Graphic of human holding neck with hand. Brain and spine are highlighted in orange and bones are blue. Background is black.

Brain & Spine Care

Rely on Avera’s leading neuroscience experts for all conditions affecting your brain, spine and nervous system.

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The health of your brain and spine is integral to your overall health. Neuroscience experts with the Avera Brain & Spine Institute care for a wide range of conditions affecting your nervous system at all ages.

Our multidisciplinary team includes a mix of specialists and advanced care techniques in epilepsy, headache medicine, movement disorders and neuromuscular disease. With Avera’s full spectrum of care, you’re connected to reliable neurological care from fellowship-trained, board-certified experts.

How Our Neuroscience Experts Can Help

In most cases, your primary care doctor will refer you based on any symptoms you’re experiencing. They can also explain risk factors that may indicate a need for neurological care, such as diabetes and high blood pressure. Patients also may need neurological care in the case of head or spinal injuries due to youth sports or accidents.

Conditions We Treat 

Brain, nervous system and spine care covers a wide spectrum of disorders, including:

  • Aneurysm
  • Balance disorders and dizziness
  • Blood vessel blockages and ruptures
  • Brain injuries
  • Carpal tunnel syndrome
  • Cervical dystonia: disorder that causes neck muscle contractions
  • Cognitive disorders affecting speaking, learning, memory, perception and problem solving
  • Concussion
  • Degenerative nerve disorders, including Alzheimer’s disease, amyotrophic lateral sclerosis (ALS) and dementia
  • Epilepsy and seizures
  • Fainting
  • Headaches due to migraines, clusters and tension
  • Hemorrhage
  • Movement disorders, including Parkinson’s disease and tremors
  • Multiple sclerosis (MS)
  • Musculoskeletal disorders (MSD), including neck and back pain
  • Myasthenia gravis: autoimmune condition where you experience muscle weakness
  • Myopathies: broad term that describes any disease affecting muscle tissue
  • Nerve injuries
  • Neuromuscular disease, including myasthenia gravis
  • Neuropathy: condition affecting nerves outside brain or spinal cord
  • Occipital neuralgia: injury or inflammation occurring to occipital nerves
  • Restless leg syndrome (RLS)
  • Sleep disorders
  • Strokes
  • Syncope: fainting or passing out caused by decrease in blood flow to brain
  • Transient ischemic attack (TIA): a temporary interruption of blood flow to the brain
  • Trigeminal neuralgia: chronic pain condition where you feel severe pain in your face, usually on one side
  • Tumors of the brain, neck and spinal cord
  • Uncontrolled epistasis (nose bleed)
  • Vascular malformations
  • Vertigo: type of dizziness causing an intense spinning sensation
  • Weakness due to loss of muscle strength because of nervous system issue

Types of Providers

Your care team includes these experts as well as access to other care areas.

  • Family medicine physician (also referred to as primary care provider): Doctor who cares for people ranging from young children through older adults, including pregnant people.

  • Internal medicine physician: Primary care provider who focuses on adult wellness and preventive care as well as disease management.

  • Interventional pain specialist: Provider who identifies and treats pain with minimally invasive procedures.

  • Neurologist: Provider who specializes in diagnosing and treating disorders of the brain, spine and nervous system.

  • Neuropsychologist: Provider who specializes in exploring the relationships between brain systems and behavior, like the way the brain creates and stores memories, or how diseases and injuries of the brain affect emotion, perception and behavior.

  • Neurosurgeon: Provider who performs surgery to treat brain, spine and nervous system conditions.

  • Neuroendovascular specialist: Provider who uses minimally invasive techniques to treat diseases affecting blood vessels in the brain and spine.

  • Neurointensivist: Provider who helps patients with critical brain injuries, strokes and other severe or life-threatening neurological conditions.

  • Physiatrist: Provider who specializes in diagnosing and treating conditions affecting physical function and mobility.

  • Certified athletic trainer: Specialist who helps athletes prevent, recognize and rehabilitate injuries at practices and games.

  • Dosimetrist: Specialist who determines radiation treatment doses for patients with cancer and other serious diseases.

  • Neuroradiologist: Radiologist who specializes in diagnosing and interpreting imaging studies of the brain, spine and nervous system.

  • Physician assistant: Advanced practice provider who is trained at the master’s level through a PA program that is typically three years in length. PA-C (physician-assistant certified) is a common credential.

  • Radiation therapist: Specialist who administers radiation treatments to cancer patients in collaboration with dosimetrists and radiation oncologists.

  • Rehabilitation specialist: Provider who supports rehabilitation needs affecting physical function and mobility for patients in recovery.

Evaluation & Testing

A brain and spine physician may recommend imaging and tests to accurately diagnose and plan effective treatment for your condition. Some common test orders for our patients include:

  • Autonomic testing lab
  • Brainstem auditory evoked response (BAER)
  • Electroencephalogram (EEG)
  • Electromyographic (EMG) studies
  • Magnetic resonance imaging (MRI)
  • Nerve and muscular testing
  • Nerve conduction studies (NCS)
  • Neuroendovascular ultrasound
  • Neuropsychology testing
  • Polysomnograph sleep study
  • Vagal nerve stimulation (VNS)
  • Videonystagmography (VNG)

Why Choose Avera?

You are the most important member of your care team. That’s why we coordinate care to your needs with the least invasive and most advanced treatments considered first.

Our focus is bringing you the right treatment from the region’s leading neuroscience experts delivering evidence-based neurology, neurosurgery, physical therapy and follow-up care. Ask your doctor if a referral is right for you.

Coordinated Care

At your appointment, you and a specialist will have an in-depth discussion about your back, head and/or neck problems. Be sure to use this visit to describe current symptoms and family health history, as well as ask questions about diagnosis, treatments and recovery steps.

Nonsurgical methods, such as physical therapy, medications and injections, are possible options for treatment. Sometimes surgery is best. Whatever your situation, count on us to meet your needs.

Patient-Centric Treatments

A correct diagnosis is essential for you to receive the right treatment. As you begin your treatment plan, follow-up appointments will monitor how well current treatments are working.

Depending on your diagnosis, we may recommend an evaluation with a surgeon. If surgery is necessary, your neurosurgeon and entire care team are there to educate and guide you on what to expect before and after the procedure.

Advanced Surgical Technology

Surgeons operate on complex and common disorders for patients of all ages, including children in need of pediatric neurosurgery. They use image guidance in real time to accurately position surgical instruments and see exactly where a lesion or tumor is located.

Rest assured our expert neurosurgeons stay in safe areas with smaller incisions, resulting in less trauma to the patient. During surgery, your care team uses advanced monitoring and imaging technology — like real-time brain monitoring and angiograms — to guide every move with accuracy. That means a safer procedure and a quicker recovery.

Recovery & Support Services

After a neurocritical care patient has received minimally invasive brain or spine care or surgery, they will recover in an inpatient unit under the supervision of our neurocritical care team. We will closely monitor neurological status, vital signs and more following your procedure.

Your doctor and care team will explain what to expect and recommend the best recovery plan for your situation. Physical medicine and rehabilitation care may follow to help restore speech, movement or vision as best as possible.

Neurology Outreach & Telemedicine Sites

In addition to Avera brain and spine clinics in Sioux Falls and Yankton, SD, our neurologists travel to several areas to bring care closer to your community. Ask your doctor if telemedicine may be available.

  • Aberdeen, SD

  • Brookings, SD

  • Mitchell, SD

  • Spirit Lake, IA

Caring for Your Brain, Spine & Nervous System

Count on us to coordinate your care. Comprehensive brain and spine services are available in Sioux Falls, SD. Neurology care is also available in Yankton, SD, as well as at outreach sites and via telemedicine. Ask your doctor if a referral is right for you.

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24/7 Immediate Stroke Support

A stroke can happen to anyone at any age at any time. Get help fast through your local emergency department if you notice any warning signs. Count on Avera for quick response and expertise you need from diagnosis to intervention, treatment and rehabilitation. Also, Avera McKennan Hospital & University Health Center is a certified stroke center as designated by the DNV Comprehensive Stroke Center Certification.

Emergency Locations

Warning Signs

Even just a few minutes can make a big difference! BE FAST is an easy way to remember and recognize these sudden signs of stroke:

  • Balance loss
  • Eyesight loss
  • Face drooping
  • Arm weakness
  • Speech difficulty
  • Time to call 911

Start with a Spine Navigator

To learn about services in Sioux Falls, SD, and how to start the referral process, call us. 605-322-8805

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