Physician-Led Neurological Care
Procedures & Advanced Assessments
Targeted treatment and thoughtful assessment—selected according to your neurological needs.
Dr. Cardiel combines office-based headache procedures with carefully selected assessments for memory and cognitive concerns, proactive brain longevity, and GLP-1/neurometabolic care. Testing is recommended only when it is likely to clarify a diagnosis or meaningfully guide care—not as a requirement to begin.
Headache Medicine
Headache & Neurological Procedures
These procedures may be recommended as part of a comprehensive treatment plan for migraine, headache disorders, facial pain, and related neurological conditions. Office-based treatment includes Botox® for chronic migraine and selected nonsurgical headache procedures using local anesthetic when clinically appropriate.
Special Interest: Headache MedicineBotox® for Chronic Migraine
OnabotulinumtoxinA injections following the established PREEMPT treatment protocol.
Occipital Nerve Blocks
Targeted local-anesthetic injections for selected posterior head and headache pain patterns.
Trigeminal Nerve Blocks
Selected peripheral nerve blocks for appropriate facial or anterior headache pain patterns.
Trigger-Point Injections
Local treatment of selected muscular pain generators that may contribute to headache or neck pain.
SPG Blocks
Sphenopalatine ganglion blocks for selected headache and facial-pain presentations.
Two Pathways. One Neurological Standard.
Proactive planning or diagnostic evaluation?
Planning for future brain health and evaluating current symptoms begin with different clinical questions. The right starting point depends on what you are experiencing.
Brain Longevity & Healthy Aging
This pathway is primarily designed for adults who are functioning independently and want a proactive assessment and long-term brain-health plan.
Care focuses on identifying relevant risk factors, setting practical priorities, and supporting cognitive and functional health over time. It is not a substitute for evaluating new or progressive neurological symptoms.
Memory & Cognitive Evaluation
New or progressive memory loss, word-finding difficulty, confusion, personality change, loss of familiar abilities, or other concerning neurological symptoms should begin with a diagnostic cognitive or neurological evaluation.
The first priority is to clarify the cause of your symptoms and determine the appropriate next steps—even when you are still managing everyday activities independently.
Diagnostic clarity comes first. Some patients may move from diagnostic clarification into longitudinal brain-health care once the important clinical questions have been addressed.
Sudden symptoms need emergency care. For sudden confusion, difficulty speaking, one-sided weakness, or other possible stroke symptoms, call 911. Do not wait for an office appointment or a website response.
Purposeful Testing. A Clear Clinical Question.
Selected Cognitive & Brain-Health Assessments
These assessments are tools, not separate care pathways. Their use depends on whether the clinical goal is to evaluate symptoms or support individualized long-term brain-health planning. Not every patient needs cognitive testing, imaging, or biomarkers.
Cognitive Assessment
- Validated digital cognitive testing
- Memory and cognitive-performance evaluation
- Longitudinal cognitive tracking when clinically useful
Testing is interpreted in the context of your history, symptoms, and clinical evaluation; a test score alone does not establish a diagnosis.
Advanced Neuroimaging
Advanced neuroimaging may be considered when clinically indicated to help evaluate cognitive symptoms, neurodegenerative conditions, or other neurological concerns. Imaging is not a prerequisite for beginning a brain-longevity plan.
Brain Health Biomarkers
Selected laboratory assessment may address metabolic health, vascular risk, lipid metabolism, and other potentially modifiable contributors to cognitive symptoms or neurological health.
Specialized neurological biomarkers are considered selectively to answer a defined clinical question; they are not an automatic part of a longevity assessment.
Sleep & Wearable Data
- Sleep tracking and sleep-related physiological monitoring
- Review and interpretation of wearable-device data when it can inform neurological care
The appropriate next step begins with a thoughtful medical evaluation.
Procedures and advanced assessments are recommended only when they are clinically appropriate and likely to contribute meaningfully to diagnosis, treatment, or monitoring. A consultation does not require a commitment to advanced testing or a long-term program. Unsure where to begin? Describe your symptoms and goals when requesting your consultation.