The practice journal
Neurology articles from the practice
What we tell our own patients: honest, physician-written answers to the questions that come up in our exam rooms. Each article is medically reviewed and dated.
30 articles
Multiple Sclerosis
Diagnosis, treatment decisions, relapses, and living well with MS, from a fellowship-trained MS specialist. New to MS? Start with the multiple sclerosis guide.
Vitamin D and MS: What the Trials Show
Low vitamin D is linked to MS, but does taking more help? An MS specialist who co-authored a vitamin D trial explains the evidence and what is safe.
11 min read · Oct 2026
MS Progression Without Relapses (PIRA)
Your MRI is stable but walking is harder. An MS specialist explains progression independent of relapse activity (PIRA), why scans miss it, and what to measure.
14 min read · Oct 2026
Just Diagnosed with MS: First Five Steps
Just told you have MS? An MS specialist's five steps for the first weeks: make sure the diagnosis is right, start treatment soon, and plan for a full life.
9 min read · Oct 2026
Diet and MS: What to Eat and What to Avoid
No diet cures MS, but food can ease fatigue. An MS specialist compares Mediterranean, Wahls and Swank, lists foods to limit and lays out a 7-day plan.
21 min read · Oct 2026
Neurofilament Light Chain: A New MS Blood Test
Got an NfL result back? Why there is no single normal range, what a high or rising level means in MS, and three questions to ask your neurologist.
17 min read · Oct 2026
Transverse Myelitis and MS: What You Need to Know
Does transverse myelitis mean MS? Often not. How MRI, spinal fluid and antibody tests tell MS, NMOSD and MOGAD apart, and what recovery usually looks like.
18 min read · Oct 2026
MS and Pregnancy: A Family Planning Guide
Yes, most women with MS have healthy pregnancies. An MS specialist explains planning around your medication, relapse risk after birth, and breastfeeding.
15 min read · Oct 2026
MS Brain Fog: Causes, Impact & Coping Strategies
Losing words or your train of thought with MS? Brain fog can be measured in minutes and often improves. No pill fixes it; sleep, mood and exercise help.
15 min read · Oct 2026
Understanding Your MS Brain MRI Results
Your report says periventricular, enhancing or stable? An MS specialist shows what MS looks like on MRI, how it differs from common spots and what comes next.
18 min read · Oct 2026
MS Relapse: What to Do During a Flare-Up
New or worse MS symptoms? Two questions tell a true flare-up from a pseudo-relapse. What to do in the first 48 hours, and how long recovery takes.
20 min read · Oct 2026
Early Signs of MS: Symptoms & Warning Signs
Worried a symptom could be MS? An MS specialist explains the first signs in women and men, the patterns that point to MS, and the ones that usually don't.
20 min read · Oct 2026
NMO vs MOGAD vs MS: Key Differences Explained
NMO, MOGAD or MS? A side-by-side table of attacks, MRI patterns and the AQP4 and MOG antibody tests neurologists use to tell them apart.
20 min read · Oct 2026
Ocrevus vs Kesimpta vs Briumvi: Comparing MS Medications
Comparing B-cell therapies for MS? A specialist breaks down how Ocrevus, Kesimpta, and Briumvi differ in dosing, side effects, and effectiveness.
21 min read · Oct 2026
2024 McDonald Criteria for MS Diagnosis
The 2024 McDonald criteria can confirm MS at a first visit, add the optic nerve and two MRI signs, and ask for more proof after 50. A specialist explains.
18 min read · Oct 2026
Multiple Sclerosis Treatment 101: How to Choose the Right Medication and Know It's Working
Pills, self-injections or an infusion twice a year? An MS specialist compares the medication classes, how to choose, and how to tell treatment is working.
23 min read · Oct 2026
MS or Not? Conditions That Mimic It & When to Get a 2nd Opinion
Most MS diagnoses are right, but in referral centers up to 1 in 5 turn out to be something else. The 9 common mimics and how a neurologist tells them apart.
20 min read · Oct 2026
16 Lifestyle Changes to Protect Your Brain Health in MS
Can daily habits slow MS? The 16 changes a 2024 expert consensus backs, from exercise and sleep to heat and mood, and how to make them stick.
18 min read · Oct 2026
Neuropathy
Numbness, burning, and tingling: what causes it, how it is tested, and what can actually be done. The full overview is our guide to peripheral neuropathy.
Can Peripheral Neuropathy Be Reversed?
Sometimes, and the cause decides it. Which neuropathies recover and which stabilize, how fast damaged nerves regrow, and what to make of 7-day cures.
14 min read · Oct 2026
Neuropathy in Feet: Symptoms, Causes & When to Worry
Feet that burn, tingle, go numb or feel like socks or sponges? What each feeling means, the causes a neurologist checks first, and when it is urgent.
17 min read · Oct 2026
Peripheral Neuropathy Life Expectancy: Prognosis & Outlook
Very rarely. The nerve damage seldom shortens life; the cause behind it shapes the prognosis. When it can be dangerous, and the two complications to prevent.
14 min read · Oct 2026
Peripheral Neuropathy vs MS: Key Differences Explained
Tingling or numb feet, and MS on your mind? How a neurologist tells neuropathy from MS: where it starts, how fast it spreads, and which tests settle it.
15 min read · Oct 2026
How Accurate Is a Skin Biopsy for Small Fiber Neuropathy?
Burning feet but a normal EMG? Skin biopsy finds small fiber neuropathy in about 8 of 10 people who have it. What your result means, and when it can miss.
19 min read · Oct 2026
Small Fiber Skin Punch Biopsy: What to Expect
Nervous about your small fiber skin biopsy? Two 3 mm samples from one leg after a numbing sting: no stitches, 45 to 60 minutes, and you can drive home.
10 min read · Oct 2026
Headache & Migraine
When a headache is worth worrying about, and what triggers migraine in Southern California. Our migraine guide covers the four phases, the triggers and the treatment.
When to Worry About a Headache
Most headaches are not dangerous. A neurologist lists the red flags that mean call 911, like a thunderclap headache, and the ones that need a plan instead.
4 min read · Sep 2026
20 Surprising Migraine Triggers in Southern California
Headaches when the Santa Anas blow? A neurologist explains 20 Southern California migraine triggers, from wildfire smoke to glare, and how to spot yours.
16 min read · Oct 2026
Brain Health
Evidence-based habits that protect the brain over a lifetime. Worried about inflammation in the brain? Our guide to neuroinflammation explains the causes and the treatment.
12 Science-Backed Ways to Keep Your Brain Healthy for Life
Nearly half of dementia cases are linked to risk factors you can change. A neurologist turns the evidence into 12 habits, from hearing to sleep.
19 min read · Oct 2026
The Gut-Brain Axis: An Emerging Key to Brain Health
Your gut and brain talk through nerves, hormones and immune cells. A neurologist sorts what is proven in people from mouse data and hype, and what to test.
14 min read · Oct 2026
Lifestyle and Neurological Health
Deep sleep flushes waste from the brain, exercise feeds new connections, chronic stress wears on memory. A neurologist explains the biology behind the advice.
15 min read · Oct 2026
Patient Care
Practical guidance on finding, choosing, and getting the most from a neurologist. Thinking of coming to us? See how a visit here works.
Autoimmune Neurology
When the immune system attacks the brain or nerves: the symptoms that point to it and the tests that confirm it. Our guide to autoimmune neurological diseases covers the whole group.
Your brain deserves more than fifteen minutes.
Request a visit with Dr. Ntranos, usually the same or next day.