ABOUT US PATIENT RESOURCES INSURANCES SERVICES CONTACT Services Back Pain Chronic back pain can be caused by many underlying neurological complications and may not respond well to standard treatments or over-the-counter medication. Our medical team addresses pain at the source with state-of-the-art interventional methods, such as epidural steroid injections, to effectively manage patients' symptoms. Botox Botox® injections are an effective and minimally invasive treatment for conditions such as chronic migraines and cervical dystonia. By blocking nerve signals that cause muscles to contract, Botox® forces targeted muscles to relax. When treating chronic migraines, injections administered by a specialist can reduce the frequency and intensity of headaches. Botulinum Toxin Therapies This is a treatment that has long been used to reduced muscle spasm for disorders such as stroke and cerebral palsy. Other conditions that are treated with these injections are movement disorders such as dystonia and blepharospasm. Carpal Tunnel Syndrome Carpal Tunnel Syndrome is a condition that causes hand weakness, wrist pain, and a sensation of numbness or tingling in the hands. To prevent further nerve and muscle damage, as well as manage pain, our specialists design a treatment plan specifically tailored to the individual. Comprehensive Headache Management We are excited to announce the opening of the Northwest Florida Headache clinic located on the first floor of the State avenue Neurology office. This is a unique office in which long time sufferers of headache can receive the latest in headache therapies. This can range from bio-feedback training to Botolinum "Botox" injections. Acute care for severe headaches is also available such as injections infusions and magnetic stimulation. Dementia Dementia describes a set of symptoms that interfere with everyday living, such as memory loss, difficulty thinking, and reduced social ability. The symptoms of Dementia can be slowed if diagnosed early enough, which will help prolong healthy brain functioning. Dizziness Dizziness is a term used to describe symptoms such as lightheadedness, faintness, vertigo, or lack of balance. While occasional dizziness may not be a cause for concern, severe or chronic dizziness may indicate the presence of an underlying condition. With a thorough examination, our specialists can develop a plan to reduce or eliminate symptoms. Dystonia Dystonia is a neurological movement disorder characterized by involuntary muscle contractions that can manifest anywhere throughout the body. When administered by a specialist, Botox injections may help reduce unwanted muscle spasms caused by dystonia and provide relief from symptoms. Electroencephalography (EEG) Similar to an EKG for the heart, an EEG evaluates electrical activity of the brain in order to diagnose and classify seizures. We offer routine EEG performed in the office as well as extended testing. This extended testing, known as ambulatory EEG, is worn home by the patient while a digital recorder saves all the data. Should the patient experience the spells in question it will be captured by the recording device. This is useful for distinguishing spells that may be due to other medical conditions from seizure. Electromyography (EMG) and Nerve Conduction Studies Our board certified technologists and Neurophysiology physicians offer accurate diagnosis of peripheral nerve diseases such as neuropathy, spinal nerve injury, and muscle disorders. Epilepsy Epilepsy is a neurological disorder characterized by disrupted nerve activity in the brain that commonly causes seizures. Our neurologists pinpoint the cause of symptoms using advanced technology, including EMG (electromyography) and EEG (electroencephalography), in order to design an effective treatment plan. Interventional Pain Management Our interventional skills and technology geared to spinal disorders is state of the art. We have on site fluoroscopy machines for spinal injections which include epidural injections, facet injections, and many other joints. In addition, Doctors Douglas Stringer and Kamel Elzawahry are trained in placement of spinal cord stimulators for non medication management of severe spine disease.. Magnetic Resonance Imaging (MRI) Our scanner is shorter and wider than traditional MRI scanners, giving an open feel during the examination. These features also make the time to complete the MRI exam quicker and less costly, while delivering exceptional image quality. Our MRI facility is accredited by the American College of Radiology. Multiple Sclerosis Multiple Sclerosis, also referred to as MS, is a disease of the Central Nervous System that causes inflammation throughout the body and scar tissue development on nerves. The symptoms caused by MS can vary significantly based on the amount of nerve damage that has occurred and can progressively worsen over time. To properly diagnose this disease, our physicians perform a combination of tests to understand the full scope of symptoms. With customized treatments that target a patient’s specific symptoms, our physicians may be able to prevent the disease from progressing and speed recovery from attacks. Neck Pain Soreness or stiffness in the neck is common among adults and is often the result of strained muscles or poor posture. However, chronic and severe neck pain can also be caused by soft tissue damage related to a herniated disc, osteoarthritis, or narrowing of the spinal canal. Our team of neurologists can provide relief to patients using both conventional treatments and advanced interventional pain management. Neurosurgical Services Dr. Douglas Stringer provides treatment of spine disorders with outpatient interventional methods such as epidural injections to spine surgery. Neurological Services Doctors Kamel Elzawahry, Karin Maddox, Hoda Elzawahry, and Khurram Nazir are all board certified in General Neurology and each are subspecialized in a wide range of Neurological subspecialties such as stroke, headache, epilepsy and pain management. Neuropathy Neuropathy is caused by nerve damage resulting in symptoms such as numbness or tingling in the face, body, arms, or legs. While diabetes is a common cause of Neuropathy, it can also result from an injury, infection, or exposure to toxins. As the only certified neurodiagnostic center in the area, our physicians have the tools and experience to provide an accurate diagnosis and offer the best treatment to help manage symptoms related to Neuropathy while preventing further nerve damage. Parkinson’s Disease Parkinson's disease is a progressive disorder that causes slower movement, stiffness, and tremors, especially in the hands. While there is no definitive cure for Parkinson's, our team of board-certified physicians can help manage a patient's symptoms with a custom treatment plan and advanced interventional procedures. Radiofrequency Ablations Radiofrequency ablation is an effective, minimally invasive treatment that blocks pain signals traveling between your brain and spinal cord. By targeting damaged or malfunctioning nerves, this procedure can help reduce neck, back, and sacroiliac joint pain. Stroke Strokes are caused by a lack of oxygen and blood supply to part of the brain resulting in nerve damage. Symptoms of stroke include slurred speech and trouble understanding others, numbness or drooping in the face, difficulty with vision in one or both eyes, headache, and difficulty walking. Timely treatment and ongoing care from a specialist are critical to aid in recovery and reduce the risk of future strokes. TIA TIAs or Transient ischemic attacks often occur in the hours or days preceding a stroke. Also known as mini-strokes, TIAs serve as warning signs that a stroke may occur. Our team of neurologists can identify if a patient has experienced a TIA event and assist in developing a plan to prevent future strokes. Tremors Tremors are involuntary contractions of the muscles that can cause uncontrollable, rhythmic shaking. These unintentional movements are a symptom of various health conditions and require an accurate diagnosis to treat effectively. 2011 Harrison Ave Panama City, FL 32405 ... (850) 769-3261 2441 Hwy 98 Santa Rosa Beach, FL 32459 ... 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