Movement Disorders Program

Movement disorders are problems that affect the ability of your brain and body to coordinate movements. There are disorders of excessive movements, like Huntington’s chorea; disorders of insufficient movement, like Parkinson’s disease; and disorders of painful movements, like dystonia which causes parts of your body to be twisted or pulled in abnormal and uncomfortable positions.

At Capital Institute for Neurosciences,Dr. Jill Farmer, a board certified neurologist who is fellowship trained in movement disorders, offers the latest in medical management, the use of deep brain stimulation (DBS) devices, or neurostimulators; and the use of botulinum toxin.

A movement disorder specialist, such as Dr. Farmer, has completed specialized training that provides specific expertise in treating all of the various types of movement disorders. Conditions that fall under the movement disorders umbrella include: Parkinson’s, essential tremor, atypical Parkinson’s (multisystem atrophy, progressive supranuclear palsy, corticobasilar degeneration, Lewy Body Dementia), dystonia, ataxia and spasticity.

Treatment Options:

The treatment approach recommended at our Institute for a movement disorder is entirely dependent on the type of movement disorder the patient has. Options include management with oral and topical medication, management using botulinum toxin (the same toxin used for cosmetic procedures,) and evaluation for surgical management specifically used for essential tremor, Parkinson’s and dystonia.

At Capital Institute for Neurosciences, Dr. Farmer can educate you on and provide all the latest medication options, discuss the use of botulinum toxin and provide the injections, and can work with patients to determine if deep brain stimulation is an appropriate treatment option, as well as provide post-surgical programming of DBS devices.

In conjunction with these treatment options, concurrent use of physical, speech and occupational therapies is exceedingly important for the overall and complete management of a movement disorder patient. Dr. Farmer’s fellowship training allows her to have a keener diagnostic perception differentiating among movement disorders, as symptoms often overlap and her practice incorporates a more nuanced approach with more advanced treatment therapies.

Your visit to our movement disorders program will include taking a detailed history, so providing us with any previous medical records and studies is extremely important. You will also complete a physical exam designed specifically to detect the subtleties of movement disorders as well as a cognitive screening when appropriate. Based upon your clinical history and exam, together we will discuss a detailed and individualized treatment plan you are comfortable with and a copy of that plan will be provided to you.

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