See a neurologist when a symptom involving the brain, nerves or muscles has persisted beyond a few weeks, is progressing, is affecting daily function, or has not responded to initial treatment. Sudden severe symptoms need emergency care the same day instead.
See a neurologist when a symptom involving the brain, nerves or muscles has persisted beyond a few weeks, is progressing, is affecting daily function, or has not responded to initial treatment. Sudden severe symptoms need emergency care the same day instead.
Headache: when the pattern changes, frequency rises above a few days a month, or you are using pain medication on many days. Numbness or tingling: beyond a few weeks, or sooner if it is spreading or accompanied by weakness. Dizziness: when it recurs rather than after a single episode. Memory: when it affects work or home life, or when someone close to you has noticed more than you have. Tremor: when it interferes with tasks or is new. Episodes of altered awareness: after the first one, once acute assessment has happened.
Several neurological conditions are easier to treat before they become established. Migraine is the clearest example: episodic patterns respond better than chronic ones, and one route to chronic migraine is months of escalating painkiller use while waiting to see whether it settles. Nerve compression is another, where treating before muscle wasting begins changes what is achievable. Waiting is reasonable for something stable and mild; it is a poor strategy for something that is changing.
For most of these, your primary care physician is a sensible first stop, and most insurance plans other than commercial ones expect that step. They can screen for causes that are common and treatable, including thyroid problems, vitamin deficiencies and medication effects, and refer with a fuller picture. A referral stating what has already been excluded is worth considerably more than one that does not.
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.
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.
Sources and further reading: National Institute of Neurological Disorders and Stroke; MedlinePlus, National Library of Medicine; American Academy of Neurology.
Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.