SpineHerniated disc
What it is: a disc between spine bones pushes out and can press on a nerve, causing pain, numbness, or weakness down an arm or leg.
Red flags: weakness that gets worse, or any bladder or bowel change.
Specialist: Dr. Remi Nader, neurosurgeon.
SpineSpinal stenosis
What it is: narrowing of the space for nerves in the spine, often with age. Legs may ache or feel heavy when walking and ease when sitting.
Red flags: trouble walking that is progressing, falls, or bladder change.
Specialist: Dr. Remi Nader, neurosurgeon.
Spine and nervesSciatica
What it is: pain that travels from the back or buttock down the leg, usually from irritation of a spinal nerve.
Red flags: foot or leg weakness, spreading numbness, bladder or bowel change.
Specialist: Dr. Remi Nader, neurosurgeon.
BrainConcussion
What it is: a brain injury from a blow or sudden movement. Headache, fog, dizziness, light sensitivity, and sleep change are common.
Red flags: repeated vomiting, worsening headache, confusion, slurred speech, seizure, or trouble waking.
Specialist: starts with urgent or primary care, with Dr. Remi Nader on brain questions.
BrainBrain tumors and incidental findings
What it is: a growth in the brain, sometimes found by accident on a scan done for another reason. Many are benign and are watched, not rushed to surgery.
Red flags: seizure, weakness, speech or vision change, or a rapidly worsening headache.
Specialist: Dr. Remi Nader, neurosurgeon.
Ear and hearingTinnitus
What it is: hearing a ringing, buzzing, or hissing sound with no outside source. It is a symptom, often linked to hearing loss.
Red flags: one ear only, pulsing with the heartbeat, or with sudden hearing loss.
Specialist: Dr. Marc-Elie Nader, ENT and neurotologist.
BalanceVertigo and BPPV
What it is: vertigo is a spinning feeling. BPPV is a common cause, where tiny crystals in the inner ear shift and trigger brief spins when the head moves.
Red flags: vertigo with weakness, double vision, trouble walking, or speech change.
Specialist: Dr. Marc-Elie Nader, ENT and neurotologist.
Ear and hearingAcoustic neuroma
What it is: also called vestibular schwannoma, a usually benign growth on the hearing and balance nerve. It tends to grow slowly.
Red flags: one sided hearing loss or tinnitus that progresses, or new balance trouble.
Specialist: Dr. Marc-Elie Nader, with neurosurgery input from Dr. Remi Nader.
BalanceMeniere disease
What it is: an inner ear condition with episodes of vertigo, fluctuating hearing loss, tinnitus, and a feeling of fullness in one ear.
Red flags: vertigo with stroke like symptoms, or sudden complete hearing loss.
Specialist: Dr. Marc-Elie Nader, ENT and neurotologist.
Ear and hearingCochlear implants
What it is: a device that converts sound into electrical signals for the hearing nerve, considered when hearing aids no longer give clear speech understanding.
Red flags: this is not an emergency topic. The key step is a formal implant evaluation if hearing aids are failing.
Specialist: Dr. Marc-Elie Nader, ENT and neurotologist.
UrgentSudden hearing loss
What it is: hearing that drops over hours to a few days, often in one ear. It is treated as an ear emergency.
Red flags: the condition itself is the red flag. Same day assessment gives the best chance of recovery.
Specialist: Dr. Marc-Elie Nader, ENT and neurotologist.
Head and neckSleep apnea and the brain
What it is: breathing that pauses repeatedly during sleep, often with loud snoring. It strains the heart and can affect energy, mood, and brain health.
Red flags: witnessed pauses, gasping at night, morning headaches, or severe daytime sleepiness, including while driving.
Specialist: Dr. Marc-Elie Nader, ENT, often with a sleep specialist.
Head and neckSinus problems
What it is: inflammation of the sinus passages that can cause congestion, facial pressure, and reduced sense of smell, short term after a cold or long term when it persists.
Red flags: swelling around an eye, vision change, or severe headache with fever.
Specialist: Dr. Marc-Elie Nader, ENT surgeon.
Head and neckNeck lumps and head and neck tumors
What it is: a lump or sore in the neck, mouth, or throat has many causes, from infection to, less commonly, a tumor. Persistent findings need an in person exam.
Red flags: a lump lasting more than 2 to 3 weeks, a mouth sore that does not heal, or lasting voice change.
Specialist: Dr. Marc-Elie Nader, ENT surgeon at MD Anderson.