Neurologic Consultation in Rochester, NY
Neurologic symptoms are rarely simple. At Healthspan Neurology, we take the time to understand them — with extended, unhurried evaluations that go beyond what a standard neurology appointment allows.
When to See a Neurologist
You may benefit from a neurologic consultation if you are experiencing:
Persistent or severe headaches or migraines
Memory concerns or cognitive changes
Dizziness, balance problems, or falls
Numbness, tingling, or nerve pain
Tremor or movement changes
Seizures or episodes of altered awareness
Weakness or changes in coordination
Neurologic symptoms that remain unexplained after prior evaluation
A consultation is also appropriate when you are seeking a second opinion or a more thorough, personalized approach to care than you've received elsewhere.
Conditions Commonly Evaluated
Drawing on more than 25 years of clinical experience, Dr. Gajaweera provides expert evaluation for a wide range of neurologic conditions, including:
Migraine and headache disorders
Epilepsy and seizure disorders
Stroke and cerebrovascular conditions
Multiple sclerosis
Tremor and Parkinson's disease
Neuropathy and neuromuscular disorders
Memory concerns, dementia, and Alzheimer's disease
What Happens During a Neurologic Evaluation
Neurologic diagnosis begins with listening. Before any testing, the most important information comes from understanding your symptoms in detail — when they started, how they've evolved, what makes them better or worse, and how they fit into the broader context of your health.
This is followed by a neurologic examination that assesses how different parts of the nervous system are functioning. In many cases, the history and exam alone point clearly to the underlying cause. When they don't, additional testing helps confirm the diagnosis and guide treatment.
Initial consultations at Healthspan Neurology are a minimum of 90 minutes. Complex cases take longer — and we don't cut them short.
How This Is Different
Standard neurology appointments are often brief, focused on a single symptom, and disconnected from the broader picture of a patient's health. That model works for straightforward cases. It frequently falls short for everything else.
At Healthspan Neurology, consultations are designed to be comprehensive and unhurried. Appointments allow time to review prior records, listen carefully, and understand the full context of your health — not just the symptom that brought you in.
The nervous system does not function in isolation. Neurologic symptoms are frequently influenced by sleep, hormones, metabolic health, mood, and inflammation. Care at Healthspan Neurology accounts for all of it — and where evidence-informed integrative strategies are appropriate, those are part of the conversation too.
With more than 25 years of experience in the Rochester medical community, Dr. Gajaweera also maintains an extensive network of trusted specialists. When referrals or coordinated care are needed, they are made thoughtfully — to people she knows and trusts.
Frequently Asked Questions About Neurologic Consultation
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If you are experiencing symptoms that affect the brain, spine, or nervous system — headaches, memory changes, dizziness, numbness, tremor, seizures, or weakness — a neurologist is the appropriate specialist. If your symptoms have been evaluated elsewhere without a clear answer, a second opinion from a neurologist is also worth considering.
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Neurologists diagnose and treat conditions of the nervous system medically. Neurosurgeons perform surgical procedures on the brain and spine. Most neurologic conditions are managed without surgery — and a neurologist is typically the first specialist to evaluate and direct care.
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No. Healthspan Neurology is a direct-pay practice and does not require a physician referral. We do require that all patients have a primary care doctor. You can schedule a complimentary introductory call directly to discuss whether a consultation is right for you.
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Yes. We offer both in-person consultations in Rochester and telemedicine appointments for patients throughout New York State. Some evaluations benefit from an in-person neurologic examination — we will advise you on which is more appropriate for your situation.
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Initial consultations are typically 90 minutes. Complex cases — particularly those involving multiple symptoms, prior inconclusive workups, or requests for second opinions — often take longer. We don't impose a time limit on visits that require more.
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Prior imaging, lab results, records from other specialists, and a list of your current medications and supplements are all helpful. The more context you can provide, the more productive your evaluation will be.
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Not always. In many cases, a thorough history and neurologic examination provide sufficient clarity. When additional testing is indicated — imaging, laboratory work, nerve studies, or other diagnostics — we will explain what is needed and why, and order only what is clinically relevant.
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Healthspan Neurology is a direct-pay practice, which means consultation fees are not billed to insurance. Many patients use HSA or FSA funds. Diagnostic testing ordered during or after your consultation — imaging, labs, nerve studies — is typically billed through your insurance. See our Pricing & Policies page for details.
Your first step is a complimentary introductory call. This brief conversation allows us to review your concerns, discuss your goals, and determine whether a neurologic consultation or one of our preventive programs is the best fit for your needs.