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Neurology

Lake Region Healthcare's Board Certified Neurologist, Dr. James Ragland, has advanced training and experience in diagnosing and treating potential neurological disorders. His practice is multifaceted and includes treatment for common central nervous system (brain and spinal cord conditions) including headaches, migraines, tremors, Parkinson's disease, seizure disorders, multiple sclerosis, and memory difficulties. Apart, he also treats diseases that may affect peripheral nervous system including carpal tunnel syndrome of the wrist, ulnar neuropathy at the elbow, peripheral neuropathy, cervical radiculopathy, and lumbosacral radiculopathy.

Tests & Treatments

Dr. Ragland evaluates various neurological conditions and based on the illnesses, is able to either perform or order the following procedures here at Lake Region Healthcare:

  • Nerve conduction and muscle testing (electromyography – EMG) in the outpatient clinic to evaluate for possible carpal tunnel syndrome, ulnar neuropathy, pinched nerve in the neck or lower back or peripheral neuropathy (numbness or tingling in the feet).
  • Brain wave test (electroencephalogram – EEG) in the outpatient clinic to evaluate for possible seizure disorder or fainting spells that may resemble seizures.
  • TIA or transient ischemic attack or stroke like symptoms with evaluation of vessels of the neck by way of ultrasound of the neck vessels.
  • Angiogram of the neck and brain vessels to evaluate for possible abnormalities in the neck vessels or brain vessels.
  • MRI of the brain to evaluate headaches, multiple sclerosis, or other neurological conditions affecting the brain.
  • MRI of the spine namely the neck, the lumbar spine, or the thoracic spine for any pinched nerve, or for possible multiple sclerosis, and any neurological diseases that may affect the spinal cord.
  • CT scan of the head to evaluate for any bleed or head injuries.
  • Evoked potentials (to evaluate the optic nerve or the spinal cord) for suspected multiple sclerosis.
  • Various blood tests to evaluate muscle diseases like myasthenia gravis, myopathy, muscle weakness, vitamin deficiencies or any infectious diseases.
  • Lumbar puncture (cerebralspinal fluid analysis) to evaluate multiple sclerosis, infections or autoimmune diseases.

Commonly Treated Neurological Conditions

Dr. Ragland provides comprehensive clinical evaluations and treatment plan for patients who may be experiencing:

  • Carpal tunnel syndrome at the wrist, ulnar neuropathy at the elbow.
  • Muscle weakness of the hands, arms, or legs due to pinched nerves.
  • Numbness, tingling or burning sensation of the feet or legs for possible peripheral neuropathy.
  • Sharp neuropathic pain involving the face.
  • Blurred or double vision in younger patients or sudden visual loss from multiple sclerosis.
  • Sudden one-sided facial weakness namely Bell's palsy.
  • Difficulty with speaking or swallowing (dysarthria or dysphagia).
  • Language difficulties.
  • Gait or balance difficulties or falls.
  • Headaches of various kinds namely migraines, cluster headaches, muscle contraction headaches or occipital neuralgia.
  • Seizures of various types in adults (18 years of age or older).
  • Fainting spells, feelings of dizziness or vertigo.
  • Muscle twitching of muscles of the body, which may resemble ALS.
  • Confusion, memory difficulties, or Alzheimer's disease.
  • Tremors, Parkinson's disease, essential tremor, spasticity or dystonia.
  • Sudden onset of double vision or droopy eyelids, which can be due to myasthenia gravis or other muscle diseases.
  • Prior history of traumatic brain injury or concussion and consequent symptoms.
  • Narcolepsy or excessive daytime sleepiness.

To make an appointment, please ask your primary care provider for a referral or call us at 218.739.2221.