Movement Disorders

Expert diagnosis and long-term care for Parkinson’s disease, tremor, dystonia, and other conditions that affect how you move, close to home in Denton.

What is a movement disorder specialist?

A movement disorder specialist is a neurologist who has completed extra fellowship training focused on conditions that affect movement, such as Parkinson’s disease, tremor, and dystonia. Many of these conditions look alike, especially early on. That extra training helps with an accurate diagnosis and with advanced treatments that general practices may not offer. Some neurology subspecialties, like movement disorders, do not have board certification, so any neurologist can call themselves a movement disorder specialist. This can be confusing to the public, so always verify that they have completed a fellowship in a university movement disorders program.

Jerome Lisk, MD, is Denton County’s fellowship-trained movement disorder specialist. He has over 20 years of clinical practice experience, and you see the same specialist at every visit.

Fellowship trained in movement disorders
DBS screening and programming in our office
Botulinum toxin injections in our office
Infusion center in the same building

Conditions we treat

Parkinson Disorders (Parkinsonism, Parkinson Syndromes)

Parkinson’s Disease

Expert diagnosis and long-term care for Parkinson’s disease from Denton County’s fellowship-trained movement disorder specialist.
Atypical Parkinson Disorders (PSP, MSA, CBS, LBD)

PSP, MSA, corticobasal syndrome, and Lewy body dementia are atypical Parkinson disorders that can look like Parkinson’s disease but need a different care plan.

Umbrella diagram. Parkinsonism, Parkinson syndromes, and Parkinson disorders share slow movement, tremor, decreased balance, and muscle stiffness. Under the umbrella are three groups. Parkinson’s disease: more than 30% motor symptom improvement with levodopa, and progresses slowly over time. Atypical parkinsonism: more rapid progression; includes multiple system atrophy, Lewy body dementia, progressive supranuclear palsy, and corticobasal degeneration. Secondary parkinsonism: drug-induced, toxins, normal pressure hydrocephalus, brain tumor, and pesticides or herbicides.

Essential Tremor

The most common movement disorder in the world. The tremor is worse when using your hands. Learn how it differs from Parkinson’s disease and how it is treated.
Dystonia

Muscles that tighten on their own. In cervical dystonia, the most common type in adults, the neck muscles pull the head to one side. Botulinum toxin injections and other treatments can help.
Huntington’s Disease

An inherited brain condition that affects movement, thinking, and mood. Care for the whole family, from testing to treatment and support.
Tardive Dyskinesia

Movements you do not control, caused by certain medicines. Learn the signs, why you should not stop your medicine on your own, and how it is treated.
Restless Legs Syndrome

An urge to move your legs, often at night, that can steal your sleep. Ferritin testing and the right treatment can help.

Treatments we offer

Deep brain stimulation

Pre-surgical screening and DBS programming for Parkinson’s disease and essential tremor, with care before and after surgery.
Device-aided therapies (pumps)

Small pumps that give Parkinson’s disease medicine steadily through the day, for symptoms that go up and down.
Botulinum toxin injections

In-office injections for cervical dystonia, including dystonic head tremor, and for drooling in Parkinson’s disease.
Diagnostic testing (DaTscan)

A brain scan of the dopamine system that can help tell Parkinson’s disease apart from look-alikes when the diagnosis is not clear.

What to expect at your first visit

Before your visit
Fill out your patient forms. Gather a list of all your medicines and doses, and any past test results, brain scans, or records from other doctors.
Bring someone along
A family member or friend can share what they have noticed and help you remember what we discuss.
A careful exam
We talk about your symptoms and history, then watch how you walk, move, and use your hands. The first visit takes longer than follow-up visits.
A plan you understand
We explain what we found, order any tests you need, and build a treatment plan around your goals. Your plan can change as your needs change.

Resources

Fact sheet

Understanding Parkinsonism

Dr. Lisk wrote this fact sheet for the Parkinson’s Foundation. It explains parkinsonism, the types of Parkinson disorders, how they are diagnosed, and how they are treated.