Conditions We Evaluate & Manage
Dr. Karmazin conducts a detailed clinical history and video-based movement assessment to pinpoint the specific disorder and develop a treatment plan tailored to your needs.
Essential Tremor
The most common movement disorder, essential tremor causes involuntary, rhythmic shaking—most often in the hands. Dr. Karmazin provides a thorough evaluation to distinguish ET from other tremor causes and develops a targeted management plan.
Parkinson's Disease
A progressive neurological condition affecting movement, balance, and coordination. Dr. Karmazin focuses on early detection, medication optimization, and ongoing monitoring to help maintain quality of life.
Dystonia
Involuntary muscle contractions that cause abnormal postures or repetitive movements. Whether focal or generalized, Dr. Karmazin tailors treatment to your specific type and severity.
Other Movement Disorders
From restless legs syndrome and myoclonus to tic disorders and drug-induced movement conditions, Dr. Karmazin provides expert evaluation and management for the full spectrum of movement disorders.
A Comprehensive Treatment Approach
Dr. Karmazin uses a multi-faceted strategy that combines precise medication management, ongoing monitoring, and evidence-based lifestyle interventions to help you regain control.
Medication Management
Targeted Pharmacotherapy
- Dopaminergic Therapy: Levodopa/carbidopa optimization for Parkinson's disease with careful dose titration
- Beta-Blockers & Anti-Tremor Agents: Propranolol, primidone, and newer options for essential tremor
- Dopamine Agonists: Pramipexole, ropinirole, and rotigotine for early Parkinson's and restless legs syndrome
- Anticholinergics & Muscle Relaxants: Targeted medications for dystonia and specific movement conditions
Monitoring & Optimization
Ongoing Disease Management
- Symptom Tracking: Structured assessments to monitor disease progression and treatment response
- Medication Adjustments: Proactive dose optimization to manage wearing-off effects and motor fluctuations
- Specialist Coordination: Collaboration with physical therapists, occupational therapists, and movement disorder surgeons when needed
Lifestyle & Supportive Care
Beyond Medication
- Exercise Prescriptions: Evidence-based physical activity programs shown to slow disease progression
- Nutritional Guidance: Dietary considerations for medication absorption and overall neurological health
- Sleep & Mood Support: Addressing the non-motor symptoms that significantly impact daily life
The Private Practice Advantage: Virtual Neurology
For many movement disorders, observing symptoms in a patient's everyday environment provides valuable clinical insight. Our virtual care model lets Dr. Karmazin see how you move at home—offering a perspective that a brief office visit often misses.
Specialized Expertise
Board-certified neurologist experienced in the nuances of movement disorder diagnosis and management.
Comfort of Home
Movement assessments conducted via video allow Dr. Karmazin to observe your symptoms in a natural setting.
Rapid Medication Adjustments
Digital prescriptions and quick follow-ups mean less time waiting for relief.
Continuity of Care
Regular virtual check-ins to track progression, adjust medications, and address new concerns as they arise.