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Movement Disorder Specialty Clinics


Services

  • Weekly Botulinum Toxin Clinic specializing in the treatment of cervical dystonia (spasmodic torticollis), blepharospasm, hemifacial spasm, cranial dystonia, cervical dystonia, focal limb dystonia, writer’s cramp, and drooling.
  • Monthly Specialty Clinics dedicated to comprehensive evaluation by a movement disorders specialist, physical, occupation, speech therapists in interdisciplinary clinics for patient with Parkinson’s disease, essential tremor, atypical parkinsonism (progressive supranuclear palsy, multiple systems atrophy, corticobasal ganglionic degeneration), genetic ataxias, Huntington’s disease
  • State – of – the – art Advance Therapeutics program, including deep brain stimulation surgery and high – frequency focus ultrasound procedures for patient with eligible movement disorders
  • Neuropsychological evaluation for Parkinson’s disease and other movement disorders.
  • Genetic counseling for patients with movement disorders and their families.
  • Autonomic testing – a series of tests that help doctors understand how well a patient’s nervous system is working.
  • Bimonthly comprehensive movement disorders team meetings where we discuss individual treatment care plans for our patients.
  • Neurology-specialized outpatient rehabilitation at both and REX including , , , swallow evaluation, driving evaluation, and cognitive therapy
  • PWR for Parkinson’s exercise classes at
  • Referrals to rehabilitation therapies, genetic consultations, neuropsychological evaluations, pelvic health, palliative care and hospice, and more, across the state
  • Connection to community resources such as mental health counseling, exercise classes, in-home care, support groups, and more
  • Research with focus on neuroimaging, clinical trials, quality of life factors, and patient care models
  • Short-term problem-solving counseling and family care partner support
  • Parkinson’s support group, DBS Support Group, PSP & CBD support group, and MSA support group Contact Maggie Ivancic for additional details and get involved
  • Educational programs for patients and care partners, such as “,” “PD 301 for Advanced Parkinson’s,” “Women & Parkinson’s,” “Maintaining Strong Partnerships for Parkinson’s Couples”, , and “”
  • Pharmacy and financial counseling

Frequently Asked Questions

How do I prepare for an appointment with a movement disorders specialist?
Keep a detailed diary or log of your movement symptoms, noting when they occur, how severe they are, and what triggers them.
Compile a comprehensive list of all medications you are currently taking, including prescription drugs, over-the-counter medications, and supplements, with dosages.
Bring any relevant medical records, test results, or imaging scans related to your movement disorder.
Write down specific questions you have about your condition, treatment options, and potential side effects.
Consider bringing a family member or close friend to help you remember information and ask questions during the appointment.
Be prepared to explain how your symptoms affect your daily activities and quality of life.
If I am already taking medications that help with my movement disorder, should I stop them before the appointment to ensure my symptoms are visible?

No, we usually want you to continue with the medications you were already prescribed, especially if they are helpful in controlling your movements

Consider timing

Schedule your appointment around your medication schedule to ensure the doctor sees your symptoms at their most accurate state.

What can I expect to happen during the appointment with a movement disorders specialist?
The doctor will ask about your symptoms, when they started, how they have progressed, and any other relevant medical conditions.
The doctor will perform a thorough neurological exam, including assessments of your movement, coordination, reflexes, and muscle tone.
Based on your diagnosis, the doctor will discuss potential treatment options including medications, physical therapy, and lifestyle modifications.
How do I prepare for an appointment for consideration of deep brain stimulation or for focus ultrasound?

Visit the Deep Brain Stimulation Clinic and the Focus Ultrasound Clinic page for more details.

How do I prepare for an appointment for Autonomic Testing and Clinic
There are many medications that can affect the results of the autonomic testing. Please discuss with your provider if you should stop any medication prior to testing. A list is available on our referral Form.

Patient Education