Office neurological consultation is as much about patient education as it is evaluation and treatment. Unless someone is given an understanding of their condition, an optimal outcme will not occur. But given the right amount of patient information, a theraputic partnership can be established that enhances compliance, and ultimate benefit.
A holistic/complimentary approach is taken whenever possible to minimize side effects from medicines. Under appropriate conditions in patients with migranes or back pain, a complimentary approach can be utilized which may include nutritional suppliments, netriceuticals, acupunture, and psychosomatic considerations may be helpful.
The western evidence-based and complimentary approaches may be combined when, for instance, in addition to prescribing medications to prevent seizures, a discussion of the potential role of physical and emotional stress in triggering seizures is undertaken.