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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.
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.
Click here for more information about Botox for the treatment of movement disorders.
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.
Click here for more information 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:
To view the forms listed above, you may need Adobe Reader. You can download Adobe Reader for free at www.adobe.com.  
Movement Disorder Resources
Parkinson Links
Dystonia Links
Huntington's Disease Links
Tourette's Links
Essential Tremor Links
Ataxia Links
Other Links
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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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Schedule your appointment today.
- call us at -
512-218-1222