Conditions

What we see, and what we look at.

One or two plain sentences for each condition. Being on this list doesn’t mean we’re the right fit for you. The consultation is where we find that out.

Children

Development and early years.

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Autism

Autism is diagnosed by patterns of development and behavior, but no two autistic children are biologically or neurologically identical. Our evaluation looks beyond the label at how the individual child’s nervous system is functioning, including eye movements, primitive reflexes, balance, coordination, sensory processing and autonomic regulation. When the history points beyond the neurological exam, we may also recommend that the family explore relevant medical contributors with the appropriate clinician.

Developmental delays

Delays in movement, speech, attention or learning. The exam looks for reflexes that should have faded and for gaps in how the senses and movement work together.

ADHD

Trouble holding attention, settling or finishing a task. We look at eye movements, balance, timing and reflexes that should have faded, alongside the care a child already has.

Dyslexia

Difficulty with reading and spelling. We look at how the eyes track along a line, at timing, and at how hearing and sight work together, alongside a child’s reading support.

PANS / PANDAS

Sudden or dramatic changes in behavior, OCD symptoms, tics, eating, sleep or function can warrant a different type of investigation. PANS/PANDAS requires appropriate medical evaluation. Our role is to assess neurological function, understand the timeline and work alongside the child’s medical team when appropriate.

Cerebral palsy

A group of conditions affecting movement and posture that begin early in development. We assess tone, reflexes, balance, coordination and eye movements to see what each system is doing now, and work alongside the child’s existing therapy team.

Adults

Injury and pain.

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Spinal cord injury

Complete and incomplete injuries. We assess preserved neurological function and identify areas that may be appropriate targets for rehabilitation.

Paralysis

Loss of movement from injury or illness. We assess what still responds and build the work around it.

Complex regional pain syndrome

Pain, swelling and temperature or colour changes out of proportion to the original injury. We look at how the nervous system is processing the limb, not only the limb.

Chronic pain

Pain that carries on long after the original injury. We look at the part the nervous system is playing in it.

Neuropathy

Numbness, tingling or burning, often in the hands and feet. We check sensation and balance and how they affect getting around day to day.

Nerve pain

Shooting, burning or electric pain along a nerve. We look at which parts of the nervous system are involved.

Inflammation-associated neurological symptoms

Inflammation can influence pain, fatigue, recovery and nervous system function. When a person’s history suggests a broader inflammatory process, we look at how neurological function may be affected and coordinate with the appropriate medical provider when additional evaluation is needed.

Multiple sclerosis (MS)

Diagnosis and medical management stay with the neurologist. We assess balance, coordination, eye movements and autonomic responses, and keep the treating physician informed.

Parkinson’s disease

Medication and medical management stay with the neurologist. We look at how movement is being planned and controlled, alongside balance, eye movements and autonomic responses.

Children and adults

Seen at any age.

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Tourette’s

Motor and vocal tics. We look at reflexes, eye movements and how the brain coordinates movement, alongside care from a physician or therapist.

OCD

Intrusive thoughts and repeated behaviours. We work alongside the mental-health care a person already has, looking at how the nervous system regulates itself.

Seizure disorders

Seizure management and medication stay with the neurologist. We look at balance, movement and sensory processing, and keep the treating physician informed.

Dystonia and movement disorders

Involuntary muscle contractions, tremor, and changes in coordination or gait. We assess how movement is being planned and controlled.

Balance and coordination

Unsteadiness, clumsiness or falls. We test the inner-ear, visual and body-position signals the brain uses to keep you upright.

Vertigo and dizziness

Spinning, light-headedness, or a sense that the world won’t sit still. The exam looks at the inner ear, the eyes and how the brain combines the two.

Dysautonomia

Trouble with automatic functions such as heart rate, blood pressure, digestion and temperature. We measure how heart rate and blood pressure respond to changes in position.

Headaches and migraines

Recurring headaches and migraine. We look for neurological patterns, such as eye-movement, neck or jaw involvement, that may be part of the picture.

Anoxic brain injury

Brain injury from a loss of oxygen, for example after a near-drowning or cardiac arrest. We assess what each system is doing now and plan from there.

Traumatic brain injury

Concussion and brain injury, including symptoms that carry on after the scan comes back clear. We test eye movements, balance and autonomic responses to see how the brain is working now.

Mold exposure

Exposure to mold is sometimes raised as a possible contributor when symptoms don’t fit a clearer picture. Testing and treatment for the exposure itself sit with the appropriate medical provider. Our part is to assess how neurological function is working and to coordinate when further evaluation is needed.

Anxiety

We work alongside the mental-health care a person already has, looking at how the nervous system regulates itself, including autonomic responses and sensory processing.

Sleep disturbances

Trouble falling asleep, staying asleep or waking rested. Sleep is affected by many things; we look at autonomic regulation and sensory processing, and refer when the history points to a sleep disorder needing medical evaluation.

Complex conditions

Cases that don’t fit one label, often with several diagnoses at once. We start with a full exam and tell you plainly whether we think we’re the right place.