Falls, Gait, and Balance Evaluation

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Neurology Evaluation for Falls, Unsteady Walking, Weakness, and Balance Problems

Falls and balance problems can have many causes, including neuropathy, Parkinson’s disease, stroke, spine disease, vestibular disorders, medication side effects, autonomic dysfunction, muscle weakness, and cognitive impairment.

VerityMD Neurology evaluates gait and balance problems from a neurological perspective to identify contributing factors and reduce fall risk.

Symptoms We Evaluate

  • Falls or near-falls

  • Unsteady walking

  • Shuffling gait

  • Foot dragging or foot drop

  • Leg weakness

  • Numb feet

  • Loss of balance in the dark

  • Dizziness with standing

  • Freezing of gait

  • Walking difficulty after stroke

  • Balance changes with Parkinson’s disease

Conditions We Help Evaluate or Manage

  • Peripheral neuropathy

  • Parkinson’s disease

  • Stroke-related gait changes

  • Radiculopathy

  • Spinal stenosis-related symptoms

  • Autonomic dysfunction

  • Vestibular migraine or dizziness

  • Medication-related imbalance

  • Cognitive impairment affecting safety

Services and How They Help

Neurological Gait Examination

We evaluate strength, reflexes, sensation, coordination, balance, walking pattern, and neurological signs.

How this helps:

  • Identifies likely neurological contributors

  • Distinguishes weakness, sensory loss, movement disorder, and coordination problems

  • Guides testing and treatment planning

EMG/NCV Testing

EMG/NCV may be helpful when falls are associated with numbness, tingling, weakness, foot drop, or suspected neuropathy.

How this helps:

  • Detects neuropathy or radiculopathy

  • Clarifies nerve-related gait instability

  • Supports therapy and bracing decisions

Autonomic Testing

Autonomic testing may help when falls or near-falls are associated with dizziness, lightheadedness, or blood pressure changes.

How this helps:

  • Evaluates orthostatic symptoms

  • Supports dizziness and fall-risk assessment

  • Guides hydration, compression, and medication review

Medication Review

Medication side effects are a common contributor to falls.

How this helps:

  • Identifies sedating or blood-pressure-lowering medications

  • Reviews interactions

  • Supports safer care planning with prescribing clinicians

When Falls, Gait & Balance May Be Helpful

  • Recurrent falls or near-falls

  • Unsteady walking

  • Falls with dizziness or lightheadedness

  • Falls with numbness or weakness

  • Parkinson’s, stroke, neuropathy, or dementia with gait concerns

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

  • Fall history and circumstances

  • Assistive device use

  • PT notes if available

  • Blood pressure readings 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

Client Stories

What Our Patients Say

★ ★ ★ ★ ★

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.

Debby S
Debby S
★ ★ ★ ★ ★

Dr. Manoj Mittal thoroughly understands the complexities of my condition (involving my brain, neck, and nerves) and developed a comprehensive action plan. During my follow-up visit, he carefully assessed my progress to ensure I was staying on track. I had been neglecting a few aspects of my treatment, but he guided me back on course. My treatment involves a team of specialists, multiple surgeries, and personal effort, and I’m truly satisfied with the plan. For the first time in nearly a decade, I feel genuinely hopeful. Thank you, Dr. Manoj Mittal. A+

David A
David A
★ ★ ★ ★ ★

I was concerned about issues and I called their office. My appointment was not until January and after hearing my concerns, the staff had me scheduled on a Monday, which happens to be two days from when I called voicing my concerns. Nice job.

Bernie L
Bernie L
★ ★ ★ ★ ★

Dr. Manoj Mittal is an excellent neurologist. He listens carefully, explains everything clearly, and truly cares about his patients. My mom is under his care, and we are very grateful for his expertise and compassion. Highly recommend!

Zubaida R
Zubaida R
★ ★ ★ ★ ★

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.

Melinda M
Melinda M
★ ★ ★ ★ ★

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.

Kriss H
Kriss H