Parkinson’s Disease and Movement Disorders Clinic

It usually starts quietly.
Someone tells me they’ve noticed a small tremor when holding a cup, or that their walk feels slower than before.
At first, it doesn’t sound serious — we all think it’s stress, or just getting older.
But when the same feeling repeats again and again, it’s often the body’s way of asking for attention.

At the Parkinson’s and Movement Disorders Clinic, we see people at every stage — from early, subtle changes to long-term cases that need a new approach.
Every person is different.
One may struggle with balance, another with speech, another just with fatigue.
My job is to understand what’s really happening underneath those movements — not only the biology, but how it feels to live inside a body that doesn’t always listen.

“I never treat symptoms in isolation,” says Prof. Tatiana Gurevich, senior neurologist and movement disorders specialist.
“It’s always about helping the person move, speak, and live more freely again — to feel in charge of their body instead of being trapped by it.”

The clinic brings together medical precision, advanced technology, and empathy.
We use detailed neurological exams, brain imaging, and individualized treatment plans — but we also make time to listen, because that’s where the real medicine begins.

Conditions Treated

Movement disorders come in many forms, and no two patients are ever the same.
Our clinic provides diagnosis and care for a broad range of neurological conditions, including:

• Parkinson’s disease and atypical parkinsonism (MSA, PSP, Lewy body dementia)
• Essential tremor and medication-related tremor
• Dystonia (cervical, facial, blepharospasm, writer’s cramp)
• Myoclonus, hyperkinetic syndromes, and chorea
• Huntington’s disease
• Restless legs syndrome
• Tics and post-medication movement changes

Many patients arrive unsure of what exactly they have — only that “something feels off.”
That’s where careful observation and teamwork make all the difference.

Diagnosis

Diagnosis isn’t just about lab results or MRI scans.
It begins in the first few minutes of meeting someone — the way they move through the door, the rhythm of their walk, even how they smile.
Those details tell me more than any printed report.

After the initial consultation, we choose the right tools together:
sometimes an MRI or DaTScan to check dopamine activity;
sometimes ENMG to test how nerves talk to muscles;
and often simple blood work to rule out metabolic or inflammatory causes.
If symptoms appear at a young age or don’t match the classic pattern, we may run genetic testing.

When the picture is complex, I bring in colleagues — neurosurgeons, physiotherapists, neurophysiologists — to review everything as a team.
Each of us sees the same case from a slightly different angle, and together we reach a more accurate understanding.

Good diagnosis takes time and trust.
It’s not only about labeling a disease — it’s about finding what can still be improved and what kind of life the patient wants to lead.

Treatment Approaches

There’s no one-size-fits-all plan for Parkinson’s or any movement disorder.
Some people do well for years on medication alone; others need a combination of therapies.
The key is to adjust carefully and never stop learning from how the patient feels.

Medication remains the foundation — drugs that balance dopamine such as levodopa, dopamine agonists, or MAO-B inhibitors.
Finding the right mix takes patience, because the body changes over time.
What worked last year may need a small adjustment today.

For those with dystonia or muscle overactivity, precise botulinum toxin injections can bring real relief.
It’s not cosmetic — it’s a way to calm the muscles and return natural movement.

But medicine is only half the story.
Rehabilitation — physiotherapy, speech and swallowing exercises, balance training — often makes the biggest difference.
I’ve seen people regain strength they thought they had lost forever.

“Even small daily movement matters,” Prof. Gurevich tells her patients.
“Walk, stretch, breathe — the body remembers what to do if you give it a chance.”

Advanced and Innovative Methods

Neurology today moves fast, and Israel is among the leaders in applying new technology safely.

• Deep Brain Stimulation (DBS)

For patients whose medication is no longer enough, DBS can be life-changing.
Tiny electrodes are implanted into specific brain regions that control movement.
New adaptive systems read brain activity in real time and adjust stimulation automatically.
That means smoother motion and fewer side effects.

“When it works,” Prof. Gurevich says, “it’s like watching someone wake up — their face relaxes, their voice changes. It’s extraordinary.”

• Focused Ultrasound (FUS)

FUS is a non-invasive, MRI-guided procedure that uses ultrasound waves to target a tiny area responsible for tremor.
No cuts, no anesthesia, no recovery time — and the improvement can often be seen right away.
It’s especially helpful for essential tremor and early-stage Parkinson’s.

• Continuous Drug Infusion

When oral medication causes fluctuations, continuous levodopa infusion pumps help maintain stability.
These small wearable devices deliver a steady dose throughout the day, minimizing “on-off” periods and keeping movement smoother.

• Emerging Biological Therapies

Israeli research teams are taking part in gene therapy and stem-cell trials aiming to restore dopamine production naturally.
These are still in clinical stages, but they represent real hope for slowing disease progression in the future.

• Rehabilitation Technologies

We use VR-based motor training, robotic exoskeletons, and biofeedback systems that teach patients how to move more efficiently.
Technology here is a bridge — not a replacement for effort, but a partner in recovery.

Neurological Care in Israel – Precision with Humanity

Neurological care in Israel is known for its balance — scientific precision alongside genuine compassion.
Treatment is never isolated to one doctor; it’s teamwork.
Neurologists, neurosurgeons, physiotherapists, speech therapists, and psychologists collaborate on every stage.

The clinic works with high-resolution MRI 3T, DaTScan imaging, adaptive DBS systems, and focused ultrasound platforms.
But what matters most is connection — honest communication between doctor and patient, continuous follow-up, and the shared goal of staying active and independent.

“We treat people, not just conditions,” says Prof. Gurevich.
“That’s why every treatment plan here feels personal. It has to fit the life you want, not just the diagnosis you have.”

Frequently Asked Questions

(Prof. Tatiana Gurevich answers personally)

 1. How do I know when to see a doctor?

“If tremor or stiffness keeps showing up — especially when you rest — don’t wait too long.
The earlier we start, the more options we have. Some people come after years of guessing, and I wish they had come sooner.”

 2. Can Parkinson’s disease ever really be cured?

“Not yet, but it can be managed very well.
I have patients who’ve lived more than 20 years with stable symptoms.
The secret is steady follow-up and not giving up treatment just because you feel better.”

 3. What if my medication stops working?

“It’s not really that it ‘stops’; the body changes.
We adjust — maybe different doses, maybe advanced treatments like DBS or infusion.
The worst thing is trying to handle it alone or skipping visits.”

 4. Is exercise actually helpful?

“Yes — more than most people think.
Movement keeps the brain alive.
Walking, swimming, dancing — anything that keeps you moving helps your mind as much as your muscles.”

 5. How important is family support?

“Very. Parkinson’s isn’t only physical.
It can affect mood and self-confidence.
When family listens, helps, or just shows patience — that’s part of the medicine.”

 6. Can I live a normal life with Parkinson’s?

“Absolutely. It changes routines, but not who you are.
I see people work, travel, laugh — even start new hobbies.
The key is balance, discipline, and staying connected to life itself.”

For a private consultation with Prof. Tatiana Gurevich:

📞 Phone: +972-73-374-6844
📧 Email: [email protected]
💬 WhatsApp: +972-52-337-3108