CENTRAL TEXAS NEUROLOGY CONSULTANTS (512)218-1222
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  • Home
  • About Us
    • Our Mission
    • Administrative Team
    • Clinical Team
    • Physical Therapy Team
    • News and Announcements >
      • Office Closures
      • MS Walk 2025
    • What's a Neurologist?
  • Our Providers
    • Craig H. Couch, MD
    • Adam D. Horvit, MD
    • Elizabeth L. Peckham, DO
    • Terry S. Peery, DO
    • Yashma R. Patel, MD
    • Parisa Khosravi, DO
    • Breanna Purdie, MSN, APRN, FNP-C
    • Karan Saini, PA
  • Services
    • Headache Center
    • Center for Sleep Medicine
    • Multiple Sclerosis Clinic
    • Epilepsy Center
    • Neuromuscular Center
    • Movement Disorder Center
    • Electrodiagnostic Center (EMG and EEG)
    • Infusion Center
    • Physical Therapy >
      • Physical Therapy Forms
  • Patient Resources
    • New Patient Scheduling
    • Research >
      • Clinical Trial Enrollment Form
    • Billing Information
    • Insurance Information
    • Location
    • Pay My Bill Online
    • Additional Resources
  • Contact
  • Pay My Bill Online
Movement Disorder Center
< Services 
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Approximately 6 million people in the United States experience some form of movement disorder, such as Parkinson's Disease, essential tremor, ataxia and dystonia. These disorder's can be relentlessly progressive and disabling conditions, having a tremendous impact on one's social, emotional and physical wellbeing. 

The Movement Disorder's Center at CTNC is led by Elizabeth L. Peckham, DO and is the most comprehensive movement disorder clinic in Central Texas. We provide full evaluation, diagnosis and treatment for patient's with movement disorders by offering comprehensive, multidisciplinary care to improve one's health, function and independence.


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Botulinum Toxin Treatment (Botox)

for the treatment of dystonia, head tremor, spasticity and other involuntary movements
Botox injections selectively reduce involuntary movements (eye closing, foot posturing, jaw clenching, writer’s cramp, head tremor, and abnormal head positioning) without causing generalized side effects. Dr. Peckham has extensive experience in the use of Botox for the treatment of movement disorders.
Learn more about Botox for the treatment of movement disorders

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Deep Brain Stimulation (DBS)
Brain surgery to treat Parkinson’s disease, dystonia, and essential tremor
Significant improvement in quality of life for patients with disabling tremor and/or abnormal movements (dystonia or dyskinesias). Elimination of medication-induced side effects. Dr. Peckham has extensive experience in the use of DBS for the treatment of movement disorders.
Learn more about DBS

What is a movement disorder?
Movement disorders are primarily caused by a dysfunction of the basal ganglia system, a collection of nuclei in the brain that work together to control movements. Dysfunction in movements (motor symptoms) could be classified into two: HYPERkinetic (increased or excessive) or HYPOkinetic (decreased or lack of) movements.

There is growing evidence, however, that the basal ganglia system involves other neural connections that regulate non-movement (non-motor) functions, resulting in symptoms such as mood disturbance, cognitive impairment, sleep problems, and loss of smell.

The most common movement disorder is Essential Tremor, followed by Parkinson’s disease. The diagnosis of these diseases is still based on the history and clinical examination, but could include:
  • Radiological procedures, such as Magnetic Resonance Imaging (MRI), to rule out stroke, tumor, or other reversible causes, especially if the clinical examination showed atypical signs.
  • The Single Photon Emission Computed Tomography (SPECT)-DaTScan to distinguish between Essential Tremor and parkinsonian syndromes.
  • Electromyography (EMG)/Nerve Conduction Study (NCS) test if there is suspicion of nerve damage or other muscle disease.
  • Cerebrospinal fluid (CSF) evaluation, genetic testing and other blood or urinary tests for less common movement disorders.

Depending on the movement disorder, recommended treatment procedures to address the symptoms may include:
  • Supportive therapy
  • Drug therapy
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Surgery - Deep Brain Stimulation (DBS) therapy
  • Botulinum toxin injections
  • Exercise
Patient Forms
If you have an appointment or plan to make an appointment in our Movement Disorders Center, please download and complete the following forms
Patient Forms
To view the forms listed above, you may need Adobe Reader. You can download Adobe Reader for free at www.adobe.com.  
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Movement Disorder Resources
Parkinson's
  • International Parkinson and Movement Disorder Society
  • Partners in Parkinson's
  • National Parkinson Foundation
  • Capital Area Parkinson's Society
  • Power for Parkinson's
  • Michael J. Fox Foundation
  • Davis Phinney Foundation
  • American Parkinson Disease Association
  • The Parkinson's Alliance
  • The Multiple System Atrophy (MSA) Coalition
  • Cure PSP: Foundation for PSP/CBD and related Brain Diseases
Dystonia
  • American Dystonia Society
  • Dystonia Medical Research Foundation
  • National Spasmodic Torticollis Association
  • Benign Essential Blepharospasm Research Foundation
  • National Spasmodic Dysphonia Foundation
  • Spasmodic Torticollis/Dysphonia Inc.
  • Bachmann Strauss Dystonia and Parkinson Foundation
Huntington's Disease
  • Huntington's Disease Society of America
  • Huntington's Study Group
Tourette's
  • National Tourette's Syndrome Association
Essential Tremor
  • International Essential Tremor Foundation
  • Tremor Action Network
Ataxia
  • National Ataxia Foundation
Other Links
  • Wilson's Disease Association
  • National Organization for Rare Disorders

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Elizabeth L. Peckham, DO is board certified in Neurology and specializes in the diagnosis and treatment of movement disorders. She completed a fellowship in movement disorders at the National Institute of Health under the direction of Dr. Mark Hallett.  
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512-218-1222
16040 Park Valley Dr, Building B, Suite 100 | Round Rock, TX 78681 | Phone (512)218-1222 | Fax (512)218-1393
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