Physician-Led Neurological Care
Procedures & Specialized Assessments
Targeted treatments. Purposeful testing. Care tailored to your neurological needs.
At Cardiel Precision Brain Health, Dr. Myrna Cardiel offers selected office-based neurological treatments and coordinates specialized assessments when they can meaningfully guide diagnosis, treatment, or long-term planning. Not every patient needs a procedure or advanced testing.
01 / In-Office Care
Office-Based Neurological Treatments
Selected treatments for chronic migraine, headache disorders, facial pain, and related head or neck pain. Procedures are individualized and recommended only when appropriate for your diagnosis and clinical history.
Botox® for Chronic Migraine
OnabotulinumtoxinA injections using the established PREEMPT treatment protocol.
Occipital Nerve Blocks
Targeted local-anesthetic injections for selected posterior headache or occipital pain patterns.
Trigeminal Nerve Blocks
Selected peripheral blocks, including supraorbital, supratrochlear, or auriculotemporal nerves.
Trigger-Point Injections
Local treatment of selected muscular pain generators contributing to headache or neck discomfort.
SPG Blocks
Sphenopalatine ganglion blocks for selected headache or facial-pain presentations.
New patients generally begin with a neurological consultation. For Botox, nerve blocks, or other procedures, contact the practice for appropriate scheduling.
02 / Individualized Evaluation
Specialized Diagnostic Assessments
Cognitive, neurological, metabolic, and functional assessments may be selected to answer a specific clinical question. Dr. Cardiel helps determine which tests are useful, interprets results in context, and coordinates appropriate referrals for studies performed outside the practice.
Cognitive Assessment & Tracking
Digital cognitive testing, assessment of memory and attention, and longitudinal tracking when clinically useful. Results are interpreted alongside your history, symptoms, and neurological examination; a test score alone is not a diagnosis.
Advanced Neurological Testing
When indicated, Dr. Cardiel may recommend MRI with volumetric analysis, other specialized neuroimaging, or selected neurological biomarkers. Imaging and other specialized studies are coordinated with appropriate outside facilities.
Laboratory & Metabolic Evaluation
Targeted evaluation of vascular risk, metabolic health, lipids, glucose regulation, and other potentially modifiable contributors when relevant to neurological care. Laboratory studies are ordered selectively, not as a standard testing package.
Hormonal & Neurological Context
Individualized review of hormonal factors that may affect migraine, sleep, concentration, or cognition during perimenopause, menopause, ovarian surgery, or fertility-related treatment. Coordination with other treating clinicians is available when appropriate.
Body Composition & Physical Function
Body-composition testing is not performed in-house. When it would inform care, Cardiel Precision Brain Health facilitates referral to an appropriate external facility for the right test, such as DXA body-composition or bone-density assessment, based on the clinical goal. Strength, functional, or metabolic testing may also be considered selectively.
Sleep & Wearable Data
Review of sleep patterns, wearable-device information, activity, and other relevant measures when they help guide neurological or brain-health planning. Formal sleep testing, when needed, is arranged through appropriate specialists or outside facilities.