Services

NEUROLOGY CONSULTATIONS:

At The Manhattan Center for Headache & Neurology, we welcome patients seeking comprehensive neurological evaluations and treatment. During your consultation, our experienced providers will take your vital signs, conduct a thorough review of your medical history, and perform a detailed neurological examination. Based on your symptoms and findings, additional diagnostic tests may be ordered, and a personalized treatment plan will be developed.

This may include prescribing medications, recommending lifestyle modifications, or discussing advanced treatment options tailored to your condition. For patients suffering from chronic pain conditions—such as migraines, muscle spasticity, or nerve-related back pain—nerve block injections are often a highly effective component of care. These injections can provide significant relief from issues like sciatica or herniated (“slipped”) discs.

Our goal is to offer compassionate, individualized care that addresses both the symptoms and underlying causes of your neurological concerns.

HEADACHE EVALUATIONS:

Our providers offer comprehensive evaluations for all types of headaches. During your visit, we’ll check your vitals, review your history, and recommend diagnostic tests as needed. Treatment plans may include medications, lifestyle guidance, and procedures such as trigger point injections for tension headaches or Botox® for chronic migraines. Our goal is to provide effective, personalized relief.

MENTAL HEALTH THERAPY:

Emotional health plays a vital role in managing headaches, migraines, and related conditions. Our holistic approach combines therapy and prescription management to help reduce headache frequency and enhance overall well-being. Treatments may include antidepressants, anti-anxiety medications, and behavioral therapy. Our compassionate mental health therapists are here to support both your emotional and physical health.

Neurological Testing

  • Referrals may be required for some tests, depending on your insurance plan. While most tests are typically covered by insurance, coverage and referral requirements vary, so it’s important to verify your specific plan in advance.
  • We offer evening hours and flexible scheduling to accommodate your needs.
  • Each diagnostic test typically takes 30 to 60 minutes, depending on the condition being evaluated. Please note that results are not available immediately—a follow-up appointment is necessary, either with one of our neurologists or your referring provider, who will review the results with you.
  • We also offer ambulatory and video EEG testing, which records brain activity over a period of 24 to 72 hours. These tests require you to wear the monitoring equipment at home and generally need additional insurance authorization compared to routine EEGs.
  • EMG/NCS
  • EEG
  • Videonystagmography (VNG)
  • Transcranial Doppler (TCD)

Why is an EMG/NCS done?

  • To find diseases that damage muscle tissue, nerves or neuromuscular junctions (junctions between nerve and muscle).
  • To find the cause of weakness, paralysis or muscle twitching, numbness and tingling.

Diseases that can be detected with an EMG/NCS

  • “Pinched” nerves (sometimes caused by disk herniation in the spine)
  • Carpal tunnel syndrome
  • Neuropathy
  • Amyotrophic lateral sclerosis (ALS)
  • Myasthenia gravis (MG)

Why is an EEG done?

An EEG is a diagnostic test used to measure the brain’s electrical activity. It helps detect abnormalities in brain function that may be causing symptoms such as seizures, confusion, or changes in behavior.

Common reasons for EEG testing include:

  • Seizures or epilepsy
  • Unexplained loss of consciousness or fainting
  • Memory disturbances or confusion
  • Monitoring of brain activity during sleep

Conditions that can be detected with an EEG include:

  • Epilepsy and seizure disorders
  • Encephalopathy (general brain dysfunction)
  • Sleep disorders
  • Brain injury or inflammation
  • Tumors or strokes affecting brain function

Why is a VNG done?

VNG is a test used to evaluate balance function and identify the cause of dizziness or vertigo. It records eye movements to assess how the inner ear and brain work together to maintain balance and coordination.

Common reasons for VNG testing include:

  • Persistent dizziness or vertigo
  • Balance problems or unsteadiness
  • Nausea associated with head movement
  • Suspected inner ear dysfunction

Conditions that can be detected with a VNG include:

  • Benign paroxysmal positional vertigo (BPPV)
  • Vestibular neuritis or labyrinthitis
  • Meniere’s disease
  • Central (brain-related) balance disorders
  • Migraine-associated vertigo

Why is a TCD done?

TCD is a non-invasive ultrasound test that measures blood flow in the brain’s major arteries. It helps assess the risk of stroke and detect conditions affecting cerebral circulation.

Common reasons for TCD testing include:

  • Stroke or transient ischemic attack (TIA) evaluation
  • Monitoring after subarachnoid hemorrhage
  • Sickle cell disease screening
  • Detection of vasospasm or narrowing of brain vessels

Conditions that can be detected with a TCD include:

  • Cerebral vasospasm
  • Embolic events or clots
  • Intracranial artery stenosis
  • Patent foramen ovale (PFO) with bubble study
  • Cerebrovascular insufficiency

Why is an EMG/NCS done?

  • To find diseases that damage muscle tissue, nerves or neuromuscular junctions (junctions between nerve and muscle).
  • To find the cause of weakness, paralysis or muscle twitching, numbness and tingling.

Diseases that can be detected with an EMG/NCS

  • “Pinched” nerves (sometimes caused by disk herniation in the spine)
  • Carpal tunnel syndrome
  • Neuropathy
  • Amyotrophic lateral sclerosis (ALS)
  • Myasthenia gravis (MG)

Why is an EEG done?

An EEG is a diagnostic test used to measure the brain’s electrical activity. It helps detect abnormalities in brain function that may be causing symptoms such as seizures, confusion, or changes in behavior.

Common reasons for EEG testing include:

  • Seizures or epilepsy
  • Unexplained loss of consciousness or fainting
  • Memory disturbances or confusion
  • Monitoring of brain activity during sleep

Conditions that can be detected with an EEG include:

  • Epilepsy and seizure disorders
  • Encephalopathy (general brain dysfunction)
  • Sleep disorders
  • Brain injury or inflammation
  • Tumors or strokes affecting brain function

Why is a VNG done?

VNG is a test used to evaluate balance function and identify the cause of dizziness or vertigo. It records eye movements to assess how the inner ear and brain work together to maintain balance and coordination.

Common reasons for VNG testing include:

  • Persistent dizziness or vertigo
  • Balance problems or unsteadiness
  • Nausea associated with head movement
  • Suspected inner ear dysfunction

Conditions that can be detected with a VNG include:

  • Benign paroxysmal positional vertigo (BPPV)
  • Vestibular neuritis or labyrinthitis
  • Meniere’s disease
  • Central (brain-related) balance disorders
  • Migraine-associated vertigo

Why is a TCD done?

TCD is a non-invasive ultrasound test that measures blood flow in the brain’s major arteries. It helps assess the risk of stroke and detect conditions affecting cerebral circulation.

Common reasons for TCD testing include:

  • Stroke or transient ischemic attack (TIA) evaluation
  • Monitoring after subarachnoid hemorrhage
  • Sickle cell disease screening
  • Detection of vasospasm or narrowing of brain vessels

Conditions that can be detected with a TCD include:

  • Cerebral vasospasm
  • Embolic events or clots
  • Intracranial artery stenosis
  • Patent foramen ovale (PFO) with bubble study
  • Cerebrovascular insufficiency

Intravenous/Intramuscular/Subq (Subcutaneous) Therapy Procedures

Intravenous/Intramuscular/Subq (Subcutaneous) Therapy Procedures

The Manhattan Center for Headache & Neurology will assist you in the intravenous and intramuscular therapies. These procedures involve inserting a needle into your vein or muscle, and infusing the formula described by your physician. Benefits of intravenous/intramuscular therapy include: nutrients are not affected by stomach or intestinal disease. Total amount of fluid and nutrients enters the circulation, therefore it is available to the tissues. Higher doses of nutrients can be given by vein than by mouth without nausea, abdominal discomfort, or diarrhea.

IM and SubQ injections are treatments that deliver medications directly into a muscle or into the tissue under the skin respectively. Treatments are well tolerated without any adverse reactions. Sometimes a series of injections are recommended for satisfactory outcome.

Medications often administered during IV/IM/SQ therapy may include vitamins, magnesium, nausea medications, and pain medications, in addition to the administration of IV fluids.

This practice does not prescribe opioids, barbiturates, or controlled substances.