologist to know the migraine condition better. This is important as migraine comes in four different stages, such as migraine postdrome, migraine aura, migraine prodrome, and so on. You will be asked a lot of questions that will help her or him to establish a diagnosis and a possible course of treatment. Make sure to answer every question about your conditions honestly and unambiguously. As a medical professional, a doctor specializing in migraine will have to assess the migraine attacks.

You will likely be asked to describe the migraine attacks and what brought you to a migraine doctor. Depending on your symptoms, she or he will ask you further questions like when did the migraines start, if there are any exacerbating factors, the severity of the symptoms, and others. Most migraine doctors will try to eliminate other possible diagnoses and will ask questions that you might find irrelevant, but trust her or him!

You will have to answer questions regarding any drugs or medications you’re taking, more specifically: 

• Dose, frequency, route, and compliance of all medications
• Recreational drugs
• Intravenous drug use
• Over-the-counter (OTC) medications 

Another important thing is to mention any allergy you have and your history of anaphylaxis. 

Furthermore, disease history, family history, and social history (traveling, alcohol intake, and others.) are pivotal parts of your medical history. Mention any brain injury, disease, and conditions that run in your family so your doctor can stay on top of your problem.

Now is not the time for shame or embarrassment – you’re not doing yourself a favor by keeping things from a medical professional. Your doctor needs to know every single detail about your patient history in order to come up with a correct diagnosis and the right treatment plan for your condition. 

Step 2: Neurological exam

What follows is a neurological exam . The neurologist will check your: 

• Mental status
• Speech 
• Coordination

Step 3: Additional tests

If deemed necessary, your neurologist may order some additional neurological diagnostic tests and procedures that include: 

• Laboratory screening tests: Testing the blood, urine, and other bodily fluids can help the doctor understand and see what is going on in your body. 
• Magnetic Resonance Imaging (MRI): An MRI takes about 30 minutes, and it is done with the intention to take pictures of your inner brain through magnetic fields and radio waves. 
• Computerized Tomography (CT) or Computerized Axial Tomography (CAT) scans: CT or CAT scans provide multi-dimensional images of your body.
• Electroencephalogram (EEG): During an EEG, electrodes attached to your scalp record electrical activity in your brain. 
• Transcranial Doppler (TCD): An ultrasound probe that measures blood flow in your brain via sound waves will be placed on your head. 
• Lumbar Puncture or Spinal Tap: This entails taking your spinal fluid with a needle and further testing it for infections, bleeding, and others. 
• Electromyogram (EMG): This test helps find the cause of pain, numbness, and weakness by tracking electrical activity in your muscles and nerves. 

Keep in mind that you may not have to undergo all of these tests at your visit. Your doctor will determine what kind of tests you need based on your symptoms. Furthermore, don’t let the sheer amount of tests and procedures frighten you – most of them won’t hurt, although they may cause slight discomfort like any other medical test. 

How long will the appointment last?

It depends on a multitude of factors – is it your first appointment, do you need to take additional tests and screenings or not, and similar. Your first neurology appointment usually takes longer because it entails a few steps that aren’t a part of the follow-up exams, like getting a patient’s history. 

What To Bring To A Neurologist Appointment

Symptom diary 

If you suffer from a chronic condition, one particularly helpful thing to bring would be your symptom diary . This is one of the most effective measures you can take to help your doctor in the evaluation of your condition. You can use MigraineBuddy (available on iOS and Android ) to track each migraine attack. MigraineBuddy’s helpful features can help you get better insight into your health and they can aid in discovering the triggers for your migraines.

Keeping tabs on things like new symptoms, changes, headache frequency, severity, triggers, duration, and response to medication, including side effects, will provide a full picture for your doctor. It might be less stressful to log this information before your appointment rather than in the waiting room, where you might feel rushed or distracted. More importantly, tracking your episodes “on the fly” or whenever they occur, give you a more precise report as compared to trying to remember all of them afterwards.

A friend or a family member

Besides a diary that describes your symptoms, it’s also a smart idea to bring a friend or a relative , someone who can listen carefully to your doctor, take notes, and ensure you didn’t miss anything.

Chances are you will receive plenty of information during your appointment, and having someone by your side will take a lot of pressure off of you. This way, you can pour all your focus and feel more relaxed for the tests, procedures, and similar.

Another benefit of having someone with you at your appointment is that they can assist with your history. 

Previous test results

If you’ve done any tests or procedures before, it’s important to bring them to your appointment. Unless all of your doctors are networked through a common electronic records system, they probably don’t have access to your previous test results and laboratory work. Don’t forget to include the images if you’ve undergone an MRI and similar tests. 

Medication list

In case you suffer from more than one condition, and you’re taking medication for them, you ought to prepare a list of them all for your appointment. 

When the doctor takes your history, she or he will ask you what kind of drugs and medications you use, so it could help to have a list of treatment plans prepared instead of trying to think on the spot. Not to mention that this way you won’t forget to list any medications, which could easily happen if you’re trying to remember them at the moment.

Make sure to include all the medication – prescription, over-the-counter, and any vitamins or supplements you’re using. It is very important because medications can sometimes interact with each other and you want to avoid any side effects because of this interaction. By the way, it is also smart to ask your pharmacist: they know everything about medication interaction.

Insurance information

One thing that many patients overlook is insurance information . When you make the first appointment, find out what kind of documentation you need to bring regarding insurance. 

Some neurology clinics require their patients to bring their insurance card or an ID to verify benefits and coverage limitations with their insurance company, and so forth. It’s best to discuss all financial concerns prior to your appointment before you incur any fees.  

Patients also need to include information about other health care providers in case their medical care is not coordinated under one health care system with universal access to their health records. Each patient is advised to bring a list of all their physicians and their info.

We recommend you follow the step-by-step guide on how to prepare your visit with your Migraine Buddy records inside the app.

Questions To Ask Neurologist Near You

You want to stay on top of your condition and be prepared for what may come. When you visit your neurologist, think up a few questions that will help you better understand your medical condition . These question may include, but are not limited to: 

• What kind of tests do I need, and do they require any special preparation?
• What is the most likely cause of my condition?
• What side effects can I expect, and what to do if they appear?
• What are the best treatment options for my diagnosis?
• What can help alleviate the pain besides medication?
• Can I make any lifestyle changes that will help me with the pain and other symptoms?
• How will this diagnosis impact my everyday life?
• Do I need to see other doctors for follow-up exams?

It goes without saying that you can ask questions about any concern or fear you might feel. Don’t be quiet about any matter just because it seems embarrassing or uncomfortable; your doctor will be happy to discuss them with you and provide you with much-needed information.

After An Appointment

Just before you finish your appointment, be absolutely sure you understand everything and have no remaining questions for your doctor. If new medication has been added to your treatment plan, you must know what it does, when to take it, how much to take, potential side effects, and what to do if they occur. 

Since most patients have a long-term relationship with their migraine neurologists, it can’t hurt to make your next appointment right then and there. When your ongoing appointment is finished, ask for a new appointment because neurologists and migraine headache doctors are often booked months in advance. Finding doctors who treat migraines will be easy with Google. You can even ask for migraine doctor recommendations near you from the Migraine Buddy community on the app! Regardless, having a trusted doctor for migraine you can go to anytime is definitely beneficial for you.

As soon as you leave the migraine doctor’s office, compare notes with the person you’ve brought to your appointment. There is a good chance you’ve misunderstood something, and if anything remains unclear, consult your doctor right away. 

Jenny from Migraine Buddy

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Rico Wade, key Outkast producer and member of Organized Noize, dies at 52

Rico Wade , a member of the pioneering Atlanta-based production trio Organized Noize and a  key early Outkast collaborator , has died, according to an Instagram post by his close friend Killer Mike and the  Atlanta Journal-Constitution . No cause of death was cited; he was 52.

“I don’t have the words to express my deep and profound sense of loss,” Killer Mike wrote. “I am praying for your wife and children. I am praying for the Wade family. I am praying for us all. I deeply appreciate your acceptance into the Dungeon Family, mentorship, friendship and brotherhood. Idk where I would be without y’all.”

Wade’s family released a statement about his passing, writing, “We are deeply saddened by the sudden and unexpected passing of our son, father, husband, and brother Rico Wade. Our hearts are heavy as we mourn the loss of a talented individual who touched the lives of so many. We ask that you respect the legacy of our loved one and our privacy at this time.”

Organized Noize and the Dungeon Family also put out a statement reflecting on his legacy and meaning to the collectives. “We are devastated by the news of the passing of our dear brother Rico Wade. The world has lost one of the most innovative architects in music, and we have lost an invaluable friend. Rico was the cornerstone of Organized Noize and the Dungeon Family, and we will forever treasure his memory and the moments we shared, creating music as a united team. Our hearts weigh heavy with sorrow, and we kindly request privacy and empathy during this challenging period. Rico’s presence will always have a special spot in our hearts, and in the music we presented to the world.”

The Organized Noize songwriting-production team — which also featured Ray Murray and Sleepy Brown — was formed in the early ‘90s and played a pivotal role in early releases by Outkast, TLC, Goodie Mob and many others, and were frequently shouted out or featured on those recordings. Along with Jermaine Dupri, their sound, which was as indebted to classic R&B as hip-hop, defined the city’s burgeoning scene of the era, which would lay the framework for Atlanta’s dominance as a hip-hop capital in the coming decades.

The extended collective around the scene was known as the “Dungeon Family,” which also included Killer Mike and Big Rube.

Wade’s studio in the city’s East Point neighborhood, “the Dungeon,” was not only the birthplace of many of the era’s hits, it featured in many of them as well — “We havin’ a smokeout in the Dungeon with the mary jane,” Outkast rapped on “Ain’t No Thang,” from their galvanizing 1994 debut.

Information on survivors was not immediately available, although Wade is related to rapper Future.  

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