A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history, but not deeper investigation such as neuroimaging. It can be used both as a screening tool and as an investigative tool. If a problem is found either in an investigative or screening process then further tests can be carried out to focus on a particular aspect of the nervous system .
In general, a neurological examination is focused on finding out whether there are lesions in the central and peripheral nervous systems or there is another diffuse process that is troubling the patient. Once the patient has been examine, the doctor will determine if whether these findings combine to form a recognizable medical syndrome or neurological disorder such as Parkinson's disease or motor neurone disease. Finally, it is the role of the chiropratic physician to find the cause for why such a problem has occurred, for example finding whether the problem is due to inflammation or is congenital.
A patient's history is the most important part of a neurological examination and must be performed before any other procedures. Important factors to be taken in the medical history include: Time of onset, duration and associated symptoms (e.g., is the complaint chronic or acute) Age, gender, and occupation of the patient Handedness (right- or left-handed) Past medical history Drug history Family and social history
Neurological examination allows us to assess the strength, tactile sensitivity , cranial nerves and much more. If the process involves the PNS then determining whether it localizes to the nerve root, plexus, peripheral nerve, neuromuscular junction, muscle or whether it is multifocal. Handedness is important in establishing the area of the brain important for the language (as almost all right-handed people have a left hemisphere, which is responsible for language). As patients answer questions, it is important to gain an idea of the complaint thoroughly and understand its time course. Understanding the patient's neurological state at the time of questioning is important, and an idea of how competent the patient is with various tasks and his/her level of impairment in carrying out these tasks should be obtained. The interval of a complaint is important as it can help aid the diagnosis.
I had TMJ and severe low back and neck pain. I was under Orthopaedic and Neurologist care. I had 2 nerve blocks done to my spine, nothing helped. I couldn't exercise nor swim, even walking was becoming difficult. These problems persisted for 4 years.After 1 week of chiropractic care, my jaw problem was gone, my neck pain and headaches were greatly reduced. My lower backpain was gone.Now I exercise , run , do weight training, and my favorite is swimming.I recommand chiropractic care to everyone, I have brought my kids in for care as well.
Chronic aches and pains for 20 years plus... I suffered from recurrent headaches, pains in neck, shoulders, back and indigestion. Tired of suffering and through the recommandation of a friend I started chiropractic care with Dr Lapointe . After 6 weeks I was feeling much better and even my digestion improved. I am very satisfied.
Neck stiffness and dizzyness Following the good results my spouse was obtaining, I considered chiropractic. With the chiropractic adjustments I got a significative reduction in my symptoms. I would recommend chiropractic and more so Dr Lapointe because he teaches good lifestyle habits as well.