Best Neurologists In Richmond Hill On
Expert recommended Top 3 Neurologists in Richmond Hill, ON. All of our neurologists actually face a rigorous 50-Point Inspection, which includes everything from checking reviews, ratings, reputation, history, complaints, satisfaction, trust and cost to the general excellence. You deserve only the best!
DR. WARREN CAINER GOLDSTEIN
Heres The Deal:Dr. Warren Cainer Goldstein is a leading neurologist who graduated from the University of Toronto in 1980. He is renowned for treating multiple sclerosis and athetosis and provides excellent treatment for chronic headaches and neuromuscular disorders. Dr. Warren has wide experience in dealing with the most complicated neurological problems and has a flexible schedule for his patients. He delivers quality healthcare if you are looking for a perfect diagnosis and an effective treatment plan. Patients can make flexible appointments for their treatments at Dr. Warren Cainer Goldstein’s office.
SPECIALTY:Migraines, Cerebral Palsy, Brain Injury, Post Stroke, Ataxia, Epilepsy, Migraine, Seizures, Electromyography, Neck and Back Pain, Movement, Nerve, Neurological & Muscle Disorders
SPECIALTY:Acute Spinal Cord and Head Injuries, Migraines, Alzheimer’s Disease, Hydrocephalus, Guillain-Barré Syndrome & Headache
DR. RATHA SANTHIRAMOHAN – MACKENZIE HEALTH HOSPITAL
10 Trench Street, Richmond Hill, ON L4C 4Z3 DIRECTIONS
Research And Clinical Trials
OHSU scientists have long been at the forefront of research into Parkinsons disease. Over the years, we have played a role in every major development in Parkinsons care. Our work includes:
Clinical trials: The OHSU Brain Institute offers clinical trials for patients with varying stages of Parkinsons disease. We have research happening across many sites, so if you qualify, you may not need to travel to Portland to take part.
Parkinsons disease: We are conducting research on psychological and physical aspects of Parkinsons, including:
- How stress affects the progression of the disease.
- Ways to slow the breakdown of dopamine, a brain chemical that plays a central role in Parkinsons.
- The role of protein buildup, with the goal of developing and testing a new medication.
Balance Disorders Laboratory: Researchers in our Balance Disorders Laboratory are exploring the connection between motor signals and balance to develop rehabilitation approaches.
Improving deep brain stimulation devices: DBS uses open-loop devices, which deliver constant stimulation even if symptoms are absent. Were exploring a closed-loop device to provide stimulation only as needed.
Health Care Utilization And Outcomes
In a subgroup of 124,173 Medicare beneficiaries with a claims diagnosis of PD but without incident stroke/TIA, those cared for by a neurologist had the lowest 1-year SNF placement rates compared with patients cared for by all types of primary care physicians . The highest SNF rate was among those seen by geriatricians , followed by internists and then family practice physicians . In a logistic regression model that adjusted for age, race, sex, comorbidity index, and socioeconomic deprivation, patients with PD who received neurologist care were less likely to be placed in a SNF . In an analysis of all incident cases of PD, treatment by a neurologist was associated with a lower likelihood of hip fracture .
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Accurate Parkinson’s Disease Diagnosis
Parkinson’s is challenging to diagnose because symptoms, such as difficulty walking, can be a sign of other movement disorders. Some people have parkinsonism. This group of diseases causes Parkinson’s-like symptoms that do not respond to Parkinson’s treatments.
At Cedars-Sinai, we consider your health history and perform a nervous system exam before confirming a Parkinson’s diagnosis. Our years of experience enable us to detect subtle symptoms that do not show up on other tests.
Tests may include:
Testing your response to a Parkinson’s drug, levodopa, allows us to rule out some other movement disorders. Levodopa boosts dopamine levels and is not an effective treatment for other movement disorders. If your symptoms improve with levodopa, you likely have Parkinson’s.
We may use this noninvasive imaging test to help rule out Parkinsonian syndrome. This group of disorders causes movement problems similar to Parkinson’s but might not stem from the disease. Learn more about DaTscan.
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What Are Some Neurology Subspecialty Fields
Some neurology subspecialty fields include:
- Brain injury medicine.
- Vascular neurology.
A note from Cleveland Clinic
A neurologist is a medical doctor who specializes in diseases and conditions affecting your brain, spinal cord and nerves. Your neurologist will examine you, order tests, make a diagnosis, treat your condition with medication or physical therapy or refer you to and work together with other specialists, such as a neurosurgeon or neuro-oncologist, if appropriate. Come prepared with your notes, share your health information and never hesitate to ask questions. Your neurologist is here to help diagnose your condition, treat or manage it as best as possible and support you along the way.
Getting To A Movement Disorder Specialist
If you live in a rural area or have difficulty traveling, it may be challenging to find or visit a movement disorder specialist. One option might be to travel to see a movement disorder specialist once or twice a year and follow up with a local general neurologist or primary care doctor more frequently. Any time spent with a specialist may be helpful.
Technology, too, may help. Some hospitals and services can connect you with a Parkinson’s specialist without you having to leave your home. Parkinson’s Disease Care New York, for example, offers people in the state of New York video calls through a computer, tablet or smartphone with a movement disorder specialist, a neurologist or a Parkinson’s-trained nurse at no cost. Ask your doctor or support group about telemedicine opportunities.
Be Part of the Answer
You have the power to impact your future and the future of millions living with Parkinson’s disease. Explore clinical research participation today.
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Research & Clinical Trials
Our team of physicians is actively involved in research to better understand the causes of Parkinsons disease and to identify new treatments. Since 2013, MGH has been the home to the Parkinson Study Group, the largest not-for-profit network of Parkinsons centers in North America. As a patient, you may have the opportunity to participate in:
- Clinical trials for new investigational drugs
- Research studies to find new and better ways to diagnose and monitor Parkinsons disease
- Studies that improve delivery and quality of care for Parkinsons patients
If you are interested in volunteering for research, please ask to speak with a research coordinator or browse our list of movement disorders clinical trials.
Doctors Who Treat Parkinsons Disease
Primary care physicians are often the first to see patients with symptoms of Parkinsons disease. Symptoms of Parkinsons disease mimic those of other conditions, and Parkinsons disease is widely misdiagnosed. Since early and expert intervention can ensure proper diagnosis and effective treatment, it is important to be evaluated at an advanced brain center as soon as possible.
The multidisciplinary team at the Weill Cornell Medicine Brain and Spine Centers Movement Disorders service expert neurosurgeons along with their team of physicians, nurse practitioners, physician assistants, nurses, physical therapists, and pain management specialists provide comprehensive, integrated care for patients with Parkinsons disease and many other conditions of the brain. Patients receive a complete continuum of care, from diagnosis to treatment and recovery.
We generally begin with nonsurgical, non-invasive options to treat Parkinsons disease, usually managed by one of our expert movement disorders neurologists . For patients who do need surgery, we offer the latest in minimally invasive and non-invasive surgical techniques using state-of-the-art equipment. Patients respond faster, have less pain, and get back to their normal daily activities sooner than they could with older surgical methods.
At the Weill Cornell Medicine Brain and Spine Center, patients with Parkinsons disease may also be seen by:
- Associate Professor of Clinical Neurological Surgery 718-780-5176
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Peripheral Neuropathy And Parkinsons Disease
A number of studies have tried to determine if PN is more common among people with PD as opposed to people without PD. PN is a relatively common condition in the general population, which makes it difficult to ascertain whether or not it is even more common among people with PD.
The available studies have varying results and are difficult to compare with each other as they:
- Include different types of populations of people with PD
- Assess peripheral neuropathy differently
- Assess for causes of peripheral neuropathy differently
A recent review looked at all the available data and determined that large fiber neuropathy was present in 16% of patients with PD, about double the prevalence of this condition in the general population. Skin biopsy-proven small fiber neuropathy was present in over 50% of people with PD, although this result was based on a small sample of patients.
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Want More Articles Like This
Much more can be found inourEvery Victory Counts®manual.Its packed with up-to-date information about everything Parkinsons, plus an expanded worksheets and resources section to help you put what youve learned into action.Request your free copy of theEvery Victory Countsmanual by clicking the button below.
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What Is A Neurologist
A neurologist is a medical doctor who diagnoses, treats and manages disorders of the brain and nervous system . A neurologist knows the anatomy, function and conditions that affect your nerves and nervous system. Your nervous system is your bodys command center. It controls everything you think, feel and do from moving your arm to the beating of your heart.
Allied Health Providers Should Also Be Specialists
People living with PD benefit most from a comprehensive, team-based healthcare approach. The Parkinsons Foundation promotes an allied health team approach in our Centers of Excellence network. Having a group of medically diverse experts effectively managing your PD symptoms can maximize your quality of life.
While some people find all of their specialists in one practice, in most cases, the person with PD will have to build a team.
Look for the following allied health providers who have expertise in treating people with Parkinsons:
- Physical Therapist
Learn more about building your Parkinsons care team by listening to our podcast Substantial Matters: Life and Science of Parkinsons podcast episode Team Care for PD: Why Its Important. Find expert care in your area by calling the Parkinsons Foundation Helpline at 1-800-4PD-INFO .
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Physician Encounter And Referral Patterns
Medicare provider specialty codes identified the physician specialty for each patient encounter. We restricted analysis to patients with PD who had claims generated by physicians specializing in neurology, internal medicine, family practice, or geriatric medicine . We calculated neurologist encounter rates over a 48-month period by examining carrier files for the cohort from January 1, 2002, to December 31, 2005 . Logistic regression with incident cases for the primary analysis was used to determine the odds of receiving neurologist treatment. In a second model, we assessed the effect of racesex combinations on the likelihood of receiving neurologist care. Both models included the following covariates: modified comorbidity index and socioeconomic deprivation.
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Why Should You See A Specialist
Movement disorder specialists are more likely to be aware of which healthcare professionals may be helpful with day-to-day challenges.
These professionals may include physical therapists, occupational therapists, speech therapists and nutritionists.
Many movement disorder specialists perform clinical or basic science research in addition to caring for patients, making them more likely to discuss the role and importance of clinical trials.
Recent research shows that people newly diagnosed with PD who went to a neurologist lived longer than those who saw a primary care provider in fact, they were 20 percent less likely to have died after six years and 20 percent less likely to need placement in a skilled nursing facility . After one year of follow up, they seemed less likely to have experienced injuries from falls they were 14 percent less likely to have broken a hip
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What To Look For In A Parkinsons Care Team
If you or a loved one is diagnosed with Parkinsons disease, the first important task is to choose a care team. But how?
Its often helpful to visualize yourself at the center of a circle, surrounded by a team of expert supporters and caregivers. The experts at the Johns Hopkins Parkinsons Disease and Movement Disorders Center provide tips on who should make up your team. Its important to keep in mind that youre all in this together, managing a progressive, chronic disease. Key players to look for include:
In Addition To Getting Treatment From A Neurologist Are There Other Support Groups I Can Tap Into
Many people find it helpful to join a support group to help manage the physical and psychological effects of the day-to-day realities of Parkinsons disease. It is not hard to find a support group in your area. They are organized all over the country by many different organizations.
Support groups vary in size and format, so dont feel discouraged if it takes more than one try to find a suitable group. If you arent interested or cant leave your home, there are also online groups and forums that can help reduce the isolation that can come with Parkinsons disease. Ask your doctor or health care provider, if you need help finding groups in your area.
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Finding The Right Movement Disorder Specialist
Having the right partnership with your doctor can make a difference, not just in managing your Parkinsons symptoms but also in how supported you feel overall. Its important for you to feel confident in that relationship and to have access to a treatment team that meets your needs.
Finding a good movement disorder specialist is a lot like hunting for a good dentist or a good mechanic: You need to ask around. Your primary care doctor or neurologist may be a good place to start. Or ask people in your support group, if you attend one, whom they see. You can also try contacting one of the national Parkinson’s organizations.
In choosing a doctor, consider how much the doctor knows and how well the doctor listens. Remember, no two cases of Parkinson’s disease are alike. Having a doctor who understands this, and who listens to you, is crucial.
With any Parkinson’s doctor, you are a partner in your care. Educate yourself about PD. Parkinson’s is different for everyone, and you can’t get the best care unless you’re specific about what you are experiencing. It’s okay to ask why particular treatments or therapies are being recommended , and it’s okay to get another opinion.
The MDS Movement Disorders Specialist Finder can help you locate a doctor in your area.
Neurologists Located In Miami Fl
Parkinsons disease is one of the most common neurological disorders, affecting about 1 – 1.5 million people in the United States. Roughly 65,000 Americans are newly diagnosed each year, and its estimated that thousands of cases go undetected. The team of neurologists at The Neurology Group in Miami offer comprehensive care for Parkinsons patients, specializing in advanced therapies and, research-driven treatment. If you or someone you love has Parkinsons disease, call the office or book your appointment online today.
- Request Appointment
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What Are The Symptoms Of Parkinsons Disease
Although the signs of Parkinsons vary from person-to-person, the disorder has four key motor symptoms, including:
- Tremors in the hands, arms, legs, or jaw
- Muscle rigidity or stiffness in the arms, legs, or trunk
- Bradykinesia, or slowness of movement
- Postural instability, or impaired balance and coordination
Patients with Parkinsons disease may also be affected by a range of other symptoms, such as:
- Severe fatigue or sleep disturbances
- Chronic pain
- Constipation or urinary problems
Review Your Treatment Plan
Besides these basic questions, the most important way to choose the neurologist you will work with is by listening to the treatment plan she puts together for you. Does it make sense? Does your healthcare provider discuss it with you after considering your personal needs, goals, and symptoms? Does she mention that the treatment plan needs to be flexible and be re-evaluated over time? Does she try to integrate the plan into your everyday life and needs?
You need to use your common sense when choosing a Parkinsons disease neurologist/specialist. You cannot healthcare provider yourself. You need to trust at some point that this highly trained specialist knows what he or she is doing.
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Risk Factors For Parkinsons Disease
While a primary cause for PD is not yet known, certain risk factors can increase a persons likelihood of developing the disease:
- Age: PD is rare in young people. People who develop the disease are usually around 60 or older, and the risk increases with age.
- Exposure to environmental toxins: Exposure to certain herbicides and pesticides can increase risk.
- Gender: Men are more likely to develop PD than women. On average, three men will develop the disease for every two women.
- Heredity: Having a close relative with PD increases the chances of developing the disease. However, that risk is still small unless family members develop the disease at a young age.