NeurocareDx
Clinical Neuroscience, TMS Programs, Electrophysiology testing (EDX), Neuropsychology
Clinical Neuroscience Team
George Resnick DC, DACNB
Dr. Resnick is an expert diagnostician and holds a Diplomate status and Board Certification in Chiropractic Neurology and Electrodiagnostics. He has fellowship status with the international academy of chiropractic neurology & ACFN.
- EEG
- BAER
- VEMP
- VNG CDP
- EMG, NCV
Marc Lamantia MS DC, DACNB
Dr. Lamantia has specialized training in Clinical Neurology, Neuropsychological testing and TMS therapy,
- Master's degree in Clinical Neuropsychology
- Duke Medicine Trained in TMS
- EMG/NCV electromyographer
- Oculomotor and Vestibular Therapy
Functional Neurology Testing
Motor Threshold Testing
The motor cortex is the area of the brain where the neurons of the corticospinal tract can easily be excited with non-invasive magnetic pulses machines. The amount of stimulus required to activate the brain is unique in each of us, and can vary as the brain neurons becomes aggravated or depressed. We call this measurement the "Motor Threshold"
Fact: The motor threshold changes with changes in brain health!
Fact: Motor threshold testing is useful to measure changes in brain excitability and takes about 15 minutes.
Fact: Transcranial magnetic stimulation (TMS) uses magnetic pulses to excite (or inhibit) neurons near the scalp, providing a non-invasive way to assess the central integrative state of the brain at the time of testing.
Fact: Motor Threshold testing allows the clinician to adjust treatment parameters to each individual's excitability threshold.
Fact: Research shows the maximum therapeutic benefit occurs at 120% of the motor threshold.
Innovative Treatments
Transcranial Magnetic Stimulation (TMS)
Hyperbaric Oxygen Therapy (HBOT)
Vestibular Rehabilitation Therapy (VRT)
Multidisciplinary Approach
Electrodiagnostic services
Testing of the brain using Evoked Potentials provides a window into individual brain circuits;
VEMP, BAER- Ascending and Descending brainstem pathways
VEP- Visual cortical pathways
EEG- Cortical brain activity
SSEP- Dorsal Column pathways
Neuropsychological Assessment Battery
Non-invasive Psychometric testing of brain function allows for a comprehensive functional assessment of the mental state during the time of the test administration.
- MEMORY-including immediate and delayed recall, visual, auditory, working, long term and short term.
- ATTENTION-including visual, auditory, spilt, and competing stimuli conditions.
- LANGUAGE- Reading, writing, Used to rule out aphasia and temporal vs frontal lobe involvement.
- SPATIAL FUNCTION- Visual processing, Spatial awareness, new environment navigation. used to rule in neglect syndromes.
- EXECUTIVE FUNCTION-complex thinking, word generation, problem solving, used to rule in Frontal Lobe syndromes.
OTHERS
- Pennsylvania Smell Interpretation Test (UPSIT)
- Executive Planning Testing
- Motor testing
- Psychiatric Screening
Balance, Oculomotor and Vestibular Testing
Fact: Brain health can be monitored by testing balance, postural reflexes and eye movement function.
Fact: Post Concussion Syndrome and other neurodegenerative conditions are commonly associated with, dizziness, posture imbalance, blurry vision, headaches, and sound or light sensitivity due to dysfunction in neural circuits.
Transcranial Magnetic Stimulation (TMS)
Treatment Resistant Depression
Accelerated TMS Full Day Protocol
Accelerated TMS Full Day Protocol
How it works? TMS uses magnetic pulses to excite (or inhibit) brain activity near the scalp.
How Long Does it take? TMS can be effective in just 3 minutes a day. Some protocols can last up to 18 minutes, depending on the patient.
How many treatments are necessary?
TMS approved protocols.
- 1 Day protocol,
- 5 Day Protocol
- 30Day protocol
A stand
How it works? TMS uses magnetic pulses to excite (or inhibit) brain activity near the scalp.
How Long Does it take? TMS can be effective in just 3 minutes a day. Some protocols can last up to 18 minutes, depending on the patient.
How many treatments are necessary?
TMS approved protocols.
- 1 Day protocol,
- 5 Day Protocol
- 30Day protocol
A standard 6‑week TMS protocol is the traditional, FDA‑cleared approach for treating major depressive disorder. It involves one brief (3 minute) session per weekday over 4–6 weeks, typically totaling 30 treatments. This steady, repeated stimulation is designed to gradually strengthen neural pathways involved in cortical regulation, allowing the brain to build over time. Research consistently shows that this protocol is safe, well‑tolerated, and effective, making it the most widely used and accessible form of TMS today
- daily consistency supports gradual neuroplastic change
- predictable scheduling makes it easy to integrate into routine
- strong evidence base underpins its role as the standard of care
Accelerated TMS Full Day Protocol
Accelerated TMS Full Day Protocol
Accelerated TMS Full Day Protocol
A one‑day TMS protocol is an accelerated form of transcranial magnetic stimulation designed to condense what is normally a 4–6 week treatment course into a single intensive day. Early research on approaches like the ONE‑D protocol shows that patients receive 20 carefully timed iTBS sessions over roughly 9–10 hours, aiming to take advanta
A one‑day TMS protocol is an accelerated form of transcranial magnetic stimulation designed to condense what is normally a 4–6 week treatment course into a single intensive day. Early research on approaches like the ONE‑D protocol shows that patients receive 20 carefully timed iTBS sessions over roughly 9–10 hours, aiming to take advantage of the brain’s short‑term windows of heightened neuroplasticity
The goal is to make TMS more accessible for people who can’t commit to daily visits, while still delivering meaningful symptom improvement. In small early studies, accelerated protocols have shown promising response and remission rates—over 90% response and 75% remission in one ONE‑D study—though larger controlled trials are still needed to confirm long‑term effectiveness and safety
5 Day TMS Protocol
Accelerated TMS Full Day Protocol
5 Day TMS Protocol
A 5‑day accelerated TMS protocol delivers an entire course of treatment in a single intensive week, typically 10 short iTBS sessions per day for a total of 50 sessions. By condensing weeks of stimulation into a focused schedule, this protocol aims to harness stacked neuroplasticity effects while offering a practical option for people who need fast relief or can’t commit to a 6‑week course.