Viva Neurological Health

A visit can assess recurring headaches, numbness, dizziness, balance changes, or tremor. Your provider reviews sleep, medicines, blood sugar, thyroid, and vitamin-related causes when relevant. Discuss initial care, reassessment, and whether outside testing is indicated.

Care usually combines two parts. Acute treatment, chosen by medication class, is taken at the start of an attack. Preventive treatment is considered when attacks are frequent or disabling. Your provider also reviews sleep, meals, caffeine, and hormone-related patterns, and checks for headaches caused by taking pain medicine too often. A simple headache diary helps measure progress at each follow-up visit.

Diabetes can cause nerve symptoms, as can vitamin B12 deficiency, thyroid problems, alcohol, or medicines. Assessment may include foot examination and selected A1C testing after confirming method, location, availability, and cost. B12/thyroid testing may require an outside laboratory. Rapidly spreading weakness or numbness needs prompt reassessment.

Imaging or nerve studies should answer a specific clinical question and change management. Many symptoms first need history and examination. Indicated studies require outside coordination; confirm access and who reviews results.

No. Dizziness often comes from the inner ear, low blood pressure when standing, dehydration, or medicine side effects. Your provider asks what the dizziness feels like, when it happens, and what makes it better or worse, and checks your blood pressure and balance. Dizziness with fainting, double vision, trouble speaking, or weakness is an emergency: call 911.

Yes, for many follow-up visits, such as reviewing a headache diary, test results, or how a medication class is working. A first visit for numbness, dizziness, or tremor usually needs an in-person exam at the clinic. Telehealth is not for emergencies; for sudden or severe symptoms, call 911 or go to the nearest emergency room.