Grove Neurology
Andrew M. Lerman, MD
Adult Neurology and Neurophysiology located in Coconut Grove, Coral Gables and Miami, FL
Movement disorders encompass a range of neurological conditions that cause abnormal, reduced, or excessive movements. Common movement disorders include Parkinson’s disease, essential tremor, dystonia, Huntington’s disease, and various forms of ataxia. At our neurology practice, we specialize in diagnosing and managing these conditions using a comprehensive approach—combining medication, physical therapy, and advanced interventions such as Deep Brain Stimulation (DBS) and Focused Ultrasound.
Movement disorder
We commonly see patients with Parkinson’s disease, essential tremor, dystonia, ataxia, and other less frequently encountered movement disorders. Each condition has unique signs and symptoms, and our team tailors treatment to meet the specific needs of each patient.
Diagnosis typically involves a thorough clinical evaluation, including a detailed medical history, physical and neurological exams, and often imaging studies (such as MRI) or laboratory tests to help rule out other causes
We use a combination of treatments based on the specific disorder and individual patient needs. This may include medications (e.g., levodopa for Parkinson’s disease),botulinum toxin injections (for conditions like dystonia or certain tremors), and non-pharmacological interventions such as physical therapy.
DBS is a surgical procedure where a small device—similar to a pacemaker—is implanted to send electrical impulses to specific areas of the brain responsible for movement. It can help reduce symptoms such as tremor, rigidity, and dyskinesia in conditions like Parkinson’s disease and essential tremor. DBS often improves patients’ quality of life and can lower the need for certain medications.
Focused Ultrasound is a non-invasive therapy that uses concentrated ultrasound waves to target and modify abnormal brain tissue involved in movement disorders. It is particularly effective in treating essential tremor and, in certain cases, Parkinson’s disease tremor. Because it does not require surgical incisions, recovery can be quicker than traditional surgery.
Our neurology team conducts a comprehensive evaluation to determine the best course of treatment. This involves reviewing symptoms, medical history, and diagnostic findings. We discuss all possible options—from medications to advanced therapies like DBS and Focused Ultrasound — to create an individualized plan.
You will have a detailed consultation with one of our neurologists, which includes aneurological exam and a thorough review of your history. Based on the initial assessment, we may recommend additional testing or refer you to specialists within our practice (e.g., physical therapy, occupational therapy, or neurosurgery) to ensure the most comprehensive care possible.
