THERAPIES

Our group of experienced consultant neurologists focus on the delivery of evidence based neurologic therapies in a holistic framework that takes into account individual preferences and needs.

Treatments prescribed at Integrated Neurology include Medications, Medical Injectables, Infusional Therapies and Deep Brain Stimulation. Your Neurologist can also provide support and recommendations regarding government supported programs to assist in your overall health management.

Integrated Neurology Specialists work closely with General Practitioners, Psychiatrists, other medical specialists and allied health practitioners to optimise outcomes for their patients.

Medications

Medications play an important role in neurologic and rehabilitation medicine. They can improve symptom control and, in some conditions, significantly modify disease progression.

Medications need to be employed with care to maximise therapeutic benefit and minimise side effects. Integrated Neurology Specialists are experts in medication management with subspecialty expertise.

Medical Injectables

Injectable therapies are used in a variety of neurologic conditions characterised by excessive or involuntary movement including dystonia and spasticity. Treatment is delivered by injection into specific muscles dependent on the clinical indication. Injectable medications are available on the Pharmaceutical Benefits scheme for many, but not all, conditions amenable to treatment.

Dr Gu, Dr Lubomski, Dr Palavra, and Dr Dinh are medical injectors for Neurologic indications.

Infusional therapies

Infusional therapies are treatments which involve a continuous infusion of medication to improve symptom control in Parkinson’s disease. Infusions can be delivered under the skin (subcutaneously) or via a permanently implanted tube in the stomach (enterally).

Deep Brain Stimulation

Deep Brain Stimulation (DBS) is a therapeutic modality utilised in the management of Parkinson’s Disease, Dystonia, Tremor and Tourette’s Syndrome. DBS is principally recommended when tablet and injectable treatments are poorly tolerated or providing insufficient benefit.

DBS involves the delivery of continuous electric impulses by an implanted brain stimulation device.

Implantation is undertaken by a dedicated Neurosurgical team including a Neurosurgeon, Neurologist and Anaesthetist. DBS surgery involves the precise placement of electrodes in specific deep brain structures. These electrodes are then routed under the skin to an implanted device in the chest or abdominal wall.

DBS is programmed by radiofrequency or Bluetooth, using a computer tablet or PC customised for stimulator programming.

All Neurologists at Integrated Neurology have undertaken additional sub-specialty training in Deep Brain Stimulation management and are active DBS programmers.

Dr Silberstein is one of the most experienced operative DBS Neurologists in Australia having performed operative planning, intra-operative neurophysiology and inpatient DBS management for over 700 patients.

Further information regarding DBS procedures, patient experiences, and frequently asked questions can be obtained at https://www.sydneydbs.com.

emPowereD is a website designed for people living with Parkinson’s Disease. It presents information about the condition in a unique natural history format, helping users explore what’s most relevant to their current stage and experience of PD. By following the natural progression of the condition, emPowereD makes it easier to access practical, timely, and meaningful guidance—empowering individuals with clearer insights and more personalised support.

emPowered is created by Dr Paul Silberstein, Nyssa Chennel-Dutton and Dr Raymond Cook.

Government support
for people living with Neurologic conditions

Enhanced Primary Care Plan:

A care plan is a structured plan created by your GP to help manage a chronic medical condition. It’s designed for patients who need a multidisciplinary approach—meaning care from a GP plus at least two other health or care providers. With a care plan, you may be eligible for a Medicare rebate on certain allied health services, making treatments more affordable.

mY AGED CARE

My Aged Care is a government funded initiative that offers a range of different support services for those over the age of 65. After assessment to deem eligibility, a range of services can be accessed such as help at home for domestic tasks, short term care options after a hospital stay or illness, or assessment and assistance for supported living arrangements. For more information on what is available or how to arrange an assessment of your eligibility, please visit: https://www.myagedcare.gov.au

HOME CARE PACKAGES

Home Care Packages are a way for the Australian government to provide financial assistance to individuals over the age of 65 who need help with daily tasks and want to remain living at home. The funding is allocated to the individual and can be used to purchase a range of services to support their needs. Please visit https://www.myagedcare.gov.au/help-at-home/home-care-packages

National Disability Insurance Scheme

The NDIS is a government initiative developed to provide allied health, occupational, transport and daily living support for people living with medically documented chronic health conditions. This includes a range of Neurologic conditions such as stroke, multiple sclerosis, motor neuron disease and Parkinson’s disease. To be eligible you must be under the age of 65 at the time of your application.

Useful points of contact if you believe you are eligible

If you do not have access to a partner in your area, you may wish to contact the National Contact Centre on 1800 800 110 to be supported in applying for the NDIS.