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Medical acupuncture is a form of alternative medicine. Acupuncture is generally used for pain relief but it is also used for a wide variety of other medical conditions. It is also used in combination with other forms of treatment.

Botulinum toxin is a medication derived from a neurotoxin produced by bacteria (Clostridium Botulinum). The botulinum toxin (BT) medication is designed to be used safely without causing botulism. Botulinum Toxin Therapy is a muscle-relaxing medication used to decrease spasticity related to neurological conditions. Spasticity causes muscle stiffness and tightness which interferes with voluntary movements. Spasticity can also cause muscle spasms (jerky involuntary movements) or clonus (repetitive involuntary movement). BOTOX is also used, and has been effective, for migraine therapy.

A Carpal Tunnel nerve block is an injection of a steroid or other medication in the wrist area for the treatment of Carpal Tunnel Syndrome.

Deep Brain Stimulation Programming is a medical treatment for Parkinson’s disease and for refractory cases of benign essential tremor.

An echocardiogram (also called an echo) is a type of ultrasound test that uses high-pitched sound waves that are sent through a device called a transducer. The device picks up echoes of the sound waves as they bounce off the different parts of your heart.

Gilenya is used in the treatment of the relapsing form of multiple sclerosis. It may also be used in chronic inflammatory demyelinating polyneuropathy. Gilenya reduced the rate of relapses in multiple sclerosis by over half. We offer first dose observation and subsequent treatments for Multiple Sclerosis.

Headaches and migraine management is usually compromised of treatment for acute and preventative therapy. Acute treatment aims to reverse, or at least stop, the progression of a headache that has started. Preventative treatment, which is given even in the absence of a headache, aims to reduce the frequency and severity of the migraine attack, to improve the patient’s quality of life.

We draw any labs ordered by your Provider.

An occipital nerve block is an injection of a steroid or other medication around the greater and lesser occipital nerves that are located on the back of the head just above the neck area.

Osteopathic Manipulative Therapy (OMT) is a core set of techniques based on an ideology which posits the existence of a myofascial continuity, a tissue layer that connects all parts of the body. Our physician diagnoses and treats somatic dysfunction by manipulating a person’s bones and muscles to address a variety of ailments. OMT techniques are most commonly used to treat back pain and other musculoskeletal issues.

We offer on-site Physical Therapy (PT) in Farmington Hills and Novi. Physical Therapy is a physical medicine and rehabilitation specialty that is used for therapeutic and corrective measures. PT encompasses force movements and remediates impairments. PT promotes mobility, function, and quality of life through examination, diagnosis, prognosis, and physical intervention. Physical therapy may be provided alongside, or in conjunction with, other medical services we offer. PT is performed by our licensed and experienced physical therapists.

We conduct on-site skin punch biopsies for the assessment, diagnosis and treatment of neuropathy. This test takes five to ten minutes and no stitches are required. Results are normally available to the Provider within two weeks.

Any individual diagnosed with a stroke should be evaluated as quickly as possible by an experienced neurologist or neurosurgeon. The physicians in our practice are specialists in treating acute stroke, including intracerebral hemorrhage, carotid occlusive disease, and other cerebrovascular disorders that can cause ischemic stroke. Dr. Bruce Silverman is the Director of Neurosciences for St. John Healthsystem. Dr. Mark Silverman is also practicing telestroke medicine. Both physicians have the ability to link health care practioners and patients in different locations to treat strokes.

Trigger point injection (TPI) may be an option for treating pain in some patients. TPI is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. Many times, such knots can be felt under the skin.

Vagal nerve stimulation (VNS) is a medical treatment that involves delivering electrical impulses to the vagus nerve. It is used as an adjunctive treatment for certain types of intractable epilepsy and treatment-resistant depression.

Video Electroencephalographic (EEG) is diagnostic test that uses video and EEG recordings to continuously observe behavioral activity (i.e., seizure activity and/or involuntary episodes of movement or consciousness) while simultaneously recording electrical brain activity.