Resources
You are encouraged to use the resources available on the internet. It is important use reputable sites. Here are several which we recommend:
General Neurology Guidelines
The field of neurology includes all diseases of the nervous system.
https://www.aan.com/Guidelines/ Here you will find AAN recommended general guidelines in the management of various neurological diseases.
General Medical Literature Search
https://www.nih.gov/ This is the website for our nation’s medical research agency. You can explore the latest information and ongoing research of neurological and medical diseases. You may qualify to enter a research study if this interests you.
https://www.ncbi.nlm.nih.gov/pubmed/ If you are interested in in-depth research this is a great place to start. Spend some time learning how to use this comprehensive tool at:https://www.ncbi.nlm.nih.gov/books/NBK3827/#pubmedhelp.PubMed_Quick_Start
Multiple Sclerosis
Multiple sclerosis is an autoimmune disease of the central nervous system which includes the brain and spinal cord. The disease causes inflammation of nerves and myelin. The symptoms of multiple sclerosis can vary including numbness, weakness, imbalance and visual disturbance. The disease is diagnosed by history, physical exam and MRI of the central nervous system. We sometimes need electrical tests and spinal fluid analysis.
Multiple sclerosis is a treatable condition; treatment includes disease modifying therapies, medication for symptom management and exercise/physical therapy. Our practice supports a holistic and team approach to patient care. If patients are interested in alternative therapies for their disease or to supplement their treatment, we are open to discussion.
https://www.nationalmssociety.org/ If you or a loved one is diagnosed with multiple sclerosis, you should start with this website of the National MS Society.
Peripheral Neuropathy
Peripheral neuropathy is a disease of the nerves outside of the brain and spinal cord. Often patients complain of; numbness, pain and weakness in their feet or lower legs. There are also neuropathies which involve the arms, face or all limbs. Many neuropathies are treatable if the underlying cause can be identified. There is symptomatic treatment available as well.
https://www.foundationforpn.org/ This is a good resource for people diagnosed with peripheral neuropathy.
EMG and Nerve Conduction Testing
EMG and nerve conduction studies are very useful tests in the diagnosis and management of neuromuscular conditions. These include peripheral neuropathy, autonomic conditions and myopathy (muscle disease). https://www.aanem.org/Patients Here you will find out what to expect during your EMG and nerve conduction study test along with other test information.
Parkinson’s Disease
Parkinson’s disease is a neurodegenerative disease which causes tremor, stiffness and weakness. Symptomatic treatment is effective and the disease is managed together with the patient and family. Medications and routine visits are involved in managing this condition.
http://parkinson.org/ This is a good place to start when diagnosed with Parkinson’s disease.
Movement Disorders
This is an excellent resource for information on disorders of movement including tremor, the Parkinson’s variants, dystonia, the use of botulinum toxin ( Botox) and more.
https://www.movementdisorders.org/MDS/Resources/Patient-Education.htm
Seizures
Epilepsy or seizure disorder causes recurrent events called seizures or “brain storms”. These can vary from shaking of muscles, sensory symptoms and alteration or loss of consciousness. There are many types and causes of seizures. Anti-epileptic medication is quite effective in controlling most seizure disorders.
https://www.epilepsy.com/ This is a good place to start when diagnosed with epilepsy.
Headaches
Headache disorders are one of the most common conditions neurologists diagnose and treat. It is best to ask your neurologist for guidance before delving into the internet. This is an AAN website which you may find useful in beginning your research. http://patients.aan.com/disorders/index.cfm?event=view&disorder_id=936
Gait Disorders
Walking and balance problems are very common especially as we age. These can cause falls, fear of falling and loss of independence. Dr. Melchionna is very interested in gait disorders. Many of these problems can be helped but first require proper identification and diagnosis.
https://www.movementdisorders.org/MDS/About/Movement-Disorder-Overviews/Gait-Disorders.htm
https://www.ispgr.org/cpages/homepage
https://www.hydroassoc.org/normal-pressure-hydrocephalus/
Muscular Dystrophy
This includes many diseases such as Lou Gehrig’s disease, spinal muscular atrophy, Charcot-Marie-Tooth disease, myotonic dystrophy. Here is a good place to start. Also, there are MDA clinics in our area that provide comprehensive services.