Neurologists in Portsmouth
When you become part of the Portsmouth Regional Hospital neurosciences family, we get to know you as a whole person—offering support and providing care that's tailored to your unique needs.
We offer the only neurosurgery group in the Seacoast Region, as well as the skills and experience of interventional neuroradiologists—specialized physicians who use the latest innovative tools to treat previously inoperable neurological conditions.
To learn more about our neurological services, please call our team at (888) 421-1080.
Neurological conditions we treat
At Portsmouth Regional Hospital, we offer treatment for a variety of neurological conditions, including:
- Brain tumors
- Migraine headaches
- Multiple sclerosis
- Parkinson's disease
- Sleep disturbances
- Ear, nose and throat (ENT) conditions
- Alzheimer's disease and dementia
- Type 1 Chiari malformation
- Colloid cysts of the third ventricle
Primary Stroke Center
Portsmouth Regional Hospital is a Primary Stroke Center, as designated by the Joint Commission, which means we are committed to providing the best possible outcomes in stroke care for our patients. We offer expert emergency care, as well as rehabilitation and recovery options for stroke survivors through our Neuro Day Rehabilitation program.
Neuro Day Rehabilitation program
Portsmouth Regional Hospital offers inpatient and outpatient neurological rehabilitation services to our patients in need of recovery after a stroke or other neurological condition.
Brain imaging and diagnostics
We offer the Seacoast Region's only neurological ultrasound equipment dedicated to life-saving emergency care. In addition, our interventional radiologists use advanced technologies that combine diagnosis and treatment to address your situation quickly.
- High-density magnetic resonance imaging (MRI) and computed tomography (CT) scanning deliver detailed images of tumor, stroke or injury locations and the status of nerves, arteries and vessels in the hands, arms, legs and feet, which improves accuracy during treatment and spares tissue and function.
- CT angiography visualizes blood flow throughout the body and helps identify narrowing areas that need correction.
Based on the information received from your physical exam, medical history and any previous screening or testing, your physician may recommend and refer you for additional diagnostic testing, such as:
- Electroencephalograms (EEG) or brain wave tests detect problems in electrical activity of the brain that may be involved with multiple sclerosis (MS), Parkinson's disease, chronic migraines, sleep issues, balance and disorders or post-concussion syndrome.
- Electromyography (EMG), or myogram, checks the health of muscles and nerves that control muscles to determine muscle strength impairment.
- Nerve conduction velocity (NCV) tests the speed of electrical signals through a nerve to determine nerve damage or destruction. It can also determine muscle or nerve diseases, such as myasthenia gravis.
- Evoked potentials (EP) measure electrical signals to the brain generated by hearing, touch or sight to assess nerve condition.
- Visual evoked potential (VEP) looks for problems in the brain, including MS, that affect vision. It is also used to test vision in children and adults unable to read eye charts.
- Somatosensory evoked potential (SSEP) measures response by stimulating nerves in arms and legs to detect nerve or spinal cord damage or nerve degeneration.
- Brainstem auditory evoked response (BAER) measures brain wave activity in response to clicks or specific tones. BAER can help diagnose or assess neurological function, nervous system problems and hearing loss, especially in newborns with low birth weights.
Migraine and headache treatment
At the Center for Rehabilitation & Wellness, we focus on improving the quality of life of individuals with migraine and other disabling headaches. If you suffer from chronic headaches, we can provide effective options for prevention, treatment and pain management.
We are committed to translating the latest research findings into practical therapies for you. We offer diagnostic and treatment options tailored to your diagnosis and needs, including lifestyle adjustments, medication, physical therapy, referral for Botox® injections and whole-person care services.
We treat many different types of headaches, including tension, sinus, rebound, cluster and migraines. Our team of experts work with you to:
- Identify triggers and reduce risks
- Anticipate an episode so you can take preventive action
- Learn pain management techniques
- Reduce the frequency and severity of headaches so you can focus on your regular activities
Help for chronic headaches
Headaches or unusual migraine symptoms may indicate the need for medical attention, and it's important to seek help if you experience:
- More than the occasional headache
- Severe headaches or headaches that appear without warning
- Headache with symptoms not previously discussed with your doctor, such as confusion, dizziness, fever, numbness, persistent vomiting, shortness of breath, slurred speech, stiff neck, unrelenting diarrhea, vision loss, weakness or unpredicted symptoms affecting the ears, nose or throat
- Persistent headache, which gets worse or won't stop
- Headache that interferes with you daily activities
- Taking pain relievers more than two days a week
- Recommended doses for over-the-counter medications are inadequate
- Headache resulting from coughing, sneezing, bending over or sexual activity
- Headache that continues or began after a head injury or other trauma
- Headache characteristics that are unusual for you
- Changed symptoms leading up to your migraine
When to seek immediate help for a migraine
It's important to get immediate help or go to an ER if you're having:
- Your worst migraine ever
- Headache with unresolved loss of vision, uncontrollable vomiting or loss of consciousness
- Headache pain lasting longer than 72 hours with less than a four-hour, pain-free period while awake
- Headache or migraine with symptoms that are unusual or frightening for you
Deep brain stimulation (DBS)
DBS is a treatment used to reduce tremors and block involuntary movements in patients with motion disorders, including Parkinson's disease, essential tremor, dystonia and multiple sclerosis. In over 10 years, more than 100,000 people with Parkinson's have received DBS treatment.
We are the only hospital on the Seacoast, and one of only two in New Hampshire, to offer DBS for patients with tremor and motion disorders.
How does DBS work?
Prior to treatment, a neurostimulator (battery-operated medical device similar to a pacemaker) is implanted in your chest to deliver electrical stimulation to wire electrodes placed in targeted areas of your brain. The areas of the brain receiving the stimulation help block abnormal nerve signals that cause tremors.
Patients will have a presurgical visit for imaging where doctors use CT or MRI scans to identify the exact locations within the brain where electrical nerve signals trigger the symptoms. Once the device is implanted, it is programmed. The stimulation can be adjusted as a patient's condition changes over time. The procedure does not destroy brain tissue.
Is DBS treatment right for me?
DBS is approved for patients whose symptoms cannot be properly controlled with medications. While most patients still need medication after undergoing DBS, many experience a considerable reduction of symptoms and are able to significantly reduce their medications and some of the side effects that may occur with higher dosages.
When used with medication, DBS treatment gives patients an average of five or more hours of symptom-free time each day.
DBS is reversible. The device and electrodes can be removed to continue medication, try new approaches or therapy.
This form of treatment is not for everyone. It's important to speak with your doctor about the risks associated with DBS.
Portsmouth Regional Hospital offers the highest quality spine care provided by a team committed to restoring your health and quality of life. We evaluate your overall health and lifestyle to recommend the safest, simplest and most appropriate treatment.
We treat a wide range of back and spine conditions, including:
- Bone spurs
- Degenerative disc disease
- Herniated discs
- Scoliosis and kyphosis
- Spinal stenosis and myelopathy
- Spinal tumors and cancer
- Spine fractures
- Spine infections
- Sports injuries
Our renowned spine surgeons lead the Seacoast Region in advanced surgical techniques to stabilize joints, decompress pinched nerves, fuse bones and correct deformities. We offer a variety of spine surgeries, including:
- Discectomy/microdiscectomy: Removes all or part of the disc or the cushion between the vertebrae
- Laminectomy or laminotomy: Removes part of the back bone which covers the spinal canal to relieve pressure on the spinal nerves
- Foraminotomy: Removes bone or tissue to open the space where the nerves leave the spinal canal
- Disc replacement surgery: Replaces a damaged disc with an artificial one
- Kyphoplasty/vertebroplasty: Treats spinal fractures, eases pain and restores height
- Spinal fusion: Increases spine stability by joining two vertebrae using bone grafts and sometimes implants
- Spinal cord infusion: Surgically implanted pain pump therapy to block pain messages from the brain
Nonsurgical back and spine treatment
Portsmouth Regional Hospital offers nonsurgical and minimally invasive therapies for spine conditions, such as:
- Physical therapy and rehabilitation
- Spinal injections
- Nerve stimulation techniques
- Interventional spine procedures
- Integrative services