5841 Jameson Court, Carmichael, CA 95608
Mon–Fri 8AM–5PM · Telehealth Available
VerityMD Neurology accepts new patient referrals by fax: (916) 244-3875
Treatment Planning for Chronic Migraine, Hemifacial Spasm, Dystonia, Spasticity, and Selected Facial Pain Conditions
Botulinum toxin treatment, commonly known by brand names such as Botox, is used in neurology for selected conditions involving chronic migraine, overactive muscles, abnormal nerve signals, facial spasms, dystonia, spasticity, and selected pain syndromes.
VerityMD Neurology provides neurological evaluation and treatment planning for patients who may benefit from botulinum toxin injections or other targeted neurological treatments.
Symptoms We Evaluate
Frequent disabling headaches
Hemifacial spasm or facial twitching
Blepharospasm
Cervical dystonia or neck pulling
Limb dystonia or writer’s cramp
Painful muscle stiffness or spasms
Selected facial pain symptoms including trigeminal neuralgia treatment planning
Conditions We Help Evaluate or Manage
Hemifacial spasm
Blepharospasm
Cervical dystonia
Focal limb dystonia
Spasticity after brain or spinal cord injury
Trigeminal neuralgia and selected facial pain syndromes
Services and How They Help
Botox for Chronic Migraine
Botox is an FDA-approved preventive treatment for chronic migraine in patients who meet appropriate criteria.
How this helps:
May reduce migraine days over time
May reduce headache severity and rescue medication use
Can improve function and quality of life
Botox for Hemifacial Spasm and Blepharospasm
Botulinum toxin can help relax overactive facial or eyelid muscles.
How this helps:
Reduces involuntary facial twitching or eyelid closure
May improve visual comfort and function
Provides a nonsurgical treatment option for many patients
Botox for Cervical Dystonia and Focal Dystonia
Dystonia causes abnormal muscle contractions, pulling, twisting, posture changes, tremor, stiffness, and pain.
How this helps:
Targets overactive muscles
May improve posture, pain, and range of motion
Can be combined with therapy or adaptive strategies
Botox for Spasticity
Spasticity may occur after stroke, brain injury, spinal cord injury, MS, or other neurological conditions.
How this helps:
Reduces focal muscle stiffness
May improve comfort, hygiene, positioning, and caregiving
Supports therapy, stretching, splinting, and bracing when appropriate
Trigeminal Neuralgia and Facial Pain Treatment Planning
Botulinum toxin may be considered in selected medication-resistant facial pain cases, but diagnosis, imaging, medication history, and alternatives must be reviewed carefully.
How this helps:
Reviews whether symptoms fit trigeminal neuralgia or another facial pain condition
Evaluates medication response and side effects
Supports individualized treatment planning
When Botox Neurology Treatments May Be Helpful
Chronic migraine meeting clinical criteria
Hemifacial spasm or blepharospasm
Cervical dystonia
Focal muscle overactivity
Selected medication-resistant facial pain conditions
What to Bring or Have the Referring Office Send
Referral from PCP, specialist, or referring provider
Medication list, including over-the-counter medications and supplements
Relevant office notes, hospital records, imaging reports, labs, and prior neurological testing if available
Prior Botox or botulinum toxin records if available
Headache diary if being evaluated for migraine
List of prior migraine medications and treatment failures
Videos of spasms or abnormal movements if safely available
Physical therapy or rehabilitation notes if available
Important Note
This page is for patient education and does not replace individualized medical advice. Testing and treatment decisions should be based on the patient’s history, examination, records, medications, insurance requirements, and clinical judgment.
Emergency Symptoms
Call 911 or go to the nearest emergency department for:
Sudden weakness, facial droop, trouble speaking, or new vision loss
Severe sudden headache or rapidly worsening neurological symptoms
Loss of consciousness, seizure, chest pain, or severe shortness of breath
New inability to walk or sudden severe dizziness with stroke-like symptoms
New Patient Referrals
VerityMD Neurology accepts new patient referrals by fax from the patient’s primary care physician, specialist, or referring provider’s office. To ensure accurate triage, insurance verification, and appropriate scheduling, referrals should be sent directly from the referring provider’s office.
Patients who would like to be seen at VerityMD Neurology should contact their PCP, specialist, or referring provider and ask them to fax a neurology referral with relevant clinical notes, insurance information, medication list, imaging reports, lab results, and prior neurology records if available.
We accept the following insurance
What Patients Say About Their VerityMD Experience
Being heard. Finding answers. Knowing what comes next.
I found Dr Mittal and his assistants to be very thorough and kind. They did not rush me through my appointment but listened to my concerns and then they were very good about addressing those concerns. I came away from the appointment feeling so much better because they really listened to me. So many doctors these days don’t bother to examine me but that was not my experience with Dr Mittal and his assistants. The front desk people were also very kind and professional.
Excellent experience at VerityMD Neurology Clinic. The staff was professional, caring, and attentive. The doctor listened carefully to my concerns and explained everything clearly. The clinic was clean and well organized. I highly recommend this clinic to anyone looking for quality neurological care. Thank you for your excellent service.
Dr. Mittal and his team are so professional and helpful. I started seeing him last year. He has been very thorough in diagnosing my health condition. He and his staff are kind and caring.
My husband and I are very impressed with the care and professionalism of Dr. Mittal and his staff. Dr. Mittal took time to listen to us - to ask us questions - and to clearly explain the diagnosis and his treatment recommendations. We feel very fortunate - and relieved - to have this neurologist as a member of our care team.
Saw Dr. Mittal and during the first visit he was able to order a few tests that helped diagnose my issue. During the appointment he spent a good amount of time with me and made me feel heard. He was then able to see me again on short notice to help direct me towards next steps, I am very grateful to him.
My 1st appointment with Dr. Mittal, was such a pleasure & surprise. The staff & Dr. Mittal were kind & not in such a hurry. The Dr. took a half hour with me, thoroughly explaining his thoughts & what was to come. Impressed is not a strong enough adjective! Thank you for being a true Doctor who cares.
Please Confirm Your Appointment Location
VerityMD sees patients at both our Carmichael and Folsom clinics. Please check your appointment confirmation text message before traveling to your appointment. Your confirmation will identify the correct clinic location.
Patients are responsible for arriving at the clinic listed in their appointment confirmation. Patients who arrive at the incorrect location will not be able to be seen for that appointment and will need to be rescheduled.
Neurology consultations and follow-up visits are available at both locations. All procedures are performed at our Folsom clinic.
Comprehensive neurological care for patients and families across the Sacramento region.
Patient Resources
Neurology Care
Our Locations
Folsom Clinic
193 Blue Ravine Rd, Suite 265
Folsom, CA 95630
(P): (916) 500-4989
Office Hours
Mon-Fri: 8AM – 5PM
Closed: 12–1PM
Carmichael Clinic
5841 Jameson Court
Carmichael, CA 95608
(P): (916) 500-4989
Office Hours
Mon-Wed: 8AM – 5PMClosed: 12–1PM
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Referral Information: New patients require a referral from their primary care provider or referring clinician.