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TMS Therapy

TBI
Rehabilitation

Diagnostic
Procedures

Therapeutic Procedures

NeuroStar TMS Therapy

Transcranial Magnetic Stimulation (TMS) therapy is a non-invasive medical procedure that involves the use of magnetic fields to stimulate specific regions of the brain. It's primarily utilized as a treatment for various mental health conditions, notably major depressive disorder, where traditional therapies might have proven ineffective. During a TMS session, a coil is placed on the scalp, emitting magnetic pulses that target and activate specific brain areas associated with mood regulation. The procedure is generally well-tolerated and doesn't require anesthesia, allowing patients to resume their daily activities immediately after each session. TMS shows promise as a relatively safe and effective therapeutic option, offering a potential alternative for individuals seeking new avenues in managing their mental health challenges.
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TBI Rehabilitation

For our TBI rehab, we perform one-on-one traditional cognitive therapy with our Speech and Language Pathologist and Computerized cognitive therapy using Rehacom. We can perform oculometric therapy using RightEye. We can perform Neurobiofeedback using the BrainMaster system. We have the capability for Alpha Stimulation therapy for anxiety and Transmagnetic Stimulation for Depression.

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Diagnostic Procedures

We offer a comprehensive range of diagnostic procedures aimed at addressing the complex array of neurological conditions that our patients may encounter. We usually refer out for advanced neuroimaging techniques such as MRI, CT scans, and FDG PET Scans. However, we perform specialized electrophysiological studies like EEG and EMG in house. For EEGs, we are able to perform Routine EEGs in the office as well as Ambulatory EEGs at the patient’s house. In addition we can perform Sudo Scans to evaluate for small fiber neuropathy.

On our TBI Diagnostic side, we perform VNG, RightEye Oculometric Testing, Computerized Dynamic Posturography, Cognitive Testing (computerized & in-person), and specialized EEGs such as WAVi EEG and Quantitative EEG. In certain cases, we can also offer the Smell Test (UPSIT) and Heart Rate Variability Testing.
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Therapeutic Procedures

The therapeutic options at our practice encompass medication management for various neurological indications. We offer Botox injections for conditions such as chronic migraine and spasticity. In addition we perform various nerve blocks and pain procedures such as trigger point injections, occipital nerve blocks, median nerve blocks, etc. We perform sphenopalatine ganglion blocks for our acute Migraine patients. We perform acupuncture for Neurological indications.
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TBI Rehabilitation

Ocular Therapy
Cognitive Therapy
Neurobiofeedback
Alpha Stimulation (Alpha-Stim)

Ocular Therapy

Ocular therapy, also known as vision therapy, is a specialized rehabilitation approach that focuses on improving the visual system's function, including eye movements, coordination, and processing, to aid neurological patients. For individuals with neurological conditions such as traumatic brain injuries, strokes, or neurodegenerative diseases, ocular therapy can play a crucial role in addressing visual deficits and enhancing overall neurological recovery. This therapy involves a combination of exercises and activities aimed at enhancing eye-hand coordination, visual tracking, and spatial awareness, which can help patients regain functional abilities, improve their balance, reduce dizziness, and enhance their overall quality of life by addressing visual impairments commonly associated with neurological conditions.
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Cognitive Therapy

Cognitive therapy is a therapeutic approach that addresses cognitive and communication challenges in individuals with various speech and language disorders, cognitive impairments, or neurological conditions. It involves the assessment and treatment of cognitive processes such as attention, memory, problem-solving, and language comprehension to enhance a person's communicative abilities. SLPs utilize cognitive therapy techniques to help clients improve their cognitive-communication skills, enabling them to better understand and express themselves, engage in effective social interactions, and regain functional independence in their daily lives. This therapeutic approach plays a crucial role in facilitating communication and cognitive rehabilitation for individuals with speech, language, and cognitive difficulties.

At Universal Neurological Care, our Speech and Language Pathologist works one on one with individuals struggling with Cognitive difficulties related to Traumatic Brain Injury. In addition, we use computerized cognitive therapy utilizing the Rehacom system, which is adaptive and pushes the individual in the specific cognitive domains in which they are struggling.

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Neurobiofeedback

Neurobiofeedback, also known as neurofeedback, is a therapeutic technique that helps neurological patients gain better control over their brain function. Using specialized equipment, such as electroencephalography (EEG) sensors, neurobiofeedback measures and provides real-time information about brainwave activity. Patients receive this feedback as visual or auditory cues, enabling them to learn how to self-regulate their brain function. Neurobiofeedback is employed to address a wide range of neurological conditions, including attention deficit hyperactivity disorder (ADHD), anxiety, epilepsy, and traumatic brain injuries. By training individuals to modify their brainwave patterns, it can lead to improved cognitive function, emotional regulation, and symptom management, making it a valuable therapeutic tool for enhancing the neurological well-being and functioning of patients.
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Alpha Stimulation (Alpha-Stim)

Alpha stimulation, also known as Alpha-Stim, is a non-invasive medical device therapy that uses low-level electrical currents to stimulate alpha brainwave activity in neurological patients. This therapy is often employed to alleviate symptoms associated with various neurological conditions such as anxiety, depression, insomnia, and chronic pain. By modulating brainwave patterns, Alpha-Stim aims to promote relaxation, reduce pain perception, and enhance mood stabilization, making it a valuable adjunctive treatment option for neurological patients. Its non-pharmacological nature and potential for fewer side effects make it an appealing choice, especially for those who may not tolerate or prefer to avoid medication-based interventions in managing their neurological symptoms.
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Diagnostic PROCEDURES

An electroencephalogram (EEG) is a test that detects electrical activity in your brain. Your brain cells communicate via electrical impulses and are active all the time, even when you’re asleep. It is helpful to look for seizure activity but can also give us information on the overall functional status of the brain.
A nerve conduction velocity (NCV) test that uses electrical stimuli to assess nerve or nerve root damage and dysfunction. Electromyography (EMG) which is frequently performed in conjunction with the NCV helps determine if the firing of motor units appears normal or if it suggests neuropathic or muscular disease.
A Videonystagmograph (VNG) is a specialized diagnostic device that plays a crucial role in balance and spatial orientation. This instrument employs video cameras and infrared tracking technology to record and analyze a patient's eye movements during various controlled tests, providing valuable insights into their vestibular and balance function. By detecting abnormal eye movements, nystagmus patterns, and other indicators, VNG aids neurologists in diagnosing a wide range of neurological conditions, such as concussions, vestibular disorders, multiple sclerosis, and brainstem lesions, allowing for more accurate diagnoses and tailored treatment plans to address these complex neurological issues.
Oculometric testing is a diagnostic procedure commonly employed in neurology to assess and analyze a patient's eye movements and gaze patterns. This method utilizes specialized equipment, such as eye-tracking devices and infrared sensors, to record and measure various eye movement parameters, including saccades (rapid voluntary eye movements), smooth pursuit (tracking moving objects), and fixations (steady gaze on a single point). Oculometric testing is heavily used in neurology because it provides critical insights into the functioning of the oculomotor system and can help diagnose a wide range of neurological conditions, including but not limited to, traumatic brain injuries, cranial nerve disorders, and neurodegenerative diseases like Parkinson's and Alzheimer's. By studying these eye movement abnormalities and their patterns, neurologists can gain valuable information for early detection, accurate diagnosis, and monitoring disease progression in patients with neurological disorders.
Evoked Response Potentials (ERPs) are electrical brain responses generated in response to specific sensory stimuli, such as visual, auditory, or somatosensory stimuli. In neurology, ERPs are used to investigate and assess the functioning of the central nervous system, particularly the brain's cognitive and sensory processing capabilities. By measuring the precise timing and amplitude of these electrical responses, ERPs provide valuable information about the brain's processing speed, sensory integration, and cognitive functions. ERPs offer insights into the integrity of neural pathways and can help identify abnormalities or dysfunction, aiding neurologists in making accurate diagnoses and guiding treatment strategies for patients with neurological disorders. We use a system that incorporates auditory evoked potentials along with an EEG (WAVi EEG) to obtain insights regarding reaction time, cognitive status, attention deficit, anxiety and depression. These parameters are very helpful in providing objective information regarding Traumatic Brain Injuries but also other neurological conditions such as Dementias, Multiple Sclerosis, Strokes, etc.
Computerized Dynamic Posturography (CDP) is a specialized diagnostic tool used in neurology to evaluate a patient's balance and postural control. It involves a computerized platform or force plate that measures a person's sway and stability while standing on it. CDP assesses sensory integration and motor responses related to maintaining balance. By analyzing a patient's postural sway under various conditions, such as eyes open, eyes closed, or on a moving platform, CDP helps neurologists identify and diagnose vestibular disorders, neurological conditions affecting balance (like Parkinson's disease), and other disorders that impact the central nervous system's control of posture and equilibrium. It provides quantitative data that assists in pinpointing the specific nature and severity of balance-related problems, guiding treatment strategies and rehabilitation plans for patients with neurological issues.
Sudomotor testing is a diagnostic assessment used in neurology to evaluate the function of the autonomic nervous system, specifically the sweat gland activity. This testing typically involves techniques such as the Quantitative Sudomotor Axon Reflex Test (QSART) or the Thermoregulatory Sweat Test (TST). By measuring the body's ability to sweat in response to various stimuli, sudomotor testing aids neurologists in diagnosing and monitoring a range of neurological conditions, including autonomic neuropathies, small fiber neuropathies, and certain autonomic disorders like multiple system atrophy. It provides valuable information about the integrity of the autonomic nervous system and can help pinpoint the underlying causes of symptoms such as excessive sweating, temperature regulation issues, or autonomic dysfunction, thus guiding appropriate treatment and management strategies for these neurological disorders.
Olfactory testing is a diagnostic procedure used in neurology to assess a patient's sense of smell, known as the olfactory function. This testing typically involves the presentation of various odors at different concentrations, and the patient is asked to identify or rate their intensity. Olfactory testing is valuable in neurology because changes in the sense of smell can be indicative of various neurological conditions, including neurodegenerative diseases like Alzheimer's and Parkinson's disease, as well as head trauma and certain toxic exposures. At Universal Neurological Care we use the University of Pennsylvania’s Smell Identification Test (UPSIT) which is the most validated tool for this type of testing. By evaluating a patient's olfactory function, neurologists can detect early signs of these neurological disorders, monitor disease progression, and help provide timely interventions and treatments, contributing to improved patient care and quality of life.
Heart Rate Variability (HRV) is a physiological measurement that assesses the variation in time intervals between successive heartbeats. It reflects the autonomic nervous system's regulation of the heart and its ability to adapt to changing conditions. In neurology, HRV analysis plays a significant role in assessing the autonomic nervous system's function, which is closely linked to various neurological disorders. By studying HRV patterns, neurologists can gain insights into the health of the autonomic nervous system and its involvement in conditions like concussions, epilepsy, autonomic neuropathy, and certain movement disorders. HRV can help diagnose these disorders, monitor treatment effectiveness, and provide valuable prognostic information, contributing to a better understanding of the neurological aspects of these conditions and guiding appropriate management strategies.
Cognitive testing refers to a comprehensive evaluation of a person's cognitive abilities, including memory, attention, language, reasoning, and problem-solving skills. In neurology, cognitive testing is a vital tool for assessing and diagnosing various neurological conditions, such as dementia, Alzheimer's disease, traumatic brain injuries, and other cognitive disorders. It helps neurologists understand the extent and nature of cognitive impairment, track changes over time, and differentiate between different causes of cognitive decline. Cognitive testing provides valuable data for early diagnosis, treatment planning, and monitoring disease progression, ultimately improving the management and care of patients with neurological disorders by tailoring interventions and support to their specific cognitive needs. At Universal Neurological Care, we can perform a one-on-one paper and pencil cognitive test that is performed by our Registered Nurse and our Speech and Language Pathologist. We also have the capability of doing computerized cognitive testing using our RehaCom platform.
Our state-of-the-art ANS+ system offers a comprehensive analysis of the Autonomic Nervous System (ANS), Sudo Motor Testing, and Ankle Brachial Indices.

Autonomic Nervous System Testing: A Window into Neurological Well-beingThe Autonomic Nervous System, governing vital functions like heart rate, digestion, and respiratory rate, is a crucial indicator of overall health. Our advanced testing protocols, reflective of the standards set by renowned institutions like Mayo Clinic and Harvard, provide deep insights into the ANS functions. This early detection empowers us to address potential neurological disorders before they escalate.

Sudo Motor Testing: Precision in DiagnosisOur Sudo Motor Testing is a cutting-edge component of the ANS+ system. This non-invasive test measures the sweat response, an essential biomarker in diagnosing small fiber neuropathies and other neurological conditions. This precise diagnostic tool aids in unraveling complex neurological disorders, ensuring targeted and effective treatment strategies.

Ankle Brachial Indices: A Marker of Vascular HealthThe Ankle Brachial Index (ABI) test, part of our comprehensive assessment, evaluates blood flow in the legs, offering vital information about peripheral arterial disease (PAD). This test is pivotal in understanding the overall vascular health of our patients, which is intrinsically linked to neurological well-being.

ANS+ System: A Beacon of Innovation in NeurologyThe ANS+ System stands as a beacon of innovation in neurological diagnostics. It integrates multiple advanced biomarkers, including heart rate variability, pulse wave analysis, and sudomotor function, offering a holistic view of a patient’s neurological and vascular health. This type of system is utilized by top-tier medical institutions like Mayo Clinic and Harvard and ensures that our patients receive world-class diagnostic care.

Genetic testing using saliva involves collecting a small sample of saliva, typically through a simple swabbing process, and analyzing it to examine an individual's DNA for various purposes. Saliva contains buccal cells, which contain an individual's genetic material, making it a convenient and non-invasive source for genetic testing. 

This method allows for the detection of genetic variations, mutations, and predispositions to certain diseases or conditions, providing valuable insights into an individual's health, ancestry, and potential genetic risks. The collected sample is processed in a laboratory where the DNA is extracted and analyzed using techniques such as polymerase chain reaction (PCR) or next-generation sequencing (NGS) to identify specific genetic markers or sequences of interest. Genetic testing using saliva offers a convenient and accessible way for individuals to gain a deeper understanding of their genetic makeup and make informed decisions regarding their health and well-being.

Genetic Testing also helps determine medications an individual may be resistant to versus medications that may be efficacious based on an individual’s genetic profile.
A mycotoxin blood test is a diagnostic procedure used to detect the presence and levels of mycotoxins, toxic compounds produced by certain molds, in the bloodstream of an individual. During the test, a small sample of blood is typically drawn from a vein in the arm and then analyzed in a laboratory setting using advanced techniques such as mass spectrometry or enzyme-linked immunosorbent assay (ELISA). Results from the test can provide valuable insights into potential exposure to mycotoxins, aiding in the diagnosis and management of related health conditions such as mycotoxicosis or mold-related illnesses.
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THERAPEUTIC PROCEDURES

BOTOX/Neurotoxin Chemodenervation
Sphenopalatine Ganglion Nerve Block (SPG)
Trigger Point Injections (TPI)
Occipital Nerve Blocks (ONB)
Acupuncture

BOTOX/Neurotoxin Chemodenervation

BOTOX, short for Botulinum Toxin, is a neurotoxic protein derived from the bacterium Clostridium botulinum. When used in a controlled and medical setting, BOTOX injections can help neurological patients by temporarily blocking nerve signals to specific muscles, leading to muscle relaxation. This ability to induce muscle paralysis is particularly valuable in treating conditions such as dystonia, spasticity, and chronic migraine headaches, as it can alleviate muscle stiffness, reduce involuntary movements, and relieve debilitating pain associated with neurological disorders. BOTOX injections provide symptomatic relief and improved quality of life for many individuals with neurological conditions by targeting the underlying muscle dysfunction. At Universal Neurological Care we specialize in using BOTOX for Chronic Migraines, Cervical Dystonia, and Spasticity related to strokes and brain injury.
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Sphenopalatine Ganglion Nerve Block (SPG)

A Sphenopalatine Ganglion Nerve Block is a medical procedure that involves the targeted administration of anesthetic or medication to the sphenopalatine ganglion, a cluster of nerves located in the nasal cavity. This procedure is used to help neurological patients by disrupting or modulating pain signals associated with conditions like cluster headaches, migraines, trigeminal neuralgia, and other facial pain disorders. By temporarily blocking or altering the activity of the sphenopalatine ganglion, the nerve block can provide significant relief from severe head and facial pain, reducing the frequency and intensity of debilitating neurological symptoms and improving the patient's overall quality of life.
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Trigger Point Injections (TPI)

Trigger Point Injections (TPI) are a therapeutic procedure in which a healthcare provider injects a local anesthetic, often combined with a corticosteroid, into specific trigger points in muscles or soft tissues. This procedure is beneficial for neurological patients by addressing the underlying muscular pain and discomfort commonly associated with conditions like myofascial pain syndrome, fibromyalgia, and tension-type headaches. By targeting these trigger points, TPI can relax muscle knots, reduce muscle spasms, and alleviate pain, promoting improved mobility and function. This approach helps neurological patients manage their symptoms more effectively, enhance their overall well-being, and complement other treatments in their neurological care plans.
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Occipital Nerve Blocks (ONB)

Occipital Nerve Blocks are a medical procedure in which a healthcare provider injects a local anesthetic and often a corticosteroid into the occipital nerves, located at the back of the head near the base of the skull. These injections are used to assist neurological patients by relieving pain associated with conditions such as occipital neuralgia, chronic migraines, and tension headaches. By temporarily numbing or reducing inflammation in the occipital nerves, these blocks can provide significant pain relief and reduce the frequency and severity of debilitating headaches or neuralgic symptoms, ultimately improving the patient's quality of life and enabling better management of their neurological condition.
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Acupuncture

Acupuncture is an ancient Chinese medical practice that involves inserting thin needles into specific points on the body to stimulate and balance the body's energy flow, known as Qi. In the context of neurological patients, acupuncture can be used as a complementary therapy to help manage symptoms such as migraines, chronic pain, neuropathy, and neurological disorders like multiple sclerosis or Parkinson's disease. By targeting specific acupuncture points, it is believed to promote the release of natural pain-relieving chemicals in the body, reduce inflammation, improve circulation, and modulate the nervous system, which can result in reduced pain, improved motor function, and enhanced overall well-being for neurological patients. While the exact mechanisms are still being studied, many patients report benefits from acupuncture as part of their holistic approach to neurological care.
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Specialties

A TBI is brain dysfunction secondary to brain injury. The term mild brain injury is often used synonymously with concussion. Some individuals with TBI, even with relatively mild brain injuries can have long term affects that can affect their quality of life. At UNC, we specialize in and are passionate about making the diagnosis and treating traumatic brain injuries. Dr. Asad is one of very few Neurologists in Northeast Florida to be Board Certified in Brain Injury Medicine.
Alzheimer's and Memory Disorders is a medical specialty focused on the evaluation, diagnosis, and management of conditions that affect cognitive function and memory. This specialty encompasses a wide range of disorders, with Alzheimer's disease being a prominent example, characterized by progressive memory loss and cognitive decline. Clinicians in this field employ various diagnostic tools, including neuropsychological assessments and neuroimaging, to accurately identify the underlying causes of memory impairments. Treatment strategies often involve a combination of pharmacological interventions, cognitive rehabilitation, and supportive care to enhance patients' quality of life and alleviate symptoms related to memory and cognitive dysfunction.
Neuromuscular Disease is a specialized branch of neurology that focuses on the diagnosis, management, and treatment of disorders affecting the nerves and muscles. Clinicians in this field deal with a diverse range of conditions, including but not limited to, muscular dystrophies, motor neuron diseases (such as ALS), myasthenia gravis, peripheral neuropathies, and myopathies. These disorders can lead to various symptoms like muscle weakness, numbness, tingling, muscle cramps, and difficulties with movement and coordination. 

Specialists in neuromuscular diseases employ clinical evaluations, electrophysiological testing, nerve and muscle biopsies, and advanced imaging techniques to accurately diagnose these conditions. Treatment approaches can involve medications to manage symptoms, physical therapy, occupational therapy, and in some cases, surgical interventions or advanced therapies like immunomodulation. The aim of neuromuscular disease specialists is to improve the quality of life for individuals affected by these disorders by providing comprehensive care tailored to the specific challenges posed by the condition
Multiple Sclerosis (MS) is a specialized field within neurology focused on the diagnosis, treatment, and management of a complex autoimmune disorder that affects the central nervous system. MS involves the immune system mistakenly attacking the protective covering of nerve fibers, leading to a wide range of neurological symptoms such as fatigue, mobility issues, sensory disturbances, and cognitive impairments. Neurologists specializing in MS utilize advanced imaging techniques, such as MRI, along with clinical assessments and neurophysiological tests to diagnose and monitor the disease's progression. Treatment strategies include disease-modifying medications to slow down the disease course, symptomatic management to alleviate specific symptoms, and comprehensive patient care aimed at improving quality of life and minimizing disability progression.
Epilepsy/Seizure Disorders is a distinct field within neurology dedicated to the diagnosis, treatment, and management of conditions characterized by abnormal electrical activity in the brain, leading to recurrent seizures. Neurologists specializing in epilepsy employ a combination of clinical expertise, electroencephalography (EEG), neuroimaging, and patient history to accurately diagnose seizure types and underlying causes. They design personalized treatment plans that often include antiepileptic medications, lifestyle modifications, and, in some cases, surgical interventions like epilepsy surgery or neuromodulation techniques. The goal of specialists in this field is to control or reduce seizure frequency, improve patients' overall quality of life, and help them achieve better seizure management and independence.
Stroke is a specialized domain within neurology that focuses on the prevention, diagnosis, treatment, and rehabilitation of sudden disruptions in blood supply to the brain, leading to neurological deficits. Neurologists specializing in stroke employ rapid assessment techniques, advanced imaging like CT or MRI scans, and clinical evaluations to determine the type and severity of stroke.

Time-sensitive interventions such as thrombolytic therapy and mechanical thrombectomy aim to restore blood flow and minimize brain damage in ischemic strokes, while comprehensive post-stroke care involves physical therapy, speech therapy, and neurorehabilitation to aid in recovery and maximize functional outcomes. The overarching goal of stroke specialists is to swiftly address strokes, prevent their recurrence, and support patients in regaining optimal neurological function and quality of life.
Headache Disorders is a specialized field within neurology that focuses on the diagnosis, management, and treatment of various types of headaches and related conditions. Neurologists specializing in headache disorders employ in-depth clinical assessments, patient history, and sometimes neuroimaging to accurately identify the underlying causes of headaches, which can range from tension-type headaches and migraines to cluster headaches and other less common types. 

Treatment approaches include a combination of lifestyle modifications, behavioral therapies, and medications tailored to each patient's specific headache type and triggers. The goal of headache specialists is to alleviate pain, reduce the frequency and intensity of headaches, and enhance patients' overall quality of life by addressing the unique challenges posed by these often debilitating conditions.
Sleep disorders can disrupt your life and overall health. Conditions like insomnia, sleep apnea, and narcolepsy affect sleep patterns, leaving individuals fatigued and irritable. Understanding the causes and symptoms of sleep disorders is crucial for seeking appropriate treatment and improving sleep quality. Don't let sleepless nights affect your well-being; explore effective solutions for sleep disorders today.
Movement Disorders is a specialized field within neurology that focuses on the evaluation, diagnosis, and management of a diverse range of conditions characterized by abnormal movements and motor control. Neurologists specializing in movement disorders deal with disorders such as Parkinson's disease, essential tremor, dystonia, Huntington's disease, and ataxias. 

Through detailed clinical assessments and, at times, advanced imaging, these specialists identify the specific movement patterns and underlying neurological abnormalities associated with each disorder. Treatment strategies may involve a combination of medications, deep brain stimulation, physical and occupational therapies, and lifestyle adjustments to mitigate symptoms and enhance patients' motor function, independence, and quality of life. The overarching goal of movement disorder specialists is to provide comprehensive care that addresses the unique challenges of these conditions and optimizes patients' overall well-being.
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