From symptom to solution
The appointment is structured methodically: characterization of the symptom (a headache diary is an excellent assistant), examination of all systems, stratification of “red flags”, then a plan: preventive therapy for migraines instead of handfuls of painkillers, stepwise treatment of back pain (movement + drugs + blockade according to indications), Epley maneuvers for BPPV, regimens for polyneuropathy (including infusions of alpha-lipoic acid in the same clinic). Control of the effect - after 2–4 weeks.
Indications
- headaches (migraine, tension) - type diagnosis and treatment;
- back and neck pain, radicular syndromes, numbness of the extremities;
- dizziness, unsteadiness, tinnitus;
- consequences of stroke, polyneuropathy (including diabetic);
- sleep disorders, asthenia, anxiety disorders.
Examination decides more than MRI
A neurological diagnosis is made with hands and a hammer: a systematic examination localizes the level of the lesion more accurately than the images (most healthy people have MRI “findings” after 40). The doctor separates benign syndromes from “red flags” that require urgent imaging, and selects therapy based on the type of pain (migraine is treated differently than tension pain; neuropathic - differently than nociceptive). Physiotherapy and therapeutic blockades of the clinic are included in the complex - the course is built in one place.
