- Fibromyalgia
- Medical Weight LossBrian Koch, M.D. specializes in Pain Medicine within the Culicchia Neurological Clinic. He strongly believes that effective treatment of chronic and recurrent pain of the neck, back and joints is best accomplished utilizing a broad range of modalities including procedures such as injections, medical management, physical therapy, exercise and weight loss.
- Stroke Rehabilitation
- Ear InfectionsPatients suffering from an inner ear infection people will have often severe vertigo spells. Often the infection will clear up but patients are still left with an imbalance. Also, patients suffering from Meniere’s Disease also benefit from vestibular therapy.
- Sleep DisordersK. David Khoobehi, M.D., Neurologist, treats patients suffering from a wide range of disorders including headaches and migraines; concussion and traumatic brain injury; stroke; neurological sleep disorders, cognitive disorders, dementia and seizure disorders.
- Emergency CareRebecca Winchell of Mandeville had just finished playing tennis when she began suffering from what felt like a sinus headache. “All of sudden that night I felt fluid rushing to my head and my neck felt very sore,” she recalls. “I was coherent enough to speak but in a lot of pain so I went to the emergency room.”
- Internal MedicineDr. Khoobehi is a graduate of the LSU School of Medicine and completed both a neurology and internal medicine internship at Tulane Medical Center in New Orleans. He received the resident teaching award while at Tulane Medical Center. While a medical student at LSU in New Orleans, he received the Neurology Clerkship Outstanding Medical Student award. He attended Tulane University and earned a B.S. in Neuroscience.
- NeurologyNeurology is the field of medicine concerned with diagnosis and treatment of all categories of disease or impaired function of the brain, spinal cord, peripheral nerves, muscles, and autonomic nervous system, as well as the blood vessels that relate to these structures.
- Multiple SclerosisMultiple sclerosis (MS) is a disease of the central nervous system in which an inflammatory attack occurs disrupting the brain or spinal cord’s myelin. Myelin is the fatty layer that surround nerves, providing insulation and allowing for the fast transmission of nerve impulses. When this demyelination occurs there is disruption of the nerve’s electric transmission, which in turn can produce a wide range of symptoms such as visual loss, numbness, weakness and lack of coordination and balance.
- EpilepsyNeurology is the field of medicine concerned with diagnosis and treatment of all categories of disease or impaired function of the brain, spinal cord, peripheral nerves, muscles, and autonomic nervous system, as well as the blood vessels that relate to these structures. The neurologist is a consultant to other physicians but also is the principal physician and may render all levels of care commensurate with his/her training. Common conditions treated by a neurologist include: stroke, aneurysm, dementia, multiple sclerosis, Parkinson’s disease, epilepsy, brain tumors, migraines, head and spinal injuries, vascular malformation of brain and spinal cord.
- PsychiatryHe holds certification from the American Board of Psychiatry and Neurology and is a member of the Louisiana State Medical Society and American Academy of Neurology.
- UltrasoundCulicchia Neurological Clinic was proud to offer carotid artery screenings as part of the Aces Against Aneurysms fundraising tennis tournament. A carotid artery ultrasound is a screening test that detects blockages that could cause a stroke. It uses high-frequency sound waves to create pictures of the inside of the two large arteries in your neck that supply your brain with oxygen-rich blood.
- MRIEarly on, the clinic included both neurosurgeons and medical neurologists and was the primary source of neurosurgical care for about 250,000 people. Always the pioneer, Dr. Culicchia was instrumental in establishing two hospitals and the first MRI laboratory on the West Bank.
- Radiology
- Interventional Radiology
- General Surgery
- SciaticaFitness Expert Mackie Shilstone’s sciatica flared up after training Serena Williams for the U.S. Open. He turned to the Culicchia Spine Team for relief, including Dr. Stephen Rynick, for a lumbar epidural steroid injection. He wrote about his treatment in his weekly column on nola.com. “My pain, originating on the left outer hip then migrating to the mid-thigh and lateral calf, followed this exact path and was originally thought to be a hip bursitis — the product of the plyometric jumping we did to increase Williams’ acceleration to the ball,” he wrote.
- NeurosurgeryThe team of neurosurgeons at Culicchia Neurological are affiliated with the LSU Department of Neurosurgery. These same neurosurgeons are an important part of the West Jefferson Medical Center neurosurgery team that was ranked among the top 10 percent in the United States for 2012.
- OtolaryngologyDr. Arriaga is a diplomate of the American Board of Otolaryngology with certification in both Otolaryngology and Neurotology. He is a Fellow of the American College of Surgeons, Fellow of the American Otological Society, and a member of the North American Skull Base Society. He is a past president of the American Neurotology Society.
- BotoxBotulinum toxin is a neurotoxin used to treat spasticity, a condition caused by any damage to the brain or spinal cord. Spasticity causes increased muscle tone and extreme tightness that prohibits use of the muscle. The commercial medical drug, marketed as “Botox” or “Dysport” are highly purified forms that can be injected directly into the muscle to relieve the tightness. By making sure the injections are in just the right spot, botulinum toxin can provide very effective treatment with few side effects.
- Physical TherapyVestibular Rehabilitation is a highly-specialized form of physical therapy that helps patients maintain their focus while moving so they can better control their balance while standing, sitting, walking, or moving around. “All of those movements are influenced by the inner ear and the brain. Think of it as our body’s central processing center, which sends signals to the eyes to stabilize balance and focus,” explained CNC Hearing and Balance Center Vestibular Therapist Carrie Black, PT, DPT, C/NDT. “Our vestibular therapists work to re-training patients to process that movement so they no longer experience subjective dizziness or imbalance.”
- Occupational Therapy“The tears were about losing who I was before,” Abrusley said. Months of physical and occupational therapy were ahead.
- Neck Pain
- Neuro RehabilitationDr. Khoobehi participates in all phases of patient care including recovery. He frequently treated patients in the neuro-rehabilitation unit during his residency at Tulane.