Over the years we have developed a team approach to the management of Parkinson’s and Movement disorders, utilizing off-site specialists when needed. In addition to our neurologic services, our approach allows us to comprehensively address the spectrum of symptoms associated with these disorders. Our team includes specialists from the following areas:

  • Otolaryngology
  • Neurosurgery
  • Neuropsychiatry and Neuropsychology
  • Rehabilitation Medicine including occupational, physical, speech, voice, swallowing, and cognitive therapy
  • Sleep Disorders
  • Social Work and Community Resource Specialist
  • Urology
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Areas of Specialty


Here are some of the conditions we routinely manage:

  • Alzheimer’s disease
  • Blepharospasm
  • Cervical dystonia
  • Chorea
  • Dementia
  • Drug-induced movement disorders/tardive dyskinesia
  • Dystonia
  • Dyskinesia
  • Gait disorders
  • Hemifacial spasm
  • Huntington's disease
  • Lewy Body dementia
  • Parkinson's disease
  • Parkinsonian syndromes
  • Progressive supranuclear palsy
  • Normal pressure hydrocephalus
  • Restless legs syndrome
  • Spasticity
  • Tic disorders
  • Tourette’s syndrome
  • Tremors

Deep Brain Stimulation

Deep Brain Stimulation (DBS) is an approved treatment for patients with tremor, dystonia and Parkinson's disease when oral medications are no longer adequate. DBS uses a surgically implanted device called a neurostimulator—similar to a heart pacemaker—to deliver electrical stimulation to targeted areas in the brain that control movement. We offer DBS for carefully selected patients with Parkinson’s disease, dystonia, essential tremor and chorea. Our DBS services include pre-operative evaluation and post-operative programming and management. Since 1996, our center has utilized stereotactic neurosurgical procedures for the management of Parkinson’s disease and other movement disorders. We were the first in Michigan to perform DBS for Tremor, Parkinson’s disease and dystonia and we remain Michigan’s most experienced DBS center. We offer DBS pre-operative evaluations and post-operative programming services.

Botulinum Toxin Injections

Botulinum toxin injections are FDA approved for the management of cervical dystonia, blepharospasm, hemifacial spasm, spasticity, axillary hyperhydrosis and chronic migraine headaches. Off-label uses include sialorrhea (drooling), oromandibular and limb dystonia. We offer botulinum toxin injections for cervical dystonia, oromandibular dystonia, writer’s cramp, limb spasticity, drooling, blepharospasm, hemifacial spasm, post-stroke spasticity and chronic migraines. Dr Trosch received fellowship training in the management of dystonia and the utilization of botulinum toxin injections. He has performed approximately 1500 procedures yearly since 1990.

Tardive dyskinesia

Tardive dyskinesia (TD) is a permanent movement disorder caused by a previous exposure to neuroleptic or antipsychotic medications. TD may take many forms and is considered under recognized and under-diagnosed. We offer consultative and management services for patients with drug-induced Parkinsonism, tardive dyskinesia, akathisa and other drug-induced movement disorders. Dr. Trosch has lectured extensively on the topic of drug-induced movement disorders and welcomes patients with this condition for evaluation.

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