Tests & Treatments
In the world of medicine, neurological disorders are the most challenging to diagnose, manage and monitor due to the complexity of the nervous system. Magnolia Neurology Clinic assists patients in achieving their overall health goals through diagnostic testing and personalized treatment plans. We provide Botox injections, cognitive testing, and occipital nerve blocks onsite. We also refer patients to other clinics and physicians for a variety of tests and treatments.
Botox Injections
Botox or botulinum toxin will help decrease migraine frequency. Therapeutic Botox injections are used to treat chronic migraines, muscle spasticity, cervical dystonia, and other movement disorders. Botox works by temporarily blocking nerve signals to muscles, reducing involuntary contractions and pain. For chronic migraines, injections are given around the head and neck following a specific protocol approved by the FDA.
Preparation Instructions
- Avoid alcohol consumption for 24 hours before treatment
- Stop blood thinning medications and supplements as directed to reduce bruising risk
- Wear comfortable clothing with easy access to treatment areas
- Plan to avoid strenuous exercise and physical activity for 24 hours after injections
- Do not lie down flat for 4 hours after treatment
- Avoid rubbing or massaging the injection sites
- Bring a list of previous Botox treatments and their effectiveness
Cognitive Testing
Comprehensive neuropsychological evaluation that assesses various aspects of cognitive function including memory, attention, language, problem-solving, and executive function. The testing involves a series of standardized assessments administered by trained professionals to identify cognitive strengths and weaknesses. This evaluation is essential for diagnosing conditions such as dementia, Alzheimer’s disease, mild cognitive impairment, traumatic brain injury, and other neurological disorders aƯecting thinking and memory. Results help guide treatment planning, monitor disease progression, and establish baseline cognitive function. The test is non-invasive and conducted in a quiet, comfortable setting.
Preparation Instructions
- Get a full night’s sleep before the test to ensure optimal performance
- Eat a normal breakfast or lunch before testing to maintain energy levels
- Bring glasses, hearing aids, or other assistive devices you normally use
- Continue taking all regular medications unless specifically instructed otherwise
- Bring a list of all current medications and medical conditions
- Inform the examiner of any physical limitations that may affect testing
- Plan for adequate time as testing can take several hours with breaks included
Occipital Nerve Block
An occipital nerve block is a medical injection of anesthetic and/or steroid near the occipital nerves at the back of the head to treat headaches (like migraines, occipital neuralgia, cluster headaches) and neck pain, by temporarily numbing the nerves and reducing inflammation, oƯering temporary relief lasting hours to months, with common side eƯects being temporary numbness, stinging, or slight dizziness, and usually minimal downtime.
Key Preparation Steps
- Medical History & Medications: Inform your doctor of any allergies (especially to local anesthetics) and if you are taking blood thinners (e.g., Aspirin, Coumadin, Plavix).
- Expectations: The procedure, including prep and observation, usually takes 30 minutes to 1 hr.
During the Procedure
- Positioning: You will lay on an exam table on your side with chin tucked down
- Sterilization: The skin at the back of the head is cleaned with an antiseptic solution.
- Injection: A small needle is used to inject a mixture of anesthetic and steroid near the nerves, which may feel like a pinch or pressure.
- Monitoring: Vital signs may be monitored.
Post-Procedure
- Observation: You will be monitored for about 30 minutes after the injection.
- Numbness: The scalp on the injected side may feel numb, and temporary dizziness or a headache may occur.
- Activity: Normal activities can usually be resumed the next day, though you should avoid strenuous activity and soaking in water (baths) for 24 hours.
Carotid Ultrasound (referral)
A carotid ultrasound is a non-invasive imaging test that uses sound waves to examine blood flow through the carotid arteries in the neck, which supply blood to the brain. This painless procedure helps detect blockages or narrowing (stenosis) of the carotid arteries caused by plaque buildup, which can increase stroke risk. The test evaluates blood flow velocity and identifies any abnormalities in the artery walls. It’s particularly important for patients with risk factors such as high blood pressure, high cholesterol, diabetes, smoking history, or previous stroke/TIA. The ultrasound is completely safe, requires no needles or contrast dye, and provides real-time images of your carotid arteries.
Preparation Instructions
- Wear a shirt with an open or loose-fitting collar for easy access to your neck Avoid wearing necklaces or other jewelry around the neck area
- Continue taking all regular medications as prescribed
- No fasting is required before the procedure
- Bring a complete list of medications and relevant medical history
- The procedure is completely painless and safe
- You can resume normal activities immediately after
Echocardiogram (referral)
An echocardiogram is a non-invasive ultrasound test that creates detailed images of your heart’s structure and function. This painless procedure uses sound waves to evaluate heart chambers, valves, blood flow, and pumping strength. It’s essential for detecting heart conditions that may affect neurological health, including identifying potential sources of stroke such as blood clots or heart valve problems. The test helps diagnose various cardiac conditions including heart failure, valve disorders, and structural abnormalities. The procedure is completely safe with no radiation exposure, and provides real-time moving images of your heart in action.
Preparation Instructions
- Wear a shirt with an open or loose-fitting collar for easy access to your neck
- Avoid wearing necklaces or other jewelry around the neck area
- Continue taking all regular medications as prescribed
- No fasting is required before the procedure
- Bring a complete list of medications and relevant medical history
- The procedure is completely painless and safe
- You can resume normal activities immediately after
Electroencephalogram/EEG (referral)
The diagnosis of epilepsy relies on a combination of clinical history taking, EEG and brain imaging. The EEG, or electroencephalogram, is the most important test in the evaluation of individuals presenting with possible seizures or events of unknown nature. Standard EEG captures brain wave patterns during a single session, while Long-Term Monitoring (LTM) with video continuously records brain activity over 24-72 hours to capture intermittent events. These procedures are essential for diagnosing seizures, epilepsy, sleep disorders, and other neurological conditions. The procedures are completely painless and safe, with no electrical current entering your body.
Preparation Instructions
- Wash hair the night before with regular shampoo (no conditioner, gels, or styling products)
- Avoid caffeine 8 hours before test as it can affect brain activity
- Get your normal amount of sleep unless instructed otherwise for a sleep-deprived EEG
- Bring a complete list of current medications and dosages
- Eat a normal meal before the test to prevent low blood sugar
- Continue taking seizure medications unless specifically told otherwise
Electromyography/EMG (referral)
EMG or electromyography is a neurodiagnostic test used to diagnose neurological disorders including but not limited to radiculopathy (nerve impingements), neuropathy, nerve entrapment and neuromuscular disease like myopathy, ALS and muscular dystrophy. A thin needle electrode is inserted through the skin into the muscle to record electrical activity. This test helps diagnose neuromuscular diseases, nerve compression, and muscle disorders. The procedure may cause some discomfort similar to an injection, but it’s generally well-tolerated. Results help determine the location and extent of nerve or muscle damage.
Preparation Instructions
- Wear comfortable, loose clothing that allows easy access to the areas being tested
- Avoid lotions, oils, or creams on your skin the day of the test
- Inform your doctor about all blood thinning medications including aspirin
- Stay well-hydrated before the procedure
- Tell your doctor if you have a pacemaker or are taking medications that affect muscles
- Plan to shower before the test rather than after for comfort
Magnetic Resonance Imaging/MRI (referral)
Magnetic resonance imaging, or MRI, is a noninvasive medical imaging test that produces detailed images of almost every internal structure in the human body, including the organs, bones, muscles and blood vessels. MRI scanners create images of the body using a large magnet and radio waves. No ionizing radiation is produced during an MRI exam, unlike X-rays. These images give your physician important information in diagnosing your medical condition and planning a course of treatment.
Preparation Instructions
- Complete a questionnaire about metal in or on your body (including shrapnel or metal fragments in eyes).
- Remove all jewelry, watches, hairpins, and glasses. You may need to change into a hospital gown.
- Generally, you can eat and drink normally, but some, like MRCP or abdominal scans, require fasting for 4 to 8 hours.
- Continue taking normal medications unless instructed otherwise.
- If you are anxious in enclosed spaces, inform your doctor beforehand, as they may prescribe medication.
- Arrive at least 30 minutes before your appointment for paperwork.