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When to Refer or Seek out a Chiropractic Neurologist

  1. Brain thinkingBe able to better manage your patient through better treatment options.
  2. Chiropractic neurologists can provide therapies and treatments as well as counsel when there is a diagnostic dilemma or a question of appropriateness of care regarding an individual lesion or scenario.
  3. Utilization of independent examinations in situations involving unfair or biased insurance doctor reviews/IME’s.

Capabilities

Our doctors are trained to evaluate and manage patients with a myriad of neurologic conditions and primarily brain based disorders.  The following examples exemplify when it may be appropriate to arrange or seek a referral to a board certified chiropractic neurologist:

  • Balance¬† disorders

Vertigo, Dizziness, Pre-syncope, Balance Loss or Dysequilibrium, Fall Risk.

  • Movement disorders

Dystonia, Torticollis, Ballismus, Tremors, Parkinson’s.

  • Behavior disorders of development

Child Neurobehavioral Disorders, Neurological Developmental Delay, Attention, Tourette’s & Motor Tics, Learning, and Behavioral Disorders: ADD, ADHD, Autism, Asperger’s, tourettes, OCD,¬† Child Coordination Disorders, Child Postural Disorders including Scoliosis, Ocular Palsies such as Lazy Eye, etc.

  • Headache

Migraine & Sick Headaches, Tension Headache, Post Traumatic Cephalgia, Cluster Headaches, Head & Face Pain.

  • Acute traumatic brain injury

Mild Traumatic Brain Injury, Post Concussive Syndrome, any Closed Head Injury.

  • Any brain based disorder

Stroke, Tinnitus, Panic disorder, Vasovagal Presyncope, Seizure Disorder, Pain, Pain Syndromes, Nerve Entrapment Syndromes of Arm & Legs, Sensory Processing Disorders, Communicative Disorders, Cerebral Palsy, Seizures, Enuresis, etc.

  • Patients not responding to care plan

Patients who have been treating for one to two weeks and are not improving or are worsening.

  • Independent evaluations regarding appropriateness of care

Patients who have been inadvertently cut off from care either by peer review or IME, which appears to be biased and not representative of the patients actual status.

  • Other Scenarios such as Athletic Enhancement in Timing and Coordination

What can I expect?

Because of the advanced training involved in becoming a board certified chiropractic neurologist, evaluation and management is invariably different from what one may expect. On an initial visit, a complete and thorough history taking is routine. During this phase of the visit, the doctor will try to determine and diagnose the cause of your symptoms. Neurologic examination will be comprehensive, and can be vast and encompassing pending your condition. More complicated clinical cases can involve the use of somewhat unfamiliar yet non-invasive neurodiagnostic medical equipment, such as infrared photography Frenzel goggles, (video nystagmography; VNG), dynamic posturography, (fall risk assessment), pulse oximetry, etc.. Of course these diagnostic tools are only used out of necessity, never out of routine. Routine evaluation includes taking of vital signs, checking vision, hearing, reflexes, sensation, muscle strength and tone, coordination, gait and stance, and much, much more. You may be scheduled for advanced procedures, which may or may not be provided by the doctor. Only after the doctor is confident in a diagnosis and treatment plan specific to your condition will treatment ever be provided. As most patients recover quickly from this approach, the doctor can quickly tell if you are getting better or not, thus lengthy courses of inappropriate treatment are avoided.

Referring to, or Finding a Chiropractic Neurologist

Please refer to the NJCCN Directory Page.