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At Comprehensive Neurological Solutions, we have the expertise and knowledge to treat all of the varied diseases and disorders that can affect the brain, spinal cord, nerves and muscles. Our team of clinicians have been serving the St. Tammany Parish and surrounding communities since 1999 and continue to expand most recently in Hammond and Covington.

 

Neuropathy and Neuropathic Pain

Pain is your body’s way of telling you that you may be getting injured. For example, if you touch a hot stove, pain signals let you know to move your hand away very quickly, so that you don’t get burned. This pain signal is sent to your brain by your nerves, which also let you feel temperature, touch, position, and pressure.

There are many diagnoses that can cause damage to your nerves directly, a condition called neuropathy:
• Auto-immune syndromes
• Diabetes
• Endocrine diseases
• Guillain-Barre syndrome
• Heavy alcohol use
• Hereditary diseases
• Infections (ex. shingles or Lyme disease)
• Kidney disease
• Nutritional deficiencies
• Thyroid problems
• Repetitive stress (ex. carpal tunnel syndrome)
• Toxins
• Trauma
• Tumors or cancer

Neuropathy can cause you to feel pain even when you are not being injured. This is called neuropathic pain. Neuropathic pain is often associated with:
• Burning, needle-like, stabbing, or tingling pain
• Feeling severe pain from things that normally don’t cause pain, such as laying under light bed sheets, wearing clothes, or a gentle touch
• Feeling worse at night
• Disruption of sleep
• Significant emotional burden

The nerves throughout your body, outside of your brain and spinal cord, are called peripheral nerves. Peripheral nerves have the ability to regenerate, which reduces damage and pain. This means that there are things that you can do on your own to improve neuropathic pain, by helping your body to regenerate the nerves:
• Obtain treatment for the underlying condition
• Strictly control blood glucose levels in the case of diabetic neuropathy
• Limit or avoid alcohol
• Maintain a healthy weight
• Eat a balanced diet, including all essential vitamins and minerals
• Exercise to reduce cramps, improve muscle strength, and prevent muscle wasting
• Stop smoking: Smoking constricts blood flow to nerves and can worsen neuropathic pain
• Treat injuries and wounds quickly and carefully
• Mild pain may sometimes be alleviated by over-the-counter medications such as nonsteroidal anti-inflammatory drugs (ex. Advil or Aleve)
• Use orthopedic shoes or braces

In some cases, neuropathic pain may be very severe or difficult to manage, even with treatment of the underlying condition and lifestyle changes. These are the cases in which the Neurological experts at Comprehensive Neurological Solutions can help.
There are several classes of medications that may be prescribed for neuropathic pain, which have been shown to provide relief:
• Topical creams
• Antidepressants
• Anticonvulsants
• Antiarrythmics
• Opioids

The doctors at Comprehensive Neurological Solutions may refer you to pain management physicians to discuss complementary treatments that may provide additional support and pain relief:
• Transcutaneous electrical nerve stimulation (TENS)
• Nerve blocks
• Spinal Cord Stimulator

If you suffer from neuropathy, you are not alone. It is a common condition, with more than 20 million cases nationwide. The experts at Comprehensive Neurological Solutions are here to help!

Click to download the PDFNeuropathy

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Multiple Sclerosis

Multiple Sclerosis (MS) does not define you… Your strength and courage does!
What is multiple sclerosis (MS)?
An active immune system is important for staying well and living daily life. However, in a group of diseases called ‘autoimmune’ or ‘immune-mediated’ diseases, cells in the immune system become overactive, and can attack tissues in the body, rather than bacteria or viruses causing an infection. Multiple sclerosis is one of the ‘immune-mediated’ types of diseases.

How does multiple sclerosis work?
In multiple sclerosis, or MS, the immune cells attack the central nervous system, which is made up of

  • • the brain,
  • • the spinal cord, which connects the brain to the rest of the body and allows for sensation and movement, and
  • • the optic nerves, which connect the eyes to the brain and allow for vision.

Specifically, the immune system damages nerve fibers. When the nerve fibers and myelin are injured, the signals moving through the central nervous system can become slow, disordered, or blocked completely.

What are the symptoms of MS?
Multiple sclerosis can cause a wide variety of symptoms. The types of symptoms, their course (whether they get better, worse, or stay the same over time), and their severity vary from one person to the next. These are some of the more common symptoms:

  • • Fatigue
  • • Weakness
  • • Numbness or tingling
  • • Pain
  • • Stiffness with muscle spasms
  • • Dizziness and vertigo
  • • Trouble walking or loss of balance
  • • Vision problems
  • • Bowel, bladder, or sexual problems
  • • Cognitive and emotional changes, including depression

How is MS diagnosed?
MS is known for being a disease that is difficult to diagnose. There isn’t one single test which proves whether or not someone has MS. Additionally, all other causes of symptoms must be ruled out before a neurologist can confidently diagnose MS. The patient’s medical history and certain tests can provide evidence of the disease, these include:

  • • MRI (magnetic resonance imaging)
  • • Cerebrospinal fluid- a spinal tap is performed

How is MS treated?
The treatment of MS requires a comprehensive plan directed by a neurologist. Patients are unique in how they may respond to treatments, and the various aspects of the disease require distinct treatment approaches, including:

  • • Slowing the course of the disease – For certain patients, there are medications called “disease modifying therapies” that may be used to slow the progression of the disease and help to reduce the occurrence of attacks.
  • • Managing symptoms – Medications and physical rehabilitation plans depend on the place the nerve disruption is occurring and the organs affected.
  • • Treating MS attacks – Severe attacks that affect a person’s safety or severely limit the ability to function in daily life may be treated with a course of high-dose corticosteroids.
  • • Improving function – Rehabilitation can be an important part of maintaining or improving function, and may include physical therapy, occupational or cognitive rehabilitation, and therapy for speech or swallowing problems.

Whether you are having symptoms that could indicate MS, but have not been diagnosed, or you have been living with an MS diagnosis for many years, the doctors at Comprehensive Neurological Solutions are here to assist you on your MS journey. Our team is here for you and your family focusing on the symptoms to diagnosis to achieving the best possible quality of life.

Click to download the PDF Multiple Sclerosis

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Comprehensive Neurological Solutions welcomes Dr. Patricia Morgan

We want to extend a warm welcome to Patricia M. Morgan, MD!

Patricia M. Morgan, MD grew up in Miami, Florida and graduated Florida International University. She attended medical school in the Dominican Republic and received her MD with honors from Iberoamerican University. Dr. Morgan completed both her residency in neurology and fellowship in clinical neurophysiology (epilepsy and neuromuscular disorders) at the University of Miami. She also completed a fellowship at Jackson Memorial Hospital in Clinical Immunology as well as 2 years of transplant surgery critical care medicine. Dr. Morgan is licensed in Florida and board certified in neurology. She will join Advanced Pain Institute and Comprehensive Neurological Solutions in January 2017. We look forward to introducing Dr. Morgan to our patients and colleagues in the medical community.

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In Memory Of Dr. Michael Fischer

Comprehensive Neurological Solutions and Advanced Pain Institute has lost a caring and compassionate physician, and the world has lost an amazing human being. Dr. Michael Fischer was a man who devoted his life to making a difference in not just his neurology patients lives, but also the world which surrounded him. His vivacious laughter….his gentle smile… and compassionate soul will be missed by his patients, fellow medical professionals, and his family here at CNS and API.
To all of our patients and the medical community we thank each of you for placing your trust in Dr. Fischer and for giving him the precious gift of making his dreams come true. His vision of CNS became a reality due to each and every one of you. His spirit will forever be the foundation of Comprehensive Neurological Solutions.
Constantly we will remember you.
ROMANS 1:9 NIV

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Advanced Pain Institute Magazine Vol 1

The first volume of our Advanced Pain Institute magazine has been released. It contains information about our office and staff and has informative news articles and features written by our Doctors. You can read and download it from this link.

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