About
History
Services
Insurance
Dr. Jeffrey Rind started the first general neurology practice in Derry/Londonderry area, in the summer of 1990. It was a solo practice located in a small office in the Nutfield building opposite Parkland Hospital. The office staff consisted of Dr. Rind, an office manager/receptionist, and transcriptionist. The name of the practice at that time was “Jeffrey D. Rind M.D.”. Over the next 12 years, the practice grew.
Dr. John Rescigno joined the practice in the summer of 2002. In 2004 the name of the practice changed to Derry Neurological Associates. At the same time we moved to our current location at the Overlook building at six Tsienneto Road. This facility consists of 6 exam rooms, 6 offices, a file room, business area and large waiting room. We have state of the art equipment to perform electromyography and nerve conduction studies, monitoring equipment for Vagus Nerve stimulation, and equipment for adjusting implanted deep brain stimulators.
The practice grew in 2010 when Dr. Uladzimir Luchanok joined us. He is now one of three physician partners that make up Derry Neurological Associates.
We continue to grow and look forward to adding another neurologist to our staff in the near future.
Lumbar Puncture (Spinal Tap)
A lumbar puncture, also called a spinal tap, is a procedure in which the fluid surrounding the spinal cord (called the cerebrospinal fluid or CSF) is withdrawn through a needle and examined in a laboratory.
This procedure may be performed to:
• Measure the pressure around the brain and spinal cord
• Examine the composition of the spinal fluid to aid in diagnosing various conditions
• Relieve pressure in the head
For the first 24 hours after the test:
• Remain flat on your back as much as possible
• Drink lots of fluids
• Notify Derry Neurological Associates if you experience any drainage from the puncture site, or have a headache
After the test:
You will be monitored for an hour or two in the office. At that time, the nurse will discuss post-procedure instructions with you. You will be provided with a written form of these instructions – please follow these at home. You will need to have a ride home after the procedure.
Botox Injections
Botox is a prescription medication that is injected into muscles and used to treat chronic migraine, upper limb spasticity (stiffness or tightness that may be painful), cervical dystonia (muscle tension in the neck) and blepharospasm (involuntary closure of the eyes). Many diagnoses must meet medical criteria.
Dyport Injections
Dyport is a prescription medication that is injected that is used to treat abnormal head position and neck pain in adults with cervical dystonia
Trigger Point Injection (TPI)
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. Many times, such knots can be felt under the skin. Trigger points may irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body.
Skin Biopsy
Is a procedure used to aid in determining Small Fiber Neuropathy (SFN). Small fiber neuropathy is a type of peripheral neuropathy that affects small nerve fibers in the skin that transmit pain and temperature sensations and controls autonomic functions such as sweating.
Symptoms of SFN can include the following: numbness, tingling, burning, stinging or hypersensitivity in the arms, legs, back and torso.
Procedure:
The doctor will obtain a small section of your skin and send it to Therapath for Nerve Fiber Density testing. The complex testing measures the density of the nerve fibers found in your skin. The results take 10-14 days.
Sleep Studies
There are effective treatments available for most sleep disorders, but the first step is recognizing that a problem exists. In order to better diagnose sleep disorders in our community, Parkland Medical Center established the Center for Sleep Diagnostics.
Board certified neurologist Jeffrey Rind, M.D., Ph.D. serves as Medical Director of the Center which also includes board-certified pulmonologist Gregory Smull, M.D. and neurologists George Neal, M.D. and Uladzimir Luchanok, M.D., Ph.D. All are specialists in sleep disorders and offer sleep consultations for the proper diagnosis of patients.
Electromyography and Nerve Conduction Study (EMG/NCS)
Electromyography and nerve conduction studies are important diagnostic tools that can help detect the cause of problems such as muscle weakness, numbness, spasms, paralysis or pain. They determine if the problem involves the nerves, muscles, spinal cord or brain. An EMG can measure the electrical activity of muscles. A NCS can measure the speed and intensity of electrical signals that travel along nerves and the time it takes muscles to respond to these signals.
Prep:
Do not use creams or lotions. Wear comfortable, loose-fitting clothing. Please wear undergarments. For testing of the upper extremities, wear a sleeveless or short-sleeved t-shirt. Hospital gowns will be available.
EEG
An Electroencephalogram (also called EEG or Brain Wave Test) is painless. We record the electrical impulses received from the brain on a machine in order to assist the doctor with diagnosis and treatment. To do this, electrodes are placed at specific intervals around the head, near the eyes, and sometimes on the neck and arms. In order to have a test that is free from artifact, each area that an electrode is applied to must be scrubbed vigorously with a cleansing lotion, and then the electrode is adhered to the skin with a vaseline-based gel. This test also requires a cooperative participant who will be able to lie quietly with their eyes closed once the test has begun.
Prep:
• Be sure hair is clean and free from grease, oil or hairspray.
• If you take medication, you may take it as usual, unless otherwise instructed by your doctor.
• Be sure to have a meal prior to having the EEG, unless otherwise instructed by your doctor. DO NOT have any coffee, tea or stimulants.
• If you are you are scheduled for a sleep-deprived EEG, sleep only from 1:00am to 5:00am the night before the exam. DO NOT take a nap before the exam.
Prescription Refills
• Please call our main number at 603-434-3525 and ask for the prescription refill line.
• Leave a detailed message including your first and last name, the spelling of your last name, your telephone number, your date of birth, the name of the medication and dosage, the pharmacy name, and whether you will be picking up the prescription in person or would like it mailed to you.
• Please allow 48 hours for your refill to be processed by our nurse.
• Please check with your pharmacy before calling our office to check on the status of your refill.
• You will not receive a call from our nurse unless there is a question about your refill.
• Please be advised the prior authorizations for medication can take a week or more.
Lumbar Puncture
Botox/Dysport Injections
Trigger Point Injections
Skin Biopsy
Sleep Studies
EMG/NCS
EEG
RX Refills
Accepting Most Insurance Carriers
Derry Neurological Associates participates with the following insurance companies:
AARP (Medicare Supplement and Medicare Advantage)
Aetna (includes Medicare Supplement and Medicare Advantage)
Anthem
Blue Cross Blue Shield of New England
Cigna
Cigna PPO and Indemnity Plans
Coventry
Fallon Community Health Plan
First Health
Harvard Pilgrim (includes Elevate Health, and Stride Medicare Advantage)
Martins’s Point (includes US Family Health, and Generations Medicare Advantage)
Matthew Thornton
Medicare
MultiPlan
New Hampshire Blue Cross Blue Shield
Private Healthcare Systems (PHCS)
Tricare
Tufts
UMR
Unicare
United Healthcare Insurance
If your insurance is not one listed above and you would like to become our patient, please call the billing office at (603) 434-3525 for price quotes.
Website design by Chelsea Rind