Parkinson's and Movement Disorders Center
Our Center is devoted to providing consultative diagnostic and management services for patients with
Parkinson’s disease, movement disorders and neurodegenerative illnesses.
Most of our referrals come from general neurologists seeking a second opinion or assistance in the
management of patients with complicated clinical problems, however, we are happy to see patients
without physician referral. Our approach is to provide care that is both comprehensive and pragmatic,
with a focus on treatments to improve daily functioning. Neurodiagnostic studies are utilized where
indicated, with an emphasis placed on the diagnostic value of a detailed neurologic history and movement
disorders examination. Our experience covers the entire range of movement disorders, with particular
interest in Parkinson’s disease, dystonia, deep brain stimulation surgery, botulinum toxin injections, and
tardive dyskinesia. Together with you and your family, we will design a comprehensive, coordinated,
treatment program tailored to your needs and lifestyle.
The Parkinson's and Movement Disorders Center offers consultation or on-going management services for
patients with movement disorders and neurodegenerative illnesses
Areas of specialty
Chorea
Dementia
Drug-induced movement disorders/tardive dyskinesia
Dystonia
Dyskinesia
Gait disorders
Hemifacial spasm
Huntington's disease
Parkinson's disease
Parkinsonian syndromes
Normal pressure hydrocephalus
Restless legs syndrome
Spasticity
Tic disorders
Tremors
We work closely with a team of other local specialists from the following areas:
Neurosurgery
Rehabilitation Medicine including occupational, physical, speech, voice, swallowing, and
cognitive therapy
Neuropsychiatry and Neuropsychology
Sleep Disorders
Social Work and Community Resource Specialist
Urology
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 postoperative programming and management.
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 and chronic migraines.
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 underrecognized and underdiagnosed. We offer consultative and management services for patients with drug-induced Parkinsonism,
tardive dyskinesia, akathisa and other drug-induced movement disorders.
Resources
The following list of reputable websites contains information regarding movement disorders and
Parkinson's Disease.
Michigan Parkinson’s Foundation (MPF)
Website: www.parkinsonsmi.org
The MPF is dedicated to people living with Parkinson's. We are a non-profit 501 c(3) charitable
corporation. Guided by a volunteer Board of Directors and Professional Advisory Board, we provide a
number of services and resources throughout the state
Worldwide Education and Awareness for Movement Disorders (WE MOVE)
Website: www.wemove.org
E-mail: wemove@wemove.org
Worldwide Education and Awareness for
Movement Disorders (WE MOVE) is a comprehensive resource for movement disorder information and
the hub of movement disorder activities on the web. You can access information on research studies and
find out what studies are accepting research subjects. A calendar keeps track of upcoming conferences
and educational programs on movement disorders.
National Ataxia Foundation
Website: www.ataxia.org Phone: 763-553-0020
Information about and support for people with ataxia.
Dystonia Foundation
Website: www.dystonia-foundation.org Phone: 1-800-377-DYST (1-800-377-3978)
Foundation
supporting research, awareness and support related to dystonia.
International Essential Tremor Foundation
Website: www.essentialtremor.org Phone: 1-888-387-3667
Worldwide organization that provides
educational information on essential tremor, support groups and specialist physicians.
Huntington’s Disease Society of America
Website: www.hdsa.org Phone: 1-800-345-HDSA (1-800-345-4372)
The Huntington’s Disease Society of
America, Inc. (HDSA) is a National, voluntary health organization dedicated to improving the lives of
people with Huntington's disease.
Parkinson’s Disease Resources
Michael J. Fox Foundation for Parkinson’s Research
Website: www.michaeljfox.org Phone: 1-800-708-7644
The Michael J. Fox Foundation is dedicated to
finding a cure for Parkinson's disease within the decade through an aggressively funded research agenda
and to ensuring the development of improved therapies for those living with Parkinson's today.
National Parkinson Foundation
Website: www.parkinson.org The NPF's mission is to support research, provide resources for patients
and caregivers and increase public awareness of PD. It maintains an active network of local chapters and
sponsors awareness events. Their website features information on the condition, programs, events, and
publications. You can also find a support group, add a question or comment to the discussion groups, and
get the latest news about Parkinson's disease.
Parkinson's Action Network
Website: www.parkinsonsaction.org The PAN advocates for legislation and advises on policy matters
affecting the Parkinson's community.
Parkinson's Disease Foundation
Website: www.pdf.org The PDF provides research funding, support services, and public advocacy for
Parkinson's disease.
Young Onset Parkinson's Association
Website: www.yopa.org
The YOPA is dedicated specifically to issues affecting those with younger-onset
PD.
Society for Progressive Supranuclear Palsy
Website: www.curepsp.org
Phone: 1-800-457-4777
The Society for Progressive Supranuclear Palsy, is a
501(c)3 organization dedicated to increasing awareness of progressive supranuclear palsy and
corticobasal degeneration, advancing research toward a cure, educating health professionals, and
providing support, education and hope for persons with PSP and CBD and their families.
Spasmodic Torticollis
Website: www.spasmodictorticollis.org Phone: 1-888-445-4588
Non-profit organization dedicated to
helping people with Spasmodic Torticollis.
Make an Appointment
Call 248-355-3875
To make an appointment with Richard M. Trosch, MD, call 248-355-3875. We appreciate your trust and
look forward to meeting you.
Questions?
Call 248-355-3875 for more information or questions