Neurology Care · Local

Do i need a neurologist

You probably need a neurologist if a symptom involving the brain, spinal cord, nerves or muscles is new and persistent, is getting worse, or has not responded to treatment from your regular doctor. Anything sudden and severe needs emergency care instead, not an appointment.

Quick answer

You probably need a neurologist if a symptom involving the brain, spinal cord, nerves or muscles is new and persistent, is getting worse, or has not responded to treatment from your regular doctor. Anything sudden and severe needs emergency care instead, not an appointment.

Two different questions

People conflate them. The first is whether this is urgent, and that is answered by how fast it came on: symptoms arriving over minutes or hours, and severe, belong in an emergency department. The second is whether it needs a specialist, and that is answered by persistence: something that has lasted weeks, keeps returning or is changing warrants a neurologist.

Where your regular doctor fits

For most neurological symptoms, primary care is a sensible first stop. Many causes are identified and treated there, including medication effects, thyroid problems and vitamin deficiencies, and most insurance plans other than commercial ones expect that step before a specialist. A referral that includes what has already been tried is worth far more than one that does not.

Signs that point clearly to neurology

Headaches that have changed pattern or are becoming frequent; numbness, tingling or weakness that persists or spreads; repeated dizziness; memory or concentration change that is affecting work or home life; tremor; and episodes of altered awareness. Those are all squarely in neurology's territory.

About this practice

Clinical Neurology Specialists has been physician-owned since 1998, when Leo Germin, M.D., FAANEM founded it. Five board-certified neurologists and four advanced practice providers see patients at the Las Vegas and Henderson offices, each with its own AANEM-accredited electrodiagnostic laboratory.

Clinical Neurology Specialists is an adult outpatient neurology practice for patients 18 and older. The practice performs no surgery and operates no imaging suite, infusion suite or interventional pain programme, and provides no emergency or inpatient care.

Emergency & crisis resources: Clinical Neurology Specialists is not an emergency service. For stroke symptoms, a seizure lasting more than five minutes or any medical emergency, call 911 or go to the nearest emergency room. For a mental health crisis, call or text 988 (Suicide & Crisis Lifeline).

Frequently asked

Questions about do i need a neurologist

Do I need a neurologist?
Likely yes if a symptom of the brain, spinal cord, nerves or muscles is new and has persisted for weeks, is worsening, or has not improved with initial treatment. Likely no if it is brief, resolving and explained. Anything sudden and severe is an emergency, not a referral.
How is the decision made?
By pattern rather than severity. A neurologist wants to know how fast a symptom arrived, whether it is constant or episodic, whether it is spreading or settling, and what has already been tried. That shape usually indicates whether specialist assessment adds anything.
When should I see a neurologist rather than wait?
When symptoms are progressing, when they are affecting work, driving or sleep, or when a treatment that should have worked has not. Waiting is reasonable for something stable and mild; it is not reasonable for something that is changing. Anything affecting your ability to drive safely or to do your job is worth bringing forward rather than monitoring.
Can I book without a referral?
It depends on your plan rather than on the practice. Many commercial plans allow direct access to neurology; most managed care and Medicare Advantage plans require a referral from a primary care physician first. Your plan is checked before the appointment.
Do you see children?
No. This is an adult practice for patients 18 and older. Children need paediatric neurology, which is a separate practice. Paediatric neurology involves different training, different conditions and different medication considerations, so it is a genuinely separate specialty rather than an administrative boundary. We say so here to save a wasted appointment.

Physician-reviewed. Reviewed by the physicians of Clinical Neurology Specialists — board-certified neurologists, AANEM-accredited electrodiagnostic laboratories, physician-owned since 1998. Reviewed 1 August 2026. This article is general education for adults 18 and older and is not a substitute for a consultation.

Next step

Speak to a board-certified neurologist

Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.