- Headaches
- ArthritisCarpal Tunnel Syndrome is a painful condition caused by compression of a key nerve in the wrist. It occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed at the wrist. Symptoms usually start gradually, with pain, weakness, or numbness in the hand and wrist, radiating up the arm. As symptoms worsen, people might feel tingling during the day, and decreased grip strength may make it difficult to form a fist, grasp small objects, or perform other manual tasks. In some cases no direct cause of the syndrome can be identified. Most likely the disorder is due to a congenital predisposition - the carpal tunnel is simply smaller in some people than in others. The risk of developing carpal tunnel syndrome is especially common in those who preform repetitive work tasks, such as assembly line work. Carpal tunnel syndrome is also associated with pregnancy and diseases such as diabetes, thyroid disease, or rheumatoid arthritis.
- FibromyalgiaFibromyalgia is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas and is often accompanied by altered sleep, memory, and mood swings.
- Primary Care** If you have a cough, shortness of breath/difficulty breathing, nausea, or running a fever, we ask that you please stay home and contact your primary care physician **
- Sleep DisordersSleep apnea is an interruption of breathing during sleep. Though we often think of sleep apnea as a problem experienced by adults, it is also common in children. Disruptive sleep is not healthy for a child. It can lead to problems when a child is awake. Furthermore, while there is a possibility that affected children will “grow out of†their sleep disorders, the evidence is steadily growing that untreated pediatric sleep disorders, including sleep apnea can wreak a heavy toll.
- Constipation
- ElectrocardiogramSome people with AF have no symptoms, but others may experience a fluttering feeling in the area of the chest above the heart, chest pain, lightheadedness or fainting, shortness of breath, and fatigue. AF is diagnosed by an electrocardiogram (ECG), a device that records the heart’s electrical activity. Other tests are often performed to rule out contributing causes, such as high blood pressure, an overactive thyroid gland, heart failure, faulty heart valves, lung disease, and stimulant or alcohol abuse. Some people will have no identifiable cause for their AF.
- Pregnancy
- NeurologyAt our Pinehurst Neurology Headache Management Center, we strive to provide the best and maximum relief for our patients suffering from headaches. We will work to provide you with a personalized diagnosis and generate a treatment plan that is right for you.
- Carpal Tunnel SyndromeCarpal tunnel syndrome is a condition that causes numbness, tingling and other symptoms in the hand and arm, caused by a compressed nerve in the carpal tunnel, a narrow passageway on the palm side of your wrist.
- AutismNational Autism Awareness Month promotes autism awareness, autism acceptance and to draw attention to the tens of thousands facing an autism diagnosis each year.
- Multiple SclerosisCommon causes of inner ear vertigo are benign paroxysmal positional vertigo (BBPV), viral labyrinthitis, Meniere’s disease and less common tumors of the vestibular system. Central causes of vertigo must also be taken into account, such as migraine-associated vertigo, cerebellar stroke, multiple sclerosis and vertebrobasilar insufficiency.
- EpilepsyElectroencephalogram (EEG): The electroencephalogram is most often used to help in the diagnosis of seizure disorders. This may also be used to monitor the effectiveness of anti-seizure medications in patients with epilepsy. Other problems which are evaluated with an EEG may include unusual spells, confusion, head injury or other disorders which cause worsening mental impairment or brain dysfunction.
- Attention Deficit Hyperactivity Disorder (ADHD)Studies have suggested that as many as 25 percent of children diagnosed with attention-deficit hyperactivity disorder may actually have symptoms of obstructive sleep apnea and that much of their learning difficulty and behavior problems can be the consequence of chronic fragmented sleep. Some researchers have charted a specific impact of sleep disordered breathing on “executive functions†of the brain: cognitive flexibility, self-monitoring, planning, organization, and self-regulation of affect and arousal.
- Stress ManagementThere is no cure for lupus. Treatment is symptomatic. With a combination of medication, rest, exercise, proper nutrition, and stress management, most individuals with lupus can often achieve remission or reduce their symptom levels. Medications used in the treatment of lupus may include aspirin and other nonsteroidal anti-inflammatory medications, antimalarials, corticosteroids, and immunosuppressive drugs.
- Depression
- PsychiatryDr. Jonathan Richman earned his degree in Bio-Engineering from Brown University in Providence, Rhode Island. He received his Medical degree from the Baylor College of Medicine in Houston, Texas. He did his Neurology training the University of Virginia Health Sciences Center in Charlottesville, Virginia and completed a year of fellowship training in Electromyography Neuromuscular disease at the University of North Carolina, Chapel Hill. Dr. Richman is board certified by the American Board of Psychiatry and Neurology.
- Insomnia
- Anxiety
- Diabetes Care
- Thyroid
- MRIMID can be diagnosed by an MRI or CT of the brain, along with a neurological examination. Symptoms include confusion or problems with short-term memory; wandering, or getting lost in familiar places; walking with rapid, shuffling steps; losing bladder or bowel control; laughing or crying inappropriately; having difficulty following instructions; and having problems counting money and making monetary transactions.
- WhiplashWhiplash-a soft tissue injury to the neck-is also called neck sprain or neck strain. It is characterized by a collection of symptoms that occur following damage to the neck, usually because of sudden extension and flexion. The disorder commonly occurs as the result of an automobile accident and may include injury to intervertebral joints, discs, and ligaments, cervical muscles, and nerve roots.
- Orthopedic SurgeryThere are no standard treatments for hereditary neuropathies. Treatment is mainly symptomatic and supportive. Medical treatment includes physical therapy and if needed, pain medication. Orthopedic surgery may be needed to correct severe foot or other skeletal deformities. Bracing may also be used to improve mobility.
- BotoxBOTOX® (onabotulinumtoxinA) is a prescription medicine that is injected to prevent headaches in adults with chronic migraine who have 15 or more days each month with headache lasting 4 or more hours each day in people 18 years or older.
- Physical TherapyCervicogenic Headache When the pain in your head is actually caused by pain in your neck, you probably have a cervicogenic headache. The pain usually comes from the neck or from a lesion on the spine, which is often confused with pain in the back of your head. It’s common for this type of headache to require physical therapy in addition to medication or other treatment.
- Occupational TherapyOccupational therapy, physiotherapy, and hydrotherapy may prolong mobility. Some children may require special equipment and aids such as braces to arrest scoliosis, splints to modify hand movements, and nutritional programs to help them maintain adequate weight. Special academic, social, vocational, and support services may be required in some cases.
- Neck Pain
- Back Pain
- Neuro RehabilitationStrokes are the most common cause of significant disability in adults in the United States. Dr. Bruce Solomon is fellowship trained in neuro-rehabilitation and for 17 years has been the director of the Inpatient Rehabilitation Center at Moore Regional Hospital. Pinehurst Neurology also directs the stroke program at Moore Regional Hospital. Our doctors also work aggressively with patients to prevent a second stroke after the first one has occurred.
- HammertoesCertain types of hereditary neuropathies can affect the autonomic nerves, resulting in impaired sweating, postural hypotension, or insensitivity to pain. Some people may have foot deformities such as high arches and hammer toes, thin calf muscles (having the appearance of an inverted champagne glass) or scoliosis (curvature of the spine).
- Podiatric DeformitiesA hereditary neuropathy is an inherited (runs in families) disorder of the peripheral nervous system (nerves away from the brain and spinal cord). There are many different hereditary neuropathies. Symptoms of a hereditary neuropathy may include: Muscle weakness (especially in the foot and leg) Foot deformities.
- Allergies