Neurology focuses on the treatment of conditions of the brain, spinal cord, and nerves which extend throughout the body’s limbs, muscles, and skin. We frequently evaluate and treat symptoms of pain and other neurological disorders including:
-Headache (migraine, tension, chronic daily headache)
-Dizziness (vertigo, imbalance, lightheadedness)
-Pain (neck, low back, arm, leg, hand, foot, body, sciatica)
-Numbness (hands, feet, anywhere else)
-Concussion and Post-Concussion Syndrome
-Stroke and Cerebrovascular Disease
-Multiple Sclerosis and Demyelinating Diseases
-Parkinson’s Disease and Movement Disorders
-Dementia and Neurodegenerative Disorders (Alzheimer’s Disease)
-MRA/V (MRI of blood vessels)
-Brainstem Auditory Evoked Response (BAER)
-Trigger point injections
Headaches are extremely common. Tension headaches and migraine are the most common headaches we treat. Frequent headaches can be disabling and there is no reason to go through life suffering from recurrent headaches. Our treatment focuses on eliminating pain and preventing headaches from happening. Our goal is to make you headache free. We are proud to say that besides from eradicating headaches, we can often maintain our patients without headaches and reduce or completely stop our patients’ medication.
Warning: Sudden, severe headaches, headaches that occur after a blow to the head, or headaches that are associated with fever, confusion, or loss of consciousness could indicate a serious condition. Please contact your doctor immediately if you experience these symptoms.
Dizziness is another frequent complaint seen in our office. People often say they feel lightheaded, imbalanced or that the room is spinning, something we call “vertigo.”
Dizziness is a complex problem that may involve the brain, inner ear, eyes, spinal cord, nerves, heart and blood vessels. Sometimes, a drop in blood pressure or an infection can bring about dizziness. Irregular heart rhythms or arrhythmia can cause dizziness. Medications can cause dizziness and the list goes on. It can also be caused by a more serious neurological condition. Some dizziness gets better by itself. We conduct an extensive evaluation on all patients who present with dizziness to help narrow down the root cause and identify what can be done to help.
Neck and Shoulder Pain
Neck pain and shoulder pain can be caused by problems of the spinal column, joints, muscles, degenerative disease, strains, and rarely more serious causes. We focus on identifying the type and cause of pain and alleviating the problem. We are always conservative at first. We use combinations of medication and physical therapy for most pain. We also coordinate care with a team of other specialists such as interventional pain management, spine and orthopedic surgeons to help ensure you receive comprehensive care.
Low Back Pain
The Spine is complex. Its muscles, roots, nerves, bones, and discs all play a role in its function and as a possible cause of pain. We coordinate a multidisciplinary evaluation of pain. Fortunately, we have many ways to treat pain including medication and physical therapy. If it is needed we also work with various skilled surgeons specializing on the spine and joints throughout the body.
Attention Deficit Disorder (ADD/ADHD)
Attention deficit hyperactivity disorder (ADHD) is a common disorder of childhood which can persist in adolescence and adulthood. Problems with staying focused, maintaining attention, concentrating, behavior and being overactive are common. When we evaluate ADD we look at it from a holistic perspective including neurology and sleep medicine. For example, many children who suffer from sleep deprivation or sleep apnea also exhibit similar symptoms. Those disorders don’t need lifelong medication to prevent. When medication is warranted, we treat ADD and ADHD to help improve quality of life.
Seizures & Epilepsy
Seizures can be provoked by illness, from substance use such as alcohol or as a side effect from a medication. Seizures may also be related to an underlying brain abnormality known as epilepsy. Most people associate seizures with losing consciousness and jerking movements. However, seizures may manifest as any type of sensory experience such as strange feelings, emotions, tastes, smells in addition to convulsions. Some people report smelling “burnt rubber,” a “rising sensation” in their stomach. We evaluate seizures, identify if epilepsy is present and treat it, if necessary with medication. We also monitor these medications for side effects and strive for longer-term seizure control in more difficult cases.
There are more than 800,000 strokes in the United States annually. One of the most important things about treating stroke patients is ensuring they don’t have another one. Our management focuses on identifying why the stroke happened and how we can prevent another one as well as improving the quality of life after stroke.
Peripheral neuropathy is damage to the peripheral nervous system that results in pain, numbness, tingling, weakness or other symptoms. This dysfunction is often experiences in the arms, legs, hands or feet. While many types of neuropathy exists we frequently see neuropathy caused by diabetes, alcoholism or injury to the nerve in the limb or where it exits from the spinal cord.
Carpal Tunnel Syndrome
Tingling, numbness or pain in the hand can be caused by compression of the median nerve as it passes through a narrow tunnel in the wrist. We specialize in the diagnosis and treatment of carpal tunnel syndrome as well as other forms of nerve damage caused by compression of nerves as they course through the body.
A disorder of myelin that circles that nerves in the brain and spinal cord, Multiple sclerosis (MS) affects people differently. In some it can be relatively mild in others somewhat disabling or devastating, as communication is broken down between the brain and body. Our care of individuals with MS involves preventing attacks, treating symptoms and reducing medication side effects. We are focused, as always, on providing the best quality of care for our patients.
Memory is a complex function of the brain and relies on different cognitive tasks such as concentration, encoding, storage, and recall. Forgetting things once in a while can be normal. We evaluate memory issues to ensure there is no reversible problem taking place. After an evaluation, we sometimes find that replacing a vitamin can prevent long-term damage. Other times, we can provide other treatment to improve thinking and memory.
Parkinson’s disease is a movement disorder caused by gradual deterioration of the nervous system. We are all familiar with the tremor of Parkinson’s, but the main features of the condition are slowed movements and stiffness. When we treat Parkinson’s disease we pay close attention to the types of medications, details of their administration, timing of treatments and side effects. As with all our patients, our primary goal is to preserve as much functionality and quality of life as possible.
Dementia is a series of conditions that impair intellect and normal function. Losing one’s ability to function is a terrible thing. However, we can sometimes identify reversible causes of cognitive function. When treated early, brain function can sometimes be preserved and intellect restored, allowing individuals to function normally. Some conditions such as Alzheimer’s disease, vascular dementia and Parkinson’s dementia can also be treated to preserve function and improve intellect in those who are affected.
Sleep medicine focuses on improving the quality and quantity of your sleep. Unhealthy sleep and sleep deprivation are related to poor health, heart disease, obesity, depression, and lower life expectancy. We evaluate and treat symptoms of sleep and sleep disorders including:
-Sleep Apnea (Obstructive and Central)
-Restless Legs Syndrome
-Circadian Rhythm Disorders
-Advanced Sleep Phase Syndrome
-Delayed Sleep Phase Syndrome
-Sleep Walking and Talking
Sleep Testing includes:
-Home sleep testing (HST)
-PAP titration studies
-Multiple Sleep Latency Testing (MSLT)
-Maintenance of Wakefulness Testing (MWT)
Snoring is caused by the vibration of tissues in the upper airway and throat. Many people think that snoring is benign. However, it may be related to an abnormality of breathing during sleep called sleep apnea that can have long-term consequences if left untreated. We ensure that a sleep disorder is not present and, if snoring is bothering you, we have ways to stop it.
Sleep apnea is usually caused by partial or complete obstructions to breathing during sleep. Sleep apnea breaks up sleep, causing sleep deprivation, sleepiness, and irritability. Longer term consequences include heart disease, stroke, diabetes, high blood pressure, and depression. We use the most sophisticated techniques to detect even mild apnea. We offer sleep studies in our sleep study where polysomnography is performed as well as home sleep testing, where diagnosis can take place in your home. Various non-drug treatments exist for sleep apnea including continuous positive airway pressure (CPAP) as well as oral appliances and sometimes surgery. We also maintain close relationships with Durable Medical Equipment providers to ensure that our patients on CPAP get the highest level of attention to their needs.
Most people have experienced insomnia at some point in their life. The inability to fall asleep or maintain sleep can lead to dysfunction during the daytime. We diagnose insomnia, identify and reduce potential causes and treat it with and without medication. If you suffer from insomnia, don’t despair. We can help you sleep.
Sleep deprivation can lead to poor health, heart disease, obesity, depression, and lower life expectancy. While individuals usually think they can sleep more if they want, sometimes there is another reason for lacking sleep. We evaluate individuals with sleep deprivation ensuring they don’t suffer from a sleep disorder affecting breathing or their body’s instinct to sleep. We can help you get the sleep you need to improve your health and quality of life.
Restless Legs Syndrome
People with restless legs syndrome (RLS) experience abnormal, ill-defined, uncomfortable sensations of the legs that can be very disturbing. These sensations are often worse at night and are relieved by moving the legs around. Restless legs can be a symptom of another sleep disorder, related to medications, and is sometimes reversible without medication. We help evaluate patients with RLS, to reverse root causes or medications that exacerbate it and use medication to relieve disturbing RLS symptoms.
Sleep Walking and Other parasomnias
Sleep walking is more common in childhood, but can persist into adulthood. We can help reduce the incidence of sleep walking or other parasomnias (eating, waking up confused, etc.) and ensure that you stay safe when episodes occur.
REM Behavior Disorder
REM behavior disorder is an abnormality of sleep where individuals become very active during dream states. Your body normally keeps you paralyzed during REM and this prevents you from hurting yourself or others. Individuals with REM behavior disorder “act out” their dreams. They may unintentionally assault a bed partner or themselves while trying to defend themselves from “attackers” in their dreams. This disorder can sometimes be associated with developing neurological conditions later in life. It can sometimes be triggered by medical conditions or medications. This disorder is treatable.
People affected with narcolepsy experience extreme sleepiness, irresistible urges to sleep, and sometimes “sleep” attacks. These cataplexy attacks are often triggered by strong emotions. The disorder causes sudden weakness sometimes resulting in full body paralysis while a person is still awake. Management of the disorder involves reducing sleepiness and preventing cataplexy attacks.
Excessive sleepiness is one of the most common symptoms we evaluate. Going through life half asleep is not a fun thing. Excessive sleepiness can result in struggling to stay awake in a meeting, dozing off at the movies, or even falling asleep behind the wheel. It is sometimes caused by sleep disorders of hypersomnolence such as idiopathic hypersomnolence or narcolepsy. It is also a common symptom of sleep apnea or insufficient sleep. Don’t go through life half asleep; we can help.
We offer several sleep technologies to diagnose and customize treatment of sleep disorders. Polysomnography in our overnight sleep lab allows monitoring of breathing, sleep stages, movement, and oxygen levels. It is useful to diagnose many sleep disorders and to observe and customize treatments for sleep disordered breathing like obstructive sleep apnea and central sleep apnea. When used to customize care, an oral appliance or positive airway pressure (CPAP, ASV, BIPAP) is applied and customized to maximize the effect of treatment. Home sleep testing is a newer technology that can be used to diagnose sleep apnea, though it provides a less thorough evaluation of sleep. Multiple Sleep Latency and Maintenance of Wakeful testing can be used to objectively measure an individuals sleepiness or their ability to stay awake.
Home sleep study
An alternative study to the overnight sleep study is the home sleep study. This study also monitors your breathing, oxygen levels and can detect sleep apnea. Some insurers prefer this type of study is performed, rather than an overnight sleep study in the sleep lab. Additionally, some patients find it to be more comfortable to do a sleep study at home. While it does not provide the same level of data as an in-lab overnight sleep study, it can often be satisfactory for diagnosing severe sleep apnea from the comfort of your own home.
Circadian rhythm disorders
Do you or someone you know find it impossible to wake up in the morning? This may be a sign of a problem with your circadian rhythm called delayed sleep phase disorder. It is usually coupled with an inability to fall asleep before 12 am. If you circadian rhythm is misaligned it could also lead to the reverse situation called advanced sleep phase disorder. In these situations, individuals often wake up extremely early in the morning and become really tired early in the evening. Both are treatable sleep disorders. Dr. Morgenstern has experience getting people back on the right track and realigning your day and your circadian rhythm.
Health Insurance List
We accept most private insurers and Medicaid, Medicare (including managed medicaid & managed medicare), No fault and Workers Comp. Other insurances we accept include: If you don’t see your insurance listed here, we encourage you to call our office to find out if your insurance is accepted. Please be aware that with any health plans, there may be deductibles and co-payments for which you may be responsible.