We Treat All Manner of Neurological Conditions.
We treat people just like you, to help you get back to living your best life.
TBI, Concussion and PCS
Concussions and Traumatic Brain Injuries involve a disruption of normal brain function due to a bump, blow, jolt, or penetrating injury to the head. These can be caused by any physical injury, but most common are motor vehicle accidents, falls in the workplace or at home, and sports collisions and/or falls. Those affected can have a wide range of symptoms, but most common are headaches, dizziness, light sensitivity, sound sensitivity, nausea, fatigue, cognitive impairment, memory impairment, and fatigue. With our brain and nervous system having so many parts working together to give us our sense of where we are in space, the injuries in a TBI can be in many places. To investigate where these injuries or dysfunction are, specific diagnostic testing and a neurologic exam need to be performed. Once we have found the affected brain regions, we are able to give specific exercises to stimulate and retrain the areas of dysfunction.
Vertigo and Dizziness
Dizziness is a sensation of imbalance, disorientation, weakness, and/or unsteadiness. When dizziness presents with a pronounced sensation of the world spinning in one direction, we classify it as vertigo. Vertigo typically is thought of as a peripheral issue involving the bones and structures of the inner ear. When we move our heads, a thick fluid moves in our inner ear to signal to the body and brain that we are moving. In the case of vertigo, tiny particles within the fluid-filled canals can continue to circulate long after movement ends, creating a constant perception of spinning. Patients can also experience a feeling of moving horizontally in any direction when particles within the otolithic system that govern lineal translation are allowed to float freely. What’s more, patients can also experience centrally maintained vertigo and dizziness, in which the brain stem is affected by impaired blood flow, trauma, or infection. Whether central or peripheral, vertigo can be a debilitating condition that makes any sort of movement notably uncomfortable. Our diagnostic screening looks in great detail at the relationship between the vestibular system, the eyes, and the brain stem. We can customize treatments that can quickly improve the integration of peripheral vestibular sensations into the brain stem.
Headaches and Migraines
The term Headache refers to any pattern of head pain. It can involve one side of the head or both, and can begin in the front, sides, or back of the head, and can often emanate from the neck. Migraine headaches can be particularly stressful and painful. Episodes of migraine headaches can last from a few minutes up to an entire day or more and can make every aspect of work and life debilitating. Migraines can cause intense nausea, dizziness, vomiting, and light and sound sensitivity. Patients suffering from migraine often are left with no other recourse except to hide in quiet, dark areas until their symptoms subside. We recognize that migraines, and many headaches in general, are a result of aberrant functioning of the autonomic nervous system. Reduced blood flow and blood vessel restriction, both governed by the ANS, can initiate or worsen headache symptoms. Our treatment protocols include sensory therapies that are designed to enhance brain stem integration, thereby enhancing the ANS’s ability to get blood to the right areas of the brain at the right time. This can lead to reduction in duration and severity of migraine symptoms.
“Movement disorder” is a label that applies to a host of neurological conditions typified by abnormalities within the motor loop of the central nervous system. The cortex, cerebellum, and basal ganglia each play distinct roles in modulating active movement and resting tone. When one or more areas exhibit aberrancies, they can manifest as excess or decreased movement (hyper- and hypokinesia), or as increased or decreased muscle tone (hyper- and hypotonia). Movement disorders can be a result of any number of causes, including genetics, trauma, infection, or metabolic disorders. No matter the particular disorder, they can cause tremendous physical discomfort and neurological fatigue, as the brain has to work harder than usual to maintain appropriate levels of movement. Our treatment protocols are designed to triangulate the pathways most affected and activate sensory systems that directly feed into those areas, thereby recalibrating the motor loops and make movement more comfortable and controlled.
A stroke is an event where part the brain has a sudden loss of blood supply. The two main classifications of strokes are ischemic, which is a blockage of an artery, usually from a clot breaking loose from artery walls and getting stuck in a smaller artery, and hemorrhagic, where a blood vessel bursts so the blood goes into surrounding tissue instead of the target tissue. Active stroke signs can start suddenly during a stroke, and depending on the location of the stroke, they can include symptoms in both the face and other body parts, usually the arms and legs. While the sides of face and body involvement can be variable with different stroke locations, common symptoms are numbness, weakness, confusion, problems with walking, coordination, and difficulty with speech and/or vision. These same symptoms can last far after the stroke has concluded. Immediate emergency room attention is the only recommended treatment for an active or acute stroke, but after stabilized, patients can have improvement in function through specific neurologic rehabilitation. This can include therapies such as electric stimulation to activate peripheral nerves, brain stem, and muscles, passive and active motor therapy including complex movements, cross cord reflex activation, and mirroring exercises, virtual reality therapy, as well as many other parietal remapping exercises.
Dysautonomia is a term that describes different conditions that cause malfunction in the Autonomic Nervous System. Our Autonomic Nervous System controls functions we don’t have to think about: digestion, heart rate, blood pressure, pupil constriction and dilation, temperature control, and kidney function. The most common dysautonomia conditions are Postural Orthostatic Tachycardia Syndrome (POTS), Orthostatic Hypotension (OH), Neurocardiogenic Syncope (NCS), and Multiple System Atrophy (MSA). For the most part, those affected struggle with doing any tasks standing or even standing in general. As we stand compared to laying or sitting, our heart has to work harder to pump blood against gravity. When our brain, brainstem, and heart are not all integrating properly, blood shunting and pulse pressure are dysfunctional, and this results in less blood getting to the brain, which then results in getting lightheaded, blood pressure dropping, heart rate increasing, and other symptoms. This results in the patient feeling like they may faint (presyncope) or actually fainting (syncope). We are able to address the brainstem and heart integration issues by monitoring vitals while slowly tilting the patient from laying all the way up to standing on a hydraulic table, and assessing when these reflexes start to fail. We then administer treatment, usually lower brainstem and frontal lobe activation, at the highest angle the patient is still stable, with the goal of being able to slowly bring the patient up closer to standing without failure of the heart rate, blood pressure, and/or pulse pressure.
Give us a call if have questions about your condition.
Neurodegenerative disorders are conditions that result in cell death and degeneration in the central and peripheral nervous systems. Those affected deal with a variety of different issues, but most common are memory and cognitive impairment, difficulty caring for themselves, trouble with walking, disorientation, and difficulty with movement. The most common diseases are Alzheimer’s disease and other dementias, Parkinson’s disease and Parkinsonian disorders, Motor Neuron Diseases, Huntington’s disease, Spinocerebellar Ataxia, and Spinal Muscular Atrophy.
There are combinations of genetic and environmental factors that can put people at risk for these various conditions, but much is still to be learned about exact causes.
At NWFN, we use cutting edge diagnostics to evaluate the neurologic systems affected by these diseases. We use this data to formulate precise and specific rehabilitation programs that are unique to your individual nervous system. This allows us to stimulate and retrain parts of your system that are still working, to help you compensate for the systems that have been damaged and improve your quality of life..
Anxiety and Depression
Anxiety and Depression are about far more than just chemicals in the brain. Proper treatment requires understanding your genetics, your psychological strategies, and the function of critical neurological pathways that regulate your mood.
We use advenced neurodiagnostics and validated neuropsychiatric instruments to quantify all of the functional aspects behind your emotional regulation.
We design a rehabilitation program that addresses all of the aspects of your condition, under the guidance of our expert psychiatric providers, so you can get back to living your best life as quickly as possible.
Post-Traumatic Stress Disorder is a profoundly debilitating form of anxiety. It involves a complex interplay of genetics, metabolism, neurochemistry, psychological strategies, and function of a specific set of neural pathways.
Under the guidance of our expert psychiatric providers, we evaluate all of the factors involved in your unique form of PTSD. We use advanced neurodiagnostic technologies and validated neuropsychiatric instruments to assess the function of every aspect of your condition.
We use these insights to create a unique NeuroRescue Program that is specific to your PTSD. We employ advanced technologies and therapeutic strategies to help you regain control of your PTSD, and help you return to a functional, vibrant life.
Attention Deficit Disorders
Attention-deficit/hyperactivity disorder (ADHD) is a disorder marked by an ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning, development, reading and writing habits, and is often observed in children with attention deficit and hyperactivity syndrome.
Chronic pain is one of the most disabling health problems in the world. Recent advancements in research have shown that development of chronic pain is based in the brain, and that chronic pain. becomes no longer-related to the area of the body that was originally injured.
At Northwest Functional Neurology we always employ multi-sensory inputs in our training regimens that are prescribed, in order to create the neuroplasticity that drives our patients’ outcomes.
Peripheral neuropathy encompasses a variety of conditions and injuries that directly damage the receptors and nerves of our peripheral nervous system. Patients can experience numbness, tingling, weakness, pins-and-needles, and radiating symptoms that start in one area and quickly affect another area of the body that is further away from the spinal cord. Peripheral neuropathies can result from trauma, degeneration, infection, and metabolic processes.
Though they often begin in or directly involve the extremities, peripheral neuropathy can quickly exhibit central nervous system consequences. Our brain relies on input from proprioceptive receptors in the skin to help create a picture of where we are in space and how to effectively move through the environment.
A periperhal neuropathy can greatly alter that picture, resulting in postural instability, greater likelihood of falling, chronic pain, and gradual degeneration of the sensory and motor pathways.
We use a variety of gradual tactile therapies directly applied to the extremities that improve blood flow and motor control. These treatments improve the brain’s recognition of where the body is in space, and in turn, allow for greater ease of movement and stability, as well as reduction in pain levels.
Our unique approach to your treatment.
Outpatient treatment plan
We use advanced neurodiagnostic technologies and cutting edge neurorehabilitation strategies that are unique to your brain and condition.
NeuroRescue Intensive Program
We use high frequency treatment over 5-10 days, to bring you maximum results in the shortest time possible.
See The Results
Northwest Functional Neurology
17449 Lower Boones Ferry Road, Suite 300
Lake Oswego, Oregon USA 97035
Phone +1 503-850-4526
Fax: +1 503-908-1555