Deep Brain Stimulation (DBS)
A reversible, adjustable procedure that quiets the abnormal brain signals behind tremor, rigidity and involuntary movement — when medication alone no longer holds the day together.
Treatments
Treatments available through our network
Surgical and non-surgical, in the order they are usually considered — not in the order that would be most profitable to sell.
MR Guided Focused Ultrasound (MRgFUS)
Tremor treated through the intact skull with focused sound waves — no incision, no implanted hardware, and in most cases a result the patient can see on the treatment table.
Medication Management
Before anyone discusses surgery, the medication has to be right. A surprising number of patients arrive with symptoms that are not resistant to treatment — only under-treated.
Physical Therapy & Rehabilitation
The treatment that continues after everyone else has finished. Surgery and medication change what the body can do; rehabilitation decides how much of it you actually get back.
Botox Injections for Dystonia
The first-line treatment for focal dystonia — and one where the difference between a poor result and a good one is usually which muscles were injected, not which drug.
Neurological Evaluations
Every decision that follows depends on this one being right. A tremor named correctly is half of it treated.
Post-operative Remote Support
The part of medical travel that most often goes missing. Your care does not end when you board the flight home.
How the right treatment is chosen
Almost every patient starts with medication management and rehabilitation, and a substantial number need nothing more. Surgery enters the discussion when medication is working but no longer lasting, or when a tremor has stopped responding to it altogether.
Between the two surgical options, the deciding factors are usually whether one side or both need treating, whether symptoms beyond tremor are present, and how much the patient values being able to adjust or reverse the treatment later.
| If… | The usual answer |
|---|---|
| Symptoms are controlled but the dose keeps rising | Medication review first |
| Medication works but wears off, with dyskinesia | Deep brain stimulation |
| Disabling tremor on one side, resistant to medication | MRgFUS |
| Neck, eyelid or hand dystonia | Botulinum toxin injections |
| Balance, gait or freezing is the main problem | Rehabilitation — surgery helps these least |
| The diagnosis itself is uncertain | Neurological evaluation before anything else |
Not sure where to start?
Send us your reports and a short note. A coordinator replies within one working day — no cost, no obligation.