Dr. Palic has been helping people recover from complicated neurological conditions, such as Traumatic Brain Injuries, Concussions, Headaches, Ataxia, Vertigo, and Movement Disorders through innovative diagnostics and customized brain-based solutions in the Vail Valley for 18 years.
Conditions We Treat
We treat all manner of neurological conditions. Identifying the true cause of the problem is the key to finding the solution. We use cutting edge examination procedures and neurodiagnostic technologies to evaluate the function of every relevant aspect of your nervous system.
Brain Injuries can result in years of confusing and frustrating symptoms. Damaged neurological pathways can keep you from functioning in the world. May people are left living with headaches, dizziness, cognitive problems, balance difficulty, brain fog, sensory overload, memory deficits, and poor emotional regulation, and so much more.
Common Brain Injuries we see include:
– Sroke and Vascular Injury
– Post Covid
– Post Chemotherapy
Movement disorders are some of the most frustrating and debilitating problems you may be living with. You can feel like you can’t control your body, and may lose the ability to move through the world on your own terms.
Most movement disorders involve impaired function in several parts of the brain, including the basal ganglia, the cerebellum, the frontal motor cortex, and the parietal sensory cortex. Our advanced examination and diagnostic technologies will map how your systems are functioning, so we can design your unique IntensiveRepair program to get them all working together again.
Common Movement Disorders we see include:
– Primary Lateral Sclerosis (PLS)
– Age-related Balance Disorders
Headaches and Migraines
Every 10 seconds, someone in the U.S. goes to the emergency room complaining of head pain. More than 90% of migraine sufferers are unable to work or function normally during an episode. Headaches and migraines are some of the most common and most disabling neurological disorders.
Our InensiveRepair program for headaches and migraines is developed from cutting edge diagnostics and advanced examination procedures to measure the function of every system involved in your headaches. Using state of the art exercises and therapies, we help you move beyond your condition and find long-lasting relief.
Common Headache and Migraines we see include:
– Tension Headaches
– Cluster Headaches
– Vestibular Migraines
– Occular Migraines
Dizziness and Vertigo
When you struggle with Dizziness and Vertigo, every aspect of your life can be impacted. The world becomes a scary place when you cannot localize yourself in space. Fear of seemingly random flareups can prevent you from engaging with the world. These can be severely debilitating conditions, leaving many people bedridden and missing out on what their lives have to offer.
Our advanced neurodiagnostic technology lets us map how every relevant part of your nervous system is working. We then design your unique NeuroRescue Program to rebuild their function and get them working together again, so you can get back to living a vibrant and fulfilling life.
Common Dizziness and Vertigo diagnoses include:
– Vestibular Migraine
– Meniere Disease
– Vestibular Neuritis
– Central Vestibular Disorders
– Superior Semicircular Canal Dehiscence Syndrome (SSCDS)
– Perilymphatic Syndrome (NCS)
When living with Dysautonomia, you may feel like you are about to pass out, cannot regulate your heart rate, and even the most simple daily tasks can seem exhausting and impossible.
Dysautonomia usually involves poor coordination between the vestibular system and the brainstem areas that regulate blood flow to the brain. Fixing Dysautonomia requires restoring function and coordination. Our advanced diagnostic technologies and examination procedures map out all of the relevant neurological systems creating your Dysautonomia, and lead us to exactly where to focus therapies.
Common Dysautonomias we see include:
– Postural Orthostatic Tachycardia Syndrome (POTS)
– Chronic Regional Pain Syndrome (CRPS)
– Orthostatic Hypertension
– Neruocardiogenic Syncope (NCS)
Evaluation: Your Path to Recovery
Most often we can quickly get to the heart of your problem, and see what is needed to get you real results as quiclly as possible. Schedule your Evaluation so we can get you back to living your life again.
Designing your unique IntensiveRepair program begins with your Evaluation Day. This examination, where we explore your challenges, how they began, and how they are affecting you, is where we discover and design the fastest path back to your best life.
While most clinics simply ask you a series of standard questions, The Palic Clinic takes the time to dive deep into your entire life on a timeline. This allows us to determine all the factors that lead to your problem, what has and has not helped so far, and what other potential genetic, metabolic, immune, and psychological factors may be impeding your recovery.
We take all the time we need to get clarity on your best healing path. Our examination procedures allow us to dig deep into your nervous system to determine what is wrong, how it happened, how it is affecting you, and how to start your journey back to health. Getting the most precise information from your system is what we do best.
We have made it a point to invest in and provide the area’s most comprehensive collection of state-of-the-art diagnostic technology and to become experts in the required testing techniques and application of data and therapies.
We use cutting edge, gold standard, neurodiagnostic technologies to gain hard data on the function of your critical neurological systems. Every patient receives multiple, discrete instrumented tests.
These show us how your pathways and systems work, how well they work together, when they fatigue, and what needs to be done to restore their function.
See below for some of our clinical tools.
Your Recovery Program
Palic Clinic provides flexible options for your care so you can receive the best treatment for your condition. Don’t allow correctable neurological symptoms to become a permanent part of your life. We offer two primary options outlined below:
Our IntensiveRepair program will be our recommended treatment option for your best chance at speedy and lasting results. IntensiveRepair optimizes neurological function by repeatedly performing customized brain rehabilitation therapies that are designed to improve neurological output without causing excessive neurological fatigue. During IntensiveRepair, patients are treated up to 5 times a day, for as much as 5 days in a row. This effectively shortens a two-month protocol into one week.
What’s more, we design our IntensiveRepair program to avoid excessive neurological fatigue (which can lead to resurgence in symptoms), therefore reinforcing optimal progress even further.
ExtendedRepair is a treatment protocol that sees patients 2-3 times a week, with a treatment plan of anywhere from 6-12 weeks. While this form of treatment offers our patients the opportunity to make consistent progress, the downside to this type of scheduling is the time in between treatments.
In simplest terms, when trying to make changes to the central integrative state of the nervous system, the more treatments in a short amount of time, the better.
With ExtendedRepair, spreading your treatments out over 6-12 weeks will require more of your time plus your extra participation with multiple at-home therapies.
Our precise system is used to assess your balance and postural control, monitor balance disorders, identify underlying causes, and design appropriate rehabilitation strategies to improve balance and prevent falls. We use specialized equipment, such as force plates and balance platforms, coupled with computer software to measure and analyze body movements during various balance tasks. Your body sway and weight distribution are measured and recorded, and the data is analyzed to evaluate factors like stability, sensory integration, and response to perturbations.
Video Oculography (VOG)
This diagnostic test evaluates the function of the vestibular system, which is responsible for balance and spatial orientation. The patient wears highly sensitive infrared goggles that record precise eye movements while various head position changes and visual stimulation maneuvers are performed. The data collected helps us identify abnormalities, such as spontaneous nystagmus or abnormal responses to positional changes or visual stimuli. VOG aids in diagnosing vestibular disorders and provides valuable insights into the coordination between the inner ear, eyes, and brain’s control of balance.
Vestibular Head Impulse Test (vHIT)
This diagnostic procedure is used to evaluate the function of the vestibulo-ocular reflex (VOR), which is responsible for stabilizing gaze during head movements. Special goggles equipped with high-speed cameras record eye movements while the patient’s head is rapidly and unpredictably moved in different directions. The recorded eye movements are analyzed by computer software to assess the accuracy and efficiency of the VOR. vHIT provides valuable information about the integrity of the vestibular system and helps diagnose vestibular disorders such as vestibular neuritis or benign paroxysmal positional vertigo (BPPV)
Tilt table testing is a diagnostic procedure where a patient is secured to a table that tilts to different angles, simulating changes in posture. It helps assess the body’s cardicascular response to positional changes, aiding in the diagnosis of conditions like orthostatic hypotension, vasovagal syncope, and postural orthostatic tachycardia.
This is a comprehensive assessment of a patient’s neurological function conducted at the bedside. We perform a series of tests and observations to evaluate various aspects of the nervous system including motor function, sensation, coordination, reflexes, and cognitive abilities. This exam provides valuable information for diagnosing neurological conditions and determining appropriate treatment strategies.