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Advanced Diagnosis and Treatment for Neurological conditions

CMC’s Comprehensive Neurological Care practice offers advanced diagnosis and treatment for neurological conditions that affect the brain, spinal cord and nerves.  We work with each patient to improve their quality of life. 

Patients generally need a referral from their PCP office for consultation on a specific medical condition or symptoms. Once we receive a referral, we will reach out to you directly to schedule your visit.

Diagnosis, Treatment and technologies

Electromyography (EMG)

Your muscles move when nerve signals from the brain tell them to get to work. Electromyography measures how well your muscles respond to those signals. If the test picks up a problem, you may be diagnosed with what is called a neuromuscular disorder.

General Neurology

General neurology is the treatment for neurological disorders, including dementia and cognitive disorders, migraines, MS, seizure disorders, movement disorders and Parkinson’s disease, amongst others.  

Nerve Conduction Studies (NCS)

Nerve signals are electrical impulses that travel quickly throughout your nervous system. Sometimes, problems with the electrical activity in your nerves can cause pain, tingling, or weakness in your muscles. NCS measures how fast and how strong the electrical activity is in a nerve. The test can tell whether a nerve has been damaged.

Learn more about EMG and nerve conduction studies.
BOTOX® treatment for chronic migraines

  • Botox injections for chronic migraines.
  • Botox injections for muscle spasticity after strokes.
  • Botox injections for Sialorrhea (excessive drooling or salivation).
  • Botox injections for Dystonia (a movement disorder in which a person's muscles contract uncontrollably)


Sphenopalatine Ganglion Block (SPG Block) can provide relief from migraines and other types of headache and facial pain. SPG Block is a procedure where concentrated lidocaine, a pain reliever, is delivered through the nose and applied directly to the group of nerves that causes these headaches. Relief is often immediate and last for weeks or months without the need for other injections or medicines. 

SPG Block is effective for the treatment of migraines. It can also help other symptoms associated with severe headaches, like nausea.

The procedure takes about 20 minutes, is virtually pain free and has no required preparation. SPG is about 90 percent effective and can be repeated as needed to reduce pain. 

Specializing in Speech Therapy for people with Parkinson's

SPEAK OUT!® & The LOUD Crowd®

SPEAK OUT!® and The LOUD Crowd® is a two-part speech therapy program that helps individuals with Parkinson’s regain and maintain effective communication.

SPEAK OUT!® teaches patients to speak with intent. Upon completion of SPEAK OUT!®, patients transition to The LOUD Crowd®. This is a weekly maintenance group that provides support, encouragement and accountability. Participation in SPEAK OUT® and The LOUD Crowd® has been shown to help patients with Parkinson's maintain their communication skills.

For more information, contact Larissa J. St. Amand, M.A., CCC-SLP, Speech-Language Pathologist, Outpatient Rehabilitation Services at 603.641.6700 or via email:

Meet Our


Patients generally need a referral from their primary care provider for consultation on a specific medical condition or symptoms. Once we have received that referral, we will reach out to the patient directly to schedule their visit. 

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