Contact Cedar Rapids Clinic
Phone: (319) 398-1721
Fax: (319) 449-3877
Located on Level 2
PCI Medical Pavilion
Cedar Rapids Clinic Hours
Monday - Friday: 8 am to 5 pm
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Physicians’ Clinic of Iowa’s fellowship trained neurologists treat a wide variety of neurological disorders, including those affecting the brain, spinal cord, nervous system, muscles, and neuromuscular junctions.
Our health team is committed to ensuring our patients, young and old, receive the best comprehensive neurological care. Your PCI neurologist works together with other physicians as part of a collaborative team in order to offer individualized treatment plans.
Physicians' Clinic of Iowa Neurology providers offer Botox® treatments in Cedar Rapids for the following conditions:
Request a referral from your primary care physician if you think Botox® therapy might be right for you.
They see patients the second and fourth Wednesday of every month. Services offered are:
The neurologists and care team at Physicians’ Clinic of Iowa use leading testing procedures to get the most accurate information for your neurological care. These tests help to treat a wide range or neurological disorders and diseases, from headaches to movement disorders (Parkinson’s disease) and neuromuscular diseases (multiple sclerosis or ALS). Neurological testing is minimally invasive and can help determine the next steps in your treatment.
An electroencephalogram (EEG) is a neurological test to measure the electrical activity of the brain. Your doctor may order this test to check for seizures or other neurological disorders, such as stroke, encephalitis, sleep disorders, or dementia. During your test, small metal disks (electrodes) will be adhered to your scalp with paste, and will record electrical activity for approximately 25 minutes. The test is completely painless, and takes approximately 60 minutes from start to finish.
Prepare for your test as instructed. Wash and dry your hair and scalp with no hair styling products. Scalp and hair should be clean and free of excess oil. Take all medications, unless specifically told not to do so. Eat as usual, but NO caffeine. You may be asked to sleep during the EEG. To help you do this you may be told to stay up all or part of the night before the test.
For your safety and for the success of your test, tell the technologist:
You may also be asked questions about your overall health, such as diet and exercise and other practices that can affect neurological health.
Your EEG Test will take approximately one hour. You will lie down on an exam table in a softly lighted room. The technologist will measure certain points on your head. He or she will use a special pencil to mark the spots where electrodes will be placed on your scalp. Your scalp will be rubbed with a mild abrasive and electrodes will be attached. You will then be asked to do any of the following:
When your EEG Test is done, all of the electrodes will be removed. At home, wash your hair to remove any remaining glue or paste. You can get right back to your normal routine. If you stopped taking any medications before the test, ask your neurologist when you can start taking them again. Your doctor will let you know when your test results are ready and will schedule a time to go over them with you!
Electromyography (EMG) is a neurological test that checks the health of the muscles and the nerves that control the muscles. EMG is most often used when people have symptoms of weakness, and examination shows impaired muscle strength. It can help to tell the difference between muscle weakness caused by injury of a nerve attached to a muscle and weakness due to a neurologic disorder.
A Nerve Conduction Velocity test (NCV) is usually performed along with an EMG. It shows how fast electrical signals move through a nerve and is used to diagnose nerve damage or destruction.
Testing takes about 30 minutes on average.
Your neurologist, with assistance from a technician, will insert a very thin needle electrode through the skin into the muscle. This needle is similar to an acupuncture needle and much skinnier than the needles used to give injections. The electrode on the needle picks up the electrical activity given off by your muscles. This activity appears on a nearby monitor, and may be heard through a speaker. After placement of the electrodes, you may be asked to contract the muscle. For example, bending your arm. The electrical activity seen on the monitor provides information about your muscle’s ability to respond when the nerves to your muscles are stimulated.
Patches called surface electrodes, similar to those used for ECG, are placed on the skin over nerves at various locations. Each patch gives off a very mild electrical impulse, which stimulates the nerve. The nerve’s resulting electrical activity is recorded by the other electrodes. The distance between electrodes and the time it takes for electrical impulses to travel between electrodes are used to determine the speed of the nerve signals.
For the EMG test, you may feel some pain or discomfort when the needles are inserted, but most people are able to complete the test without significant difficulty. Afterward, the muscle may feel tender or bruised for a few days.
For the NCV test, the impulse may feel like an electric shock. Depending on how strong the stimulus is, you will feel it to varying degrees, and it may be uncomfortable. You should feel no pain once the test is finished.
You should avoid using any creams or lotions on the day of the test.
Neurology Physician Andrew Peterson, MD FAASM specializes in pediatric epilepsy, neurology, and sleep medicine and talks with Expert Hour at WMT Radio about his work. He talks about the differences between adult neurology and pediatric neurology, sleep apnea, and epilepsy.
"After several confusing years of vertigo and being bounced from specialist to specialist in Dallas, TX, I moved to Cedar Rapids, with the goal of getting better and being closer to family for help on really bad days. Dr. Robert Struthers at PCI Neurology diagnosed my vertigo as being caused by chronic migraine or MAV (Migraine-Associated Vertigo). We tried all the usual migraine preventatives, but nothing worked. My migraines changed to more classic migraine symptoms, headache nausea, visual disturbances, including holes in my vision, which are not fun… Especially when driving. I have a movement disorder affecting my neck and was receiving Botox® for that. My insurance won’t allow more than one area to be treated with Botox® at a time, so it was a hard decision for me to give Botox® a try for migraine, because of the trade off.
Migraine with vertigo was making life impossible. Socializing was a nightmare, as I couldn’t filter light and sound, was sick to my stomach a great deal of the time and my typical response to being asked, even to dinner with a friend, was “not today, but keep asking me, I appreciate being included.” I would isolate, which in turn left me extremely depressed. You can’t plan with frequent migraine with vertigo… For anything. It simply doesn’t allow you to be present for your own life. I wouldn’t know from day to day if I could even walk when I woke up, or if vertigo would send me falling to the floor and crawling to the restroom. Life was without hope, my future looked quite void of me, because I no longer trusted my body and brain (with good reason).
I decided to give up my dystonia treatment so I could begin Botox® for migraine. Now, Dr. Renee Buchanan gives me approximately 40 Botox® injections every 90 days. She follows an FDA-approved map showing where and how much to inject. I’ve had two rounds and it has greatly reduced the frequency and length of the migraines. If I do get a migraine, they don’t last for so many days that I have to go to hospital for rescue IV treatments.
I'm not symptom free and doubt I ever will be, but this treatment has greatly improved my quality of life. It’s a very effective treatment I highly recommend. Thank you to Dr. Buchanan and staff!"
-- A. Wixcel, Cedar Rapids, IA
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