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Archive for Dr. Christopher Milford – Page 3

Migraines: When is it time to see a doctor?

Migraines are large throbbing pains in the head and neck that is often very severe. Migraines can affect a specific side of the head and can be so bothersome that it causes nausea or vision impairments. The feeling is an intense pain pulsating that can cause vomiting and extreme sensitivity to light and sound. It is a neurological disorder that can involve the chemical activity in your brain, nerves or blood.

It’s hard to tell how long migraines will last.  Some migraines can last a few hours and much more severe ones can last for days. The pain of a migraine can be disabling and prevent you from your daily activities and functions. Aura is a warning symptom that some people experience before a migraine. These can occur during the migraine as well.

Migraines can be treated to prevent migraines and make them less painful. Talk to your Las Vegas Neurologist about your options to treat your migraines if you are having trouble finding relief.

Symptoms of Migraines

Migraines can often run in the family and it affects people of all ages. Migraines begin in childhood or in early adulthood for some people. If you have a family history of migraines, you are in risk of having it. Symptoms for migraines can be caught before you experience it. This is known as the prodrome stage. Symptoms to look out for during prodrome:

  • Food cravings
  • Mood changes such as depression
  • Fatigue and frequent yawning
  • Hyperactivity
  • Irritability
  • Neck stiffness
  • Constipation

Aura

Aura is a warning symptom that you can get after the prodrome stage and right before a migraine. Aura can cause problems in your vision, movement and even your speech. There are a lot of people who experience migraines with aura but if you experience these examples, it is likely you have migraine aura:

  • Difficulty speaking
  • Tingling sensations in body
  • Visualizing light flashes and/or bright spots
  • Vision loss
  • Body weakness or numbness

Migraines vs. Headaches

Headaches are pains in your head that involve pressure and aching. The pain of headache is mild, and you feel it on more sides of your head than one specific spot. Common areas that people feel headaches are forehead, temples and the back of the neck. They typically don’t last as long as migraines. Migraines last longer and are much more severe. There are instances where migraines can be so severe that you can find yourself going to the emergency room. They have far more effects than a headache including: vomiting, nausea, vision loss and disturbing long-lasting pain.

When to see your Neurologist

Sometimes it can be difficult to decide when it’s time to see a doctor. Migraines are painful and severe but they are not dangerous which can add to the difficulty in deciding when to see a doctor. It’s important to pay attention to the symptoms you are experiencing. Sometimes migraine symptoms can also be symptoms of other conditions that would lead to much more serious issues.

Seek consultation from a doctor if:

  • Your migraines are severe or begin suddenly
  • You experience migraines much more frequently and they worsen
  • If your speech, health and vision are impaired
  • Coughing or sneezing causes or triggers a migraine

Contact your Las Vegas Neurologist if you are experiencing migraines that are severe and prevent you from functioning normally throughout your day!

Multiple Sclerosis Awareness

March is Multiple Sclerosis Awareness Month! More than 400,000 Americans of almost all ages are affected by Multiple Sclerosis. Everyday, people with this condition are not letting it affect their lives. By sharing their stories, many can better understand a life with it. Our Las Vegas neurologist is working to push awareness throughout this month.

What is MS?

Multiple sclerosis (MS) is an unpredictable, often disabling disease of the central nervous system that disrupts the flow of information within the brain, spinal cord and optic nerves. The cause of multiple sclerosis is unknown but our Las Vegas neurologist best practice is to diagnose it as soon as possible and treat it.

Symptoms:

  • Pain areas: in the back or eyes
  • Pain circumstances: can occur in the back due to head nod or with eye movement
  • Tremor: can occur during precise movements, in the hands, or limbs
  • Muscular: cramping, difficulty walking, inability to rapidly change motions, involuntary movements, muscle paralysis, muscle rigidity, muscle weakness, problems with coordination, stiff muscles, clumsiness, muscle spasms, or overactive reflexes
  • Whole body: fatigue, dizziness, heat intolerance, poor balance, vertigo, or weakness
  • Sensory: pins and needles, abnormality of taste, reduced sensation of touch, or uncomfortable tingling and burning
  • Urinary: excessive urination at night, leaking of urine, persistent urge to urinate, or urinary retention
  • Visual: blurred vision, double vision, or vision loss
  • Sexual: erectile dysfunction or sexual dysfunction
  • Mood: anxiety or mood swings
  • Speech: slurred speech or impaired voice
  • Also common: constipation, depression, difficulty swallowing, difficulty thinking and understanding, flare, headache, heavy legs, numbness of face, rapid involuntary eye movement, sleep deprivation, tongue numbness, or difficulty raising the foot

 

Diagnosis and Treatment:

There is no specific test for MS, usually after certain symptoms reveal, our Las Vegas neurologist will likely tests such as:

  • Blood Tests- to help rule out other disease with symptoms similar to MS.
  • Lumbar puncture- small sample of fluid is removed from your spinal cord for laboratory analysis which can show abnormalities in antibodies that are associated with MS.
  • MRI- this can reveal areas of MS on your brain and spinal cord. You may receive an intravenous injection of a contrast material to highlight lesions that indicate your disease is in an active phase.
  • Evoked potential tests- in other words record the electrical signals produced by your nervous system in response to stimuli. This may use visual stimuli or electrical stimuli, in which you watch a moving visual pattern, or short electrical impulses are applied to nerves in your legs or arms. Electrodes measure how quickly the information travels down your nerve pathways.

 

There is a great number of people in the US who are not as aware of Multiple Sclerosis and many other diseases altogether. Spreading awareness in big or small ways makes a big difference in the community. How are you spreading awareness?

Tips in Spreading Awareness for MS:

  • Follow your Las Vegas neurologist to find out more information on various conditions!
  • Wear orange to represent the disease and share with others what the color symbolizes!
  • Join a MS support group, our Las Vegas neurologist actively does this.
  • Volunteer in many MS events throughout the month for support, fundraisers, and helping others with this condition.

Carpal Tunnel Syndrome

Carpal tunnel syndrome is caused by pressure on the median nerve. The median nerve runs along the entire length of the arm. It controls the movement and feeling of your thumb and all fingers besides the pinky. Pressure on the median nerve results in a narrowing of the carpal tunnel, usually from swelling.

If you are suffering from any carpal tunnel syndrome signs, contact our neurology clinic in Las Vegas. Click here for a full list of the insurances we accept. Early treatment of carpal tunnel syndrome can relieve symptoms and prevent permanent damage. At Silver State Neurology, our Las Vegas neurologist can provide treatment for carpal tunnel syndrome. Dr. Christopher Milford wants to help all patients achieve a better quality of life. Learn more about our neurologist in Las Vegas on Facebook! Continue reading to learn about carpal tunnel syndrome symptoms!

What causes carpal tunnel syndrome?

Signs of carpal tunnel syndrome can start to develop due to repetitive motions of the wrist. This is especially true for actions that require use of the lower part of the wrist. Activities like typing on keyboard, texting, or even playing video games can cause symptoms of carpal tunnel syndrome. It can also be caused by a wrist injury, such as a fracture or sprain.

Carpal tunnel syndrome is more common in women than it is in men. This is due to women having a relatively smaller carpal tunnel space. Going through menopause also increases risk of carpal tunnel syndrome. Conditions that cause carpal tunnel syndrome include hypothyroidism, obesity, rheumatoid arthritis, and diabetes. Being pregnant can also cause carpal tunnel syndrome flare-ups. Symptoms can last a long time and get worse with time. They may even go away and return. Seeing a neurologist in Las Vegas means an earlier diagnosis and better treatment for carpal tunnel syndrome.

Symptoms of Carpal Tunnel Syndrome

  • Tingling: You may experience tingling in your fingers or hands. However, the pinky finger is unaffected by carpal tunnel syndrome symptoms. The sensation may feel similar to an electric shock in your fingers. It travels from the wrist up the arm, and it is usually felt while holding a steering wheel, phone, or newspaper.
  • Numbness: While you’re sleeping, your fingers might fall asleep and become numb at night due to your muscles being relaxed. It is common to wake up in the morning with numbness that runs from your hands all the way to your shoulder.
  • Weakness: Pressure on the median nerve can cause decreased function. Your muscles can actually start to shrink, leading to a loss of strength and coordination. This weakness also decreases the ability for your thumb to pinch properly. You might start to become more prone to dropping things.

Can carpal tunnel syndrome be prevented?

While we can treat your carpal tunnel syndrome at our Las Vegas neurology clinic, there are methods you can use to minimize stress on your hands and wrists. These methods will help to reduce your carpal tunnel syndrome symptoms.

  • Keep your hands warm! Your hands are more likely to be stiff and painful when cold. Use gloves that cover your hands and wrists.
  • Improve your posture. Proper posture will lengthen the muscles in your neck and shoulders while relaxing your nerves. This, in turn, affects your wrists, hands, and fingers. You should also avoid bending your wrists all the way up or down. Keeping a middle position is more relaxing.
  • Relax your grip. Putting less force behind wrist movements will reduce strain and pressure on the median nerve.
  • Stretch periodically! Gently stretch and bend your wrists and hands. Remember to take breaks often when you’re doing activities that require use of your wrists. Alternate tasks whenever possible.

 

Alzheimer’s Disease

Alzheimer’s disease is a brain disease that causes a slow decline in memory, thinking, and reasoning skills. Unfortunately, too many people are unaware of the warning signs of Alzheimer’s disease. This can lead to a delay in treatment. If Alzheimer’s disease is treated earlier, a neurologist can help the affected have a better quality of life. At Silver State Neurology, we are a Las Vegas neurology clinic devoted to helping our patients achieve a better quality of life. We provide Alzheimer’s disease treatment in Las Vegas for our senior patients. It is among our top 5 diagnoses at Silver State Neurology.

Every person may experience one or more of these signs in a different degree. One symptom alone does not necessarily indicate that a person has Alzheimer’s disease. However, if you start noticing more than one symptom of Alzheimer’s disease from the list below, don’t ignore them. Please see a doctor. Contact us to make an appointment at Silver State Neurology. Our Las Vegas neurologist, Dr. Christopher Milford, is well-equipped to help you manage your Alzheimer’s disease symptoms. Please see the list of insurances we accept and learn what to expect when seeing a neurologist. Visit our Facebook page to learn more about the conditions that we treat. The Alzheimer’s Foundation of America unites more than 2,600 member organizations nationwide in the goal of providing optimal care and services to individuals living with dementia and to their families and caregivers.

Disruptive Memory Loss & Alzheimer’s disease

One of the most common early signs of Alzheimer’s disease is memory loss. Mild forgetfulness can be a normal part of aging. Having trouble remembering something then remembering it later is not a serious memory problem. People with Alzheimer’s disease, however, often forget information that they recently learned. They may forget things one day and remember it the next. It is typically inconsistent. This memory loss can become disruptive to daily life. They may lose track of important names, dates, or events. Sometimes they forget where they are or how they got there. They often ask for the same information over and over. At some point, this Alzheimer’s disease symptom will force a person to rely heavily on memory aids such as multiple notes or electronic reminders. Even doing things that were once familiar can become difficult. An ordinary task at work can become impossible.

Poor Judgment

Making an occasional bad decision is a mark of being human. It is not a sign of Alzheimer’s disease. A person with Alzheimer’s disease may show signs of changes in judgment that lead to consistently bad decision-making. The earliest changes in judgment usually involve money. People who were normally very cautious with their finances start spending money in unusual ways. This is why older people are often targets of phone scams. They may use poor judgment that ends with them sending large amounts of money to a scammer. A lack of proper judgment may also cause a person to neglect grooming or cleanliness. A person with Alzheimer’s disease might shower less often or dress inappropriately for the weather. They may even wear the same clothes for several days in a row. It is important for family members to take notice of these kinds of behavior. They may help a person get treated for Alzheimer’s disease earlier.

Mood and Personality Changes

Being irritable about a disruption in routine or habit is a normal reaction for most people, young or old. A characteristic of Alzheimer’s disease is a volatile change in mood and personality. This is a notable Alzheimer’s disease symptom. If this is unlike a person’s normal behavior, consult a doctor. Someone with Alzheimer’s disease may suddenly become confused, suspicious, depressed, fearful, or anxious. Being out of their comfort zone may cause them to become easily upset. Even in familiar situations at work or with family and friends, a person with Alzheimer’s disease may have mood swings that seem sudden. They may move around constantly, pace, or become fixated on specific details. It is important to pay attention to increased anxiety or aggression, especially if a person is starting to notice their own forgetfulness.

Social or Work Withdrawal

People sometimes feel weary of work or social activities. A worrisome sign of Alzheimer’s disease is when a person starts to remove themselves from hobbies or activities that used to make them happiest. Alzheimer’s disease can cause a person to completely forget how to do something that was once their favorite hobby. It may become difficult for them to keep up with their work or social obligations. Because of the changes they are experiencing, a person with Alzheimer’s disease might start to withdraw. They may avoid being social altogether. There can be a growing sense of indifference even in very early stages of Alzheimer’s disease. Research shows that indifference among people with mild cognitive impairment may predict a progression to developing Alzheimer’s.

Losing Things

It is not uncommon to misplace things from time to time. Most people are able to retrace their steps and remember where they left an item even as they are aging. A person with Alzheimer’s disease, however, may put things in unusual places. For instance, they might place their car keys in the refrigerator and forget that they did that. It might be the remote control in a sock drawer. This results in them losing things and being unable to find them again. They simply can’t retrace their steps. As the disease progresses, this may occur more often. They may even become suspicious and accuse others of stealing or hiding their belongings.