The Neurology Blog

Five Reasons for the Muscles Weakness


Unexplained muscle weakness is one of the common complaints among people of different ages. In fact, word weakness has a broad meaning and can include tiredness, reduced power, or failure to work at all. Today we want to speak about the causes of the unexplained muscle weakness.

Cause #1 Inactive Lifestyle

 It’s not surprising that if you don’t use your muscles for an extended period of time, they lose their ability to work hard. It happens because the fibers (within the muscles) are partially replaced with fat cells. Yes, all left fibers are still active, but there aren’t enough of them, and they can’t contract effectively. As a result, you get your muscles wasting – they become more floppy and less chunky. Some things which are easy to do with the usual state of muscles will be much harder to repeat when the muscles have lost their fit.

Cause #2 Aging

Our muscles are in their best form in our 20s and 30s; unfortunately, no one can avoid aging and its natural consequences. Muscles lose its strength and bulk and become weaker. It is not surprisable that the older we become, the more time it takes to recover from muscle and tendon injuries.

Cause #3 Infections

Most cases of the temporary muscle fatigue are caused by the infections and illnesses. Depending on the severeness of the muscle inflammation, the weakness can last a quite a while and even result in chronic fatigue syndrome. This syndrome can also be a result of any disease with generalized temperature and muscle inflammation, such as:


  1.    Influenza (flu)
  2.    Epstein-Barr virus (glandular fever)
  3.    HIV
  4.    Lyme disease
  5.    Hepatitis C
  6.    Tuberculosis (TB)
  7.    Malaria
  8.    Syphilis
  9.    PolioSCH.jpg

Cause #4 Pregnancy

The periods during and after the pregnancy are usually accompanied by the feeling of muscle tiredness. It is due to the high levels of steroids and anemia (lack of iron) and is normal for pregnancy. Consult with your doctor to get proper nutrient supplements to regain the lacking elements.

Cause #5 Chronic Diseases

Persistent conditions tend to change our organism and its functional abilities. If the person has a chronic illness, it is common that he or she will suffer from the muscle weakness. In the following list, we include the most widespread chronic diseases that influence the muscles:

  1.    Peripheral vascular disease is characterized by the narrowing of the arteries because of the buildup of cholesterol.
  2.    Diabetes is the increasing of the blood sugar levels.
  3.    Heart disease – such as heart failure which is usually accompanied by the reduction of the blood supply at times of high demand.
  4.    Chronic lung or kidney disease, both has the bad influence on the overall state of the organism. In particular, the chronic obstructive pulmonary disease is characterized by the reduction in the ability of the body to take oxygen.
  5.    Anaemia is known as a shortage of red blood cells.

We have spoken about the most typical causes of the muscles weakness. Hope, this article helped to clarify the situation!  

Topics: General Advice

What Should You Know about Carpal Tunnel Injection?

What is carpal tunnel injection?


It is steroid injection into the carpal tunnel area of the wrist which is usually prescribed due to entrapment of the median nerve in the carpal tunnel.

What are the reasons for this procedure?

The main reason is Carpal Tunnel Syndrome (CTS). In the normal state, the median nerve runs from the forearm into the hand without obstacles. When the CTS occur, this nerve is squeezed at the wrist, and it provokes painful feelings. Also, many patients complain about weakness, tingling, and numbness in the hand and wrist.

 How can carpal tunnel injection help?

Steroid injections into the carpal tunnel area bring substantial improvement. It provides an effect for three months or longer. For many patients, further treatment is not needed.

What complications can occur?  

Complications are usually rare, but unfortunately, there is no risk-free procedure. Your doctor will tell you in detail about the possible complications, such as:

  1.    Infection
  2.    No improvement in symptoms

What to expect before the procedure?

First of all, your doctor will ask what medications you take. If you do, list all of them to avoid negative consequences. Second of all, the doctor will specify whether you have any allergies to medications. After all the details are clarified, a specialist will give you an injection of local anesthetic to the numb area.


What to expect during the procedure?

The doctor will prepare a needle with corticosteroid medication which calms the inflammation. Your palm will be placed facing upward, and inside area of your wrist will be cleaned to get rid of dirt and avoid infection. The needle with the medication will be inserted into the cleaned area of the wrist. It will take few minutes to inject the medication.

Is it painful?

Thanks to the anesthesia, there won’t be any painful feeling during the procedure. Nevertheless, after the anesthetic wears off, you may feel some pain.

What is the post-procedure care?

At the Care Center, the site of injection will be bandaged. The doctor will tell you what to expect in the following few days. It is advisable to take these steps:

  1.    Take over-the-counter pain pills.
  2.    Let your joint rest for at least 48 hours and avoid strenuous activity.  
  3.    Try to follow the instructions given by your doctor.

Notice! You should call your doctor if after arriving home:

  1.    You see signs of infection, such as fever it chills
  2.    If you find any of the following symptoms in the incision site: redness, swelling, increasing pain, excessive bleeding, or any discharge.
  3.    You can’t control pain with the prescribed medication.

In a case of any emergency, you should call for emergency medical services at once!

Topics: Diagnostics

A Pinched Nerve and Headache


Have you ever thought that pinched nerve and headaches are connected? No? It’s time to clarify the situation and to find the solution! Let’s find out how a pinched nerve in the neck can cause head pain and how it can be treated.

What is a pinched nerve?

Medically known as cervical radiculopathy, a pinched nerve in the neck can be caused by one of the diseases, such as:

  1.    Herniated disc – the inner consistency of the vertebrae form a rupture of the disc.
  2.    Cervical spinal stenosis – the narrowing of the spinal canal
  3.    Degenerative disc disease – impingement of the nerve due to the developing of the arthritis

What are the symptoms of pinched nerve in the neck?

A pinched nerve and headaches are connected; nevertheless, people often suffers from headaches and don’t know about the real cause of it. However, certain symptoms can help to determine whether you have a pinched nerve or no. When the lower nerves in the neck are pinched, there is a one side pain (located on the same side as the affected nerve). If to speak about the type of pain it can be described as aching and radiating from the back of the head to the forehead. Some people also complain on the tenderness in the area of the neck muscles on the side where the pinched nerve is located.

Additional signs of pinched nerve in the neck:

  1.    The pain in the shoulder or arm at the same side as the pinched nerve
  2.    Tingling and numbness
  3.    Weakness


How can a pinched nerve be diagnosed?

For a specialist, such as primary care physician, it is quite easy to diagnose a pinched nerve. You will need to go through a simple diagnostic test called the Spurling maneuver. Don’t get scared the procedure is plain: physician turns your head to the affected side and press down on the top of your head. If you feel the same symptoms (like numbness, pain, tingling, etc.), there is a high percentage that you have a pinched nerve in the neck. Afterward, the diagnosis can be confirmed with the help of magnetic resonance imaging (MRI), computed tS_1.jpgomographic myelography (CT myelography), or electromyography (EMG).

What are the treatments of a pinched nerve in the neck?

Doctor will prescribe you medications, such as non-steroidal anti-steroidal anti-inflammatories, opioids, antidepressants (such as venlafaxine), or muscle relaxants. Also, oral steroids can be sometimes prescribed but not for long-term use to avoid potential side effects. Please, do not take any medication without consultation with your doctor! Physical therapy is the injection of the steroids into the affected nerve which can be used as a complementary treatment to primary medication.  Unfortunately, there is a possibility that people with cervical radiculopathy can’t get desired relief despite medication and physical therapy. In such cases, it is better to refer to a spine specialist.

We hope this article helps to clarify the connection between the pinched nerve and headaches.

Topics: Neurology

Herniated Disc: What You Should Know?


Approximately 70% of people experience low back pain at some point in their lives; a high percentage of such cases is usually caused by a herniated disc.

Herniated disc, also known as a slipped or ruptured disc, can occur in any part of the spine, but it is more typical for the lower back. Moreover, this problem is one of the most common causes of the low back pain and sciatica (leg pain). Today’s medicine worked our nonsurgical treatments which help people even with the acute pain to feel desired relief after just a few weeks or months of therapy.

To understand better the problem and to determine the signs of herniated disk, we should look closely at the human anatomy.


Human spine consists of 24 bones (called vertebrae) that are placed on top of one another. These bones together create a canal for the protection of the spinal cord. The lower back is also known as lumbar spine and consists of five vertebrae.

Spinal cord and nerves are stretched through the spinal canal and serve to carry the message between your brain and muscles. Intervertebral disks work as shock absorbers for your vertebrae; they are flat and round and approximately half inch thick. Intervertebral discs consist of:

  1.    Annulus fibrosus – outer ring of the disk, tough and flexible.
  2.    Nucleus pulposus – center of the disk, soft, jelly-like.

Now, when we have looked closely to the anatomy of the spine, we can speak about such abnormality as herniated disc.   

What does happen when herniated disc appears?

A disc is considered to be herniated when its jelly-like nucleus pushes against its outer ring. It can be caused by some reasons, such as wear and tear or a sudden injury. As a result of this pressure against the outer ring, we can feel lower back pain.


What are the causes of the herniated disc?

As we get older, our discs lose water content and begin to dry out and weaken. It is related to the natural aging of our spine. However, there are some risk factors which can fasten the wear and tear of the disc.

  1.    Gender. The problem of herniated disc is more common for men between the ages of 30 to 50.
  2.    Improper lifting of the heavy objects using back muscles (instead of your legs) can be a cause of herniated disc.
  3.    Overweight adds stress on the discs and can cause many problems with the spine.
  4.    Driving for an extended period of time doubled by the car engine vibrations can put additional pressure on your spine.
  5.    Smoking can cause more rapid degeneration due to lessening oxygen supply to the disk.

What are the signs of herniated disc?

You can have only one or all of the following symptoms:

  1.    Pain in back.
  2.    Sciatica – leg/foot pain.
  3.    Weakness in the leg.
  4.    Numbness or a tingling sensation in the leg/foot.
  5.    Loss of bladder or bowel control. (Require immediate medical attention)

We hope this article has answered your questions and clear the problem of the herniated discs.  

Two Natural Ways for Relieving Headache

11938061_l.jpgHeadaches have become a part of the life of many people and are considered to be something usual. Nevertheless, it doesn’t mean that we have to humble, leave the things as they are and take pills which can bring only temporary relief. Moreover, medicals like the aspirin will only smooth the symptoms and with time will only perpetuate the ailment. Treating headache, we have to remember about the causes of it and avoid concentrating only on symptoms. What we want to offer is natural remedies for curing the headache which will help not only to smooth the symptoms but to influence on the trigger of the pain.

Remedy #1 An Apple Cider Vinegar (ACV)

For centuries, people have used apple cider vinegar for treating different illnesses. In fact, it has been used to cure everything beginning with the scurvy, ending with hay fever, and including all ailments that fall in between. Nowadays research proves that it is an effective remedy for treating certain diseases, but most of its healing abilities lie in the reports created throughout the centuries by people who have got benefit from it. If you are suffering from a throbbing headache, maybe it’s high time you get an ACV steam-style treatment?

What you need:

ACV – ¼ cup

Boiling water – 3 cups

Fresh cool water – 1 cup

How to use:

Into a large bowl, pour required an amount of apple cider vinegar and add boiling water. Put it on the surface comfortable for performing the procedure. Cover your head with a towel so that it drapes over the bowl and captures the steam. Hold your face over it to get affected by the stream but don’t get burned by it. During the whole procedure, you should breathe in and out deeply.


The time of duration is approximately ten minutes, or if you feel good, you can continue till the water starts to cool down. After you finish the procedure, pat your face with a towel and drink a glass of cool water.

Remedy #2 Relaxing

Time waits for no one, so we all try to fasten our life to stay all the time busy and stressed. It’s not a reasonable state for our body, and it reacts by tensing and knotting up muscles. Sue to such changes in the upper back, neck, and shoulders, we can experience headaches of various tension types. As it is mentioned above, your aim is to get rid of the causes and as a result, you won’t suffer from the symptoms. What we offer:

  1. 1.     Go for yoga. Your muscles are knotted up, so you need to drop the tension, it’s logical, right? Yoga is one of the best ways to help your muscles relax with the help of a few moves. And to prevent is better than to fight the ailments, so it is better to practice yoga regularly for a few minutes every day so that preventing the headaches.
  2.    Breathe. The way you breathe can drastically change the way you feel. For normal functioning, our organism requires a sufficient amount of oxygen. Take a deep, full breath to fill up your lungs with oxygen and enjoy relaxing.           

Now you know two easy and natural ways of treating the headache without pills.

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Topics: Headaches

Headaches: Definition and Causes

11479054_l.jpgA headache can spoil your life at any moment regardless of age, race, and gender. It is one of the most widespread sicknesses people are exposed to. Recent research shows that approximately 49% of adults all around the world have experienced a headache within last year. Headache disorders can be symptoms of other conditions or lead to the development of other ailments. Interesting fact, that depression is more likely for individuals with severe headaches than for healthy people.     

So, what is a headache?

Actually, headache is a term that comprises many different things. If to speak about the most comprehensive definition, headaches are pains that can occur in any region of the head: be on both sides of it or be isolated. They can travel across the head starting from the central point or can be concentrated in one at the same place. Pains can be characterized as sharp, throbbing, or dull, appear suddenly or gradually, and last for several days or less than an hour.

What can cause headaches?

According to the International Headache Society, there are primary and secondary headaches. Both types of pains have different reasons of appearing.

#1 Primary Headaches

Primary headaches are an illness which stands alone other diseases and are caused by the over activity or problems with pain-sensitive structures in the head, such as the blood vessels, muscles, and nerves of the head and neck. It is also can be a result of the changes in brain chemical activity.

The list of most typical primary headaches includes tension headaches, cluster headaches, and migraines. Some types of a headache can combine qualities of the primary and secondary. It can happen because they may be an isolated ailment or be a result of another illness. They can involve:


  1.    A headache that appears because of the direct physical stimuli (temperature or external pressure);
  2.    Pain that spread over the scalp (epicranial);
  3.    Physical strain;
  4.    Also, can be other miscellaneous headaches.

#2 Secondary Headaches

It is headaches which are symptoms of another condition that influence on the pain-sensitive nerves of the head. There are a great number of reasons that can cause secondary headaches, beginning with the severity of an alcohol-included hangover to a brain tumor.

Besides two listed above examples, secondary headaches can be caused by:

  •    Blood clots
  •    Brain freeze (ice cream headaches)
  •    Carbon monoxide poisoning
  •    Concussion
  •    Dehydration
  •    Glaucoma
  •    Influenza
  •    Overuse of pain medication
  •    Panic attacks
  •    Stroke.

As you can see a headache can be a symptom of a serious disease, so you have to pay attention to any changes in common pain. For instance, if a headache becomes more severe and persistent than precious, hardly improves by the medication, and is accompanied by symptoms like fever, confusion, and sensory stiffness, it is of vital importance to seek medical help or advice.

Despite the fact that headaches are widespread ailments, not many people know how dangerous they can be if to left things drift.

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Topics: Headaches

Getting Rid of Headache Naturally

20412571_xl.jpgToday, we all try to live fast, to meet all deadlines, to be constantly on the move and forget about the essential – out health. Late night, irksome bosses, insufficient sleep, etc. make our head pounding. We have bad days which are complemented by a severe migraine and what then? All we have to is to go for the easiest way out – to pop a painkiller –and that’s all? As a result, we get rid of symptoms for a short period of time and later the pain is back. So, maybe you need to treat the cause of the pain? We have prepared for you few remedies which will help to cure a headache of the inside starting with the reason for it.

Remedy #1 Relaxing

A headache can be a reaction of the organism to our way of life which results in tensing and knotting the muscles of the upper back, neck, and shoulders. Our body has an ability to transfer the pain felt in an area other than where the stimulus actually is and due to it, we end up with the tension-type headaches. So, our aim is to drop the tension; we advise the following:

  1.    Yoga. It helps to stretch out muscles contributing to lower the tension. Making few moves regularly can prevent a headache before it starts. Prevention is better than treatment, right?
  2.    Breathing. With the modern way of life, we have no time even for breathing properly and as a result, our body doesn’t get enough oxygen. Stop for a few minutes and take a deep breath and feel like air fills up your lungs. Your body gets fresh oxygen, and you get the relaxed state of mind.


  1.    Shoulders. Have you ever noticed that you move with your shoulders hunched up too high as if we try to hide there? If yes, it can be a cause of a headache and all you have to do is to control them. Remind yourself to drop shoulder at least once an hour and you’ll notice positive changes.

Remedy #2 Staying Active

Yes, it’s really hard to stay active when your head is pounding. In reality, moving outside and fresh air is something your body need to tight up muscles. It will also give you a possibility to focus on something else than on the pain.

  1.    Regularity. If you exercise only when you already have a headache, you won’t get too far. But exercising on a regular basis may help not only to cure pain but also to prevent its appearance.
  2.    Temperature. All you need is a balance. You won’t get rid of a headache if you abruptly stop and jump into strenuous activities. So, give your body time to warm up and cool down.
  3.    Setting. Of course, you can exercise at home, but think how pleasant will be to do it in the fresh air somewhere in the park? Two simple things – fresh air and change of scenery – can make your mind and body feel good.

So, follow our easy tips and stay healthy!    

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Topics: Headaches

Three Natural Ways to Fight Headache

10174306_xl.jpgHeadaches are often classified as nothing more than a common problem with which you have to deal with in some periods of your life. However, rarity can’t be an equitable way to judge how nasty something can be. The headache pains can make our life insufferable, transform it in a row of painful challenges with which we try to cope taking the aspirin. In its turn, the aspirin can bring only temporary relief and with time even perpetuate the problem.  

Look, when you try to fight the symptoms, you forget about the real issue – what triggers a headache. Natural remedies for headaches may require from you something more than simply popping a pill, but it is worth it. They won’t make you dependent on them and don’t wreak havoc whereas you can become addicted to other over-the-counter or prescription pain-killers and in result take pills for every a little headache.

We offer you few home remedies which you can help you to relief the pain of a headache without taking pills.

Remedy #1 Cayenne

Now you may think that how spicy thing can contribute to cure the pain, but cayenne has a secret element in its content making it revered in the kingdom of the natural remedies to treat pain. So, how it works? Our body has an element in pain perception called Substance P which can be inhibited by the cayenne’s ingredient knows as capsaicin. In other words, Substance P is one of the main parts that make us feel pain, and the capsaicin in its turn drains it.

What you need:

¼ teaspoon cayenne powder

4 ounces of warm water

Cotton swabs


Add the indicated amount of cayenne powder into 4 ounces of warm water. Mix the ingredients well (the powder can sink to the bottom) and soak a cotton swab in the glass with the remedy. Now you need to apply the moist swab to the inside of each nostril and leave until you feel the heat. You can find it a bit unpleasant but consider the burning sensation as a sign that the remedy works. When you take out the swab, your headache will hopefully be wiped out, or if not, will become better than before.

Remedy #2 Nuts

You take pain-killers containing an agent called salicin which helps to decrease the pain. But why should you poison your body with the pills if the same ingredient can be found in almonds? Nature has already cared about us and gave us all-natural ways to fight our ailments. Opt for a healthier alternative and eat a handful or two of wholesome nuts when you feel that that ache starts to set.

Remedy #3 Feverfew

The theory suggests that when you suffer from a migraine, your blood vessels are expanding and pressing on nerves. Thus, all you need is to relax the tension or constrict blood vessels to ease the pressure. In this case, you can get the desired relief with the help of feverfew plant. It has a substance known as parthenolide which helps to reduce the inflammation and pain just like after the aspirin but without any side effects.

What you need:

1 ounce fresh/dried flowers

1 pint of boiling water

For preparing a healing liquid, you need to boil the water and add an ounce of flowers (fresh or dried). Let it brew for ten minutes and strain. It is recommended to drink half a cup twice a day.

 Now you know three effective and what is important natural ways of fighting the headache.

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Topics: Headaches

What Will a Consultation With an NYC Neurologist Cost?

Neurological issues can be frightening as a patient. In addition to concerns about their health, many facing neurological care have significant concerns about the cost of treatment. In fact, some individuals delay going to see a specialist because of their financial concerns.

NYC Neurologist Consulation

Neurons.jpgSeeing a top neurologist in NYC does not have to break the bank. There are several things patients can do in order to minimize their out of pocket cost.

Cost of NYC Neurologist Consultation

The cost of seeing a top rated neurologist in NYC is dependent on a number of factors and can vary between doctors’ offices. Things to consider when evaluating cost include:

  • Insurance Acceptance – Medical insurance has the largest impact on a patient’s out of pocket expenses. For those with medical insurance, it is important to select a doctor who is an in network provider for your insurance coverage. This means not only evaluating that potential neurologists accept your provider, but also that they are in network for your specific plan. Different insurance plans within the same carrier may have different lists of physicians. Selecting an in network provider ensures that patients receive the maximum benefit they are eligible for while paying the least out of pocket cost.
  • Payment Options – For those with limited or no insurance coverage, understanding payment plans and options is important. Speak with the neurology center about payment options including financing and payment arrangements to understand what your financial responsibilities are.


There are various components that determine how much the cost of treatment is including:

  • Diagnostic Costs – In order to adequately treat an issue, doctors must know the root cause. Often, this requires diagnostic tests to determine exactly what is causing the neurological concerns. Some tests are more expensive than others, it is important to balance the cost of tests with the benefit of the diagnostic tool.
  • Treatment Methods – The method of treatment largely determines cost. More invasive treatment methods like surgery have costs higher than more invasive options. Your medical team will work with you to balance treatment methods with your financial concerns.

Highest Rated NYC Neurologist

The highest rated neurologist in NYC can be found at the esteemed office of NY Neurology Associates. Their expert team of neurologists uses the latest in neurological technology to provide their patients with a personalized treatment plan that directly addresses their specific medical needs. If you would like to schedule an appointment or check for availability, please click below or call 212 987-0100.

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Having Headaches? Consider Seeing an NYC Neurologist

An occasional headache is typically no cause for concern. A headache a few times a year that is easily resolved with over the counter medication will not require medication. However, chronic headache sufferers have a much different experience. If you’re having frequent headaches, headache pain that is constant or severe headaches that do not improve with over the counter medication, it is time to see neurologist NYC headache specialist.

See a Neurologist if You are Having Headaches

headaches.jpgFrequently taking pain medication will do little to improve your headache situation. In fact, taking medication frequently or in large doses can actually lead to more headaches.

Should I see someone at a neurologist NYC office?

If you have mild headaches only a few times a year, a neurologist may not be for you. However, if you’re concerned about the mild headaches, speak with your primary care physician. For sufferers of chronic or severe headaches, seeing a headache specialist may be the best way to get the relief you seek. Indications that you may need to see a neurologist include:

  • Headaches that are accompanied with other symptoms such as nausea, a change in vision or changes in cognitive ability
  • Experiencing more than two headaches per week on a regular basis
  • Headaches that do not improve with the use of over the counter medication
  • Having headaches that worsen rather than get better after taking medication
  • Chronic headache pain that makes it difficult to perform everyday tasks
  • If the pattern or type of headaches you experience changes abruptly


How are headaches diagnosed and treated?

Treating headaches begins with understanding their triggers, frequency and severity. Keeping a headache diary is a great way to provide your neurologist NYC headache expert with detailed information about the types of headaches you’re experiencing. Things to capture include the severity, frequency and duration of the pain. Noting any activities, meals and environment can also help to determine headache triggers. The information you provide to the neurologist will allow them to order specific diagnostic tests. Once the root cause of the headaches is determined, a treatment plan may be developed that addresses your exact needs. Treating headaches may include medication, Botox injections, physical therapy, altering behaviors or other changes.

Leading Neurologist for Headaches

To schedule an appointment with the highest rated neurologist NYC offers, contact the team at NY Neurology Associates today. If you would like to schedule an appointment or check for availability, please click below or call 212.987.0100.

Schedule an Appointment Today