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Complex Neurological Conditions

When your symptoms don't fit one specialist's box, or you've been through workups without answers, we test the systems behind them together and build a neurological rehabilitation plan from what we find.

No referral needed · Progress measured by retesting

Dr. Helm and a patient working through a drill on a large touch screen

Who this page is for

Many patients reach us after seeing several specialists, each looking at one piece. They're often told their scans are clean, or that it's anxiety, and they feel their symptoms were never fully understood. The most common thing new patients tell us is "I wish we'd found you sooner."

One team here looks at how the eyes, inner ear, neck, balance, blood flow to the brain and thinking work together, so no piece falls through the cracks. Many patients with a brain injury or a long illness also live with anxiety or low mood; we see that, and we focus on the physical drivers we can measure and train.

Conditions we see

These are some of the conditions that bring people to us when their symptoms don't fit one box.

Brain fog and brain inflammation

Trouble thinking clearly, measured with cognitive testing and then trained.

Visual motion and light sensitivity

Screens, stores and crowds that set off symptoms; eye recordings show why.

Vertigo & dizziness

Migraine

We test the eye, inner ear, neck and blood-flow patterns that often travel with migraine.

Stroke recovery

Balance, eye movement, coordination and thinking retrained, alongside your medical team.

Neurodegenerative conditions and brain-health preservation

Cognitive testing and training for adults who want to protect how they think and move.

Chronic pain

When pain lingers after tissues have healed, we look at how the nervous system is handling it.

Functional neurological disorder (FND)

Patients with objective findings on reflexive testing often do well; when testing shows no reflexive or autonomic problems, we'll tell you this isn't the right fit.

Overlapping conditions

A concussion that turned into POTS, or long COVID with dizziness: we test the systems together and treat them in one plan.

How we find the breakdown

One doctor reads video eye recordings, computerized balance testing, a hands-on neck exam, cognitive and timing tests, and, when standing is a problem, blood flow to the brain with CO2 on the tilt table. These findings validate what you've been feeling and show where to start. See our technology.

NeuroReset, our program for complex cases

Your plan is built from your results. Several therapies run at once (therapy stacking), chosen from the specific breakdowns your testing found, with gentle, repeated work that helps the brain reorganize (neuroplasticity). Care is frequent up front, then tapers to check-ins with a home plan; out-of-town patients usually start with an intensive. We retest to show what's changing.

What to expect

Most people overestimate the first week and underestimate long-term change. Recovery takes work and isn't guaranteed, and we don't give up on you through setbacks.

A patient lying on a treatment table receives low-level light therapy on the forehead

Hear from a patient

Erika shares what her care at Pro Performance Care was like, in under a minute.

More stories on our testimonials page.

Questions people ask

Do you work with my other doctors?

Yes. Care works alongside your physicians and medications, and we can send them a summary of your testing.

I'm on several medications. Can I still come?

Yes. We account for medication effects in testing. If you're in the middle of changing a dose, we'll suggest waiting until it's stable; a very long medication list can make results harder to read, and we'll talk that through on the phone consult.

Is there an age limit?

We see children from age 4 and adults of any age; older patients often need more repetition.

Do I need a referral?

No. One of our doctors offers a free phone consult first.

Get emergency care first if you have sudden facial weakness, sudden arm weakness or numbness, slurred speech, sudden confusion or a sudden severe headache. Call 911 or go to the emergency room, not a rehab clinic.

Get started

Pro Performance Care, 464 Hillside Ave, Suite 211, Needham, MA. Patients come from Needham, Wellesley, Newton, Dedham, across Greater Boston and farther.

Local patients

Free phone consult

Talk with one of our doctors about your symptoms and whether a full evaluation is the right next step.

Request a call back

Traveling from out of town

Plan an intensive

Patients who travel often come for an intensive of daily sessions. We talk through the format and cost on the free phone consult.

Request a call back

No referral needed · Progress measured by retesting · (978) 429-8952