Deep Brain Stimulation (Initial assessment & Programming)
Deep brain stimulation (DBS) is a surgical procedure used to treat a variety of neurological symptoms such as essential tremor or Parkinson’s tremor, rigidity, and gait instability that are not adequately controlled with medications. An initial assessment will be made to determine if a patient is an appropriate candidate. Subsequently, a suitable candidate will be referred to Vanderbilt University Medical Center Department of Neurological Surgery for further assessment and surgical placement of the DBS device. Programming of the stimulator system is performed several weeks after surgery on an outpatient basis. During the programming process, a small device will be used to check and adjust the various electrode and stimulation settings for optimal patient response. Once the best settings and medication adjustments have been determined, the patient will be asked to return for routine follow-up appointments.
Acupuncture is an ancient medical art of healing. Medical acupuncture is the term used to describe acupuncture performed by a doctor trained and licensed in Western medicine who has also had thorough training in acupuncture as a specialty practice. As such, a medical acupuncturist combines “the best of both worlds” and may use one approach or a combination of both to target the specific needs and conditions of the patient.
Medical acupuncture may be applied to:
- Promotion of health and well-being
- Prevention of illness
- Treatment of various medical conditions
While acupuncture is often associated with pain control, it has much broader applications. The World Health Organization and National Institutes of Health recognize the use of acupuncture in the treatment of a wide range of medical problems including, but not limited to the following conditions:
- Digestive disorders such as gastritis, hyperacidity, spastic colon, constipation, and diarrhea.
- Respiratory disorders such as sinusitis, sore throat, bronchitis, asthma, and recurrent chest infections.
- Neurological and muscular disorders such as headaches, facial tics, neck pain, rib neuritis, frozen shoulder, tennis elbow, various forms of tendinitis, low back pain, sciatica, and osteoarthritis.
- Various urinary, menstrual, and fertility problems.
Acupuncture is particularly useful in resolving physical problems related to tension, stress and emotional conditions.
Electro-acupuncture (EA) involves stimulating the acupuncture points with a small electrical current. The procedure is painless and gentle. It is similar in technique as a transcutaneous electrical nerve stimulation. EA greatly enhances the effectiveness of acupuncture for a broad range of clinical conditions such as acceleration of wound healing, acute and chronic pain management, post-stroke rehabilitation, and focal paralysis.
Cupping therapy involves applying suction to an acupuncture region. The procedure is painless and well tolerated. The cups are often placed on the back, neck, and shoulders or the site of discomfort. Cupping increases the blood flow, thus improving circulation; and loosens the fascia or connective tissue to bring about pain relief.
This modality uses medium to firm pressure over specific points (acupoints) or a region (meridian) to help improve blood flow, release tension, and enhance overall state of well-being. This promotes relaxation, healing, and the restoration of proper physiological function.