{"id":8125,"date":"2022-01-03T09:59:36","date_gmt":"2022-01-03T14:59:36","guid":{"rendered":"https:\/\/www.med.unc.edu\/neurosurgery\/?page_id=8125"},"modified":"2025-10-15T18:08:16","modified_gmt":"2025-10-15T22:08:16","slug":"movement-disorders","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/neurosurgery\/services\/movement-disorders\/","title":{"rendered":"Movement Disorders"},"content":{"rendered":"<h1>What is functional neurosurgery?<\/h1>\n<p>Functional neurosurgery is devoted to treating patients with chronic neurological disorders that disrupt a patient\u2019s quality of life. Our<img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-8503 size-medium\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2022\/07\/MRgFUS-helmet-6b-300x230.jpg\" alt=\"Functional neurosurgery - UNC Department of Neurosurgery\" width=\"300\" height=\"230\" srcset=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2022\/07\/MRgFUS-helmet-6b-300x230.jpg 300w, https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2022\/07\/MRgFUS-helmet-6b-1024x785.jpg 1024w, https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2022\/07\/MRgFUS-helmet-6b-768x589.jpg 768w, https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2022\/07\/MRgFUS-helmet-6b-600x460.jpg 600w, https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2022\/07\/MRgFUS-helmet-6b.jpg 1408w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> functional neurosurgery team at the UNC Center for Movement Disorders treats patients with a wide variety of diagnoses:<\/p>\n<ul>\n<li>Movement disorders such as essential tremor, Parkinson\u2019s disease, dystonia<\/li>\n<li>Chronic pain such as chronic back pain, complex regional pain syndrome, trigeminal neuralgia, trigeminal neuropathic pain, diabetic neuropathy, cancer-associated pain<\/li>\n<li>Spasticity disorders such as cerebral palsy, spinal cord or nerve injury<\/li>\n<li>Psychiatric disorders such as obsessive-compulsive disorder and treatment-resistant depression<\/li>\n<\/ul>\n<som-cell cell-info=\"{&quot;ID&quot;:10406,&quot;post_author&quot;:&quot;44955&quot;,&quot;post_date&quot;:&quot;2024-10-29 15:50:19&quot;,&quot;post_date_gmt&quot;:&quot;2024-10-29 19:50:19&quot;,&quot;post_content&quot;:&quot;&quot;,&quot;post_title&quot;:&quot;Movement Disorders Boxes&quot;,&quot;post_excerpt&quot;:&quot;&quot;,&quot;post_status&quot;:&quot;publish&quot;,&quot;comment_status&quot;:&quot;closed&quot;,&quot;ping_status&quot;:&quot;closed&quot;,&quot;post_password&quot;:&quot;&quot;,&quot;post_name&quot;:&quot;movement-disorders-boxes&quot;,&quot;to_ping&quot;:&quot;&quot;,&quot;pinged&quot;:&quot;&quot;,&quot;post_modified&quot;:&quot;2024-10-29 15:51:38&quot;,&quot;post_modified_gmt&quot;:&quot;2024-10-29 19:51:38&quot;,&quot;post_content_filtered&quot;:&quot;&quot;,&quot;post_parent&quot;:0,&quot;guid&quot;:&quot;https:\\\/\\\/www.med.unc.edu\\\/neurosurgery\\\/cell\\\/movement-disorders-boxes\\\/&quot;,&quot;menu_order&quot;:0,&quot;post_type&quot;:&quot;somcell&quot;,&quot;post_mime_type&quot;:&quot;&quot;,&quot;comment_count&quot;:&quot;0&quot;,&quot;filter&quot;:&quot;raw&quot;}\" cell-meta=\"{&quot;_wpv_contains_gutenberg_views&quot;:[&quot;&quot;],&quot;_upd_sortorder&quot;:[&quot;1&quot;],&quot;layout&quot;:[&quot;RepeatableBoxes&quot;],&quot;cellInformation&quot;:[&quot;{\\&quot;singleCellBlocks\\&quot;:{},\\&quot;repeatableBoxes\\&quot;:[{\\&quot;includeLink\\&quot;:1,\\&quot;linkText\\&quot;:\\&quot;Focused Ultrasound\\&quot;,\\&quot;linkUrl\\&quot;:\\&quot;https:\\\/\\\/www.med.unc.edu\\\/neurosurgery\\\/services\\\/movement-disorders\\\/focused-ultrasound\\\/\\&quot;},{\\&quot;includeLink\\&quot;:1,\\&quot;linkText\\&quot;:\\&quot;Epilepsy Treatment\\&quot;,\\&quot;linkUrl\\&quot;:\\&quot;https:\\\/\\\/www.med.unc.edu\\\/neurosurgery\\\/services\\\/epilepsy\\\/\\&quot;},{\\&quot;includeLink\\&quot;:1,\\&quot;linkText\\&quot;:\\&quot;Deep Brain Stimulation\\&quot;,\\&quot;linkUrl\\&quot;:\\&quot;https:\\\/\\\/www.med.unc.edu\\\/neurosurgery\\\/services\\\/movement-disorders\\\/deep-brain-stimulation\\\/\\&quot;}],\\&quot;boxCustomStyles\\&quot;:{\\&quot;includeLink\\&quot;:1,\\&quot;backgroundColor\\&quot;:\\&quot;mediumBlue\\&quot;},\\&quot;boxType\\&quot;:\\&quot;iconLinks\\&quot;,\\&quot;boxStyleOption\\&quot;:\\&quot;color-boxes\\&quot;}&quot;],&quot;apiCallInformation&quot;:[&quot;{}&quot;]}\"><\/som-cell>\n<h1>What is neuromodulation?<\/h1>\n<p>Neuromodulation technology allows us to adjust the nerve activity by delivering electrical stimulation or medications directly to a target area in the brain, spinal cord, or nerves. It is one of the fastest-growing medical specialties. Neuromodulation is now a standard-of-care treatment for selected patients with movement disorders, chronic pain, spasticity, epilepsy, and psychiatric disorders.<\/p>\n<p>Neuromodulation is delivered through less-invasive treatments like deep brain stimulation, spinal cord stimulation, nerve stimulation, and intrathecal pumps. More recently, focused ultrasound treatment offers an incision-less alternative for patients who are not a candidate or unwilling to pursue less-invasive treatments.<\/p>\n<h1>Why choose UNC Health for movement disorders and neuromodulation?<\/h1>\n<p>Our team is passionate about excellence in patient care. We value a personal touch with patients to guide their journey of healing and recovery. UNC\u2019s functional neurosurgery team is the region&#8217;s most experienced team with expertise in cutting-edge treatments. We incorporate the latest technology to personalize each patient&#8217;s treatment plans. In addition, we are engaged in research to optimize the treatment technique and maximize our patients&#8217; improvement.<\/p>\n<p>Dr. Eldad Hadar serves as the director of the epilepsy surgery and the functional neurosurgery programs at UNC Health. In addition, he is a member of the multidisciplinary team at the UNC Epilepsy Center. His surgical expertise includes deep brain stimulation and epilepsy surgery.<\/p>\n<p>Dr. Vibhor Krishna is an expert in functional neurosurgery and neuromodulation. He is an early adopter of focused ultrasound technology and is considered a thought leader in the field. His research aims to enhance neuromodulation\u2019s effectiveness through personalized medicine, developing and optimizing less-invasive neurosurgery, and testing emerging surgical treatments in clinical trials.<\/p>\n<h1>What is deep brain stimulation?<\/h1>\n<p>The majority of patients with movement disorders can be effectively treated with medications. However, some patients either don&#8217;t<img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-7391\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2020\/04\/Dr.-Hadar-300x182.jpg\" alt=\"Dr. Eldad Hadar, member of the deep brain stimulation team\" width=\"400\" height=\"243\" srcset=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2020\/04\/Dr.-Hadar-300x182.jpg 300w, https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2020\/04\/Dr.-Hadar-1024x622.jpg 1024w, https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2020\/04\/Dr.-Hadar-768x467.jpg 768w, https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2020\/04\/Dr.-Hadar-1536x934.jpg 1536w, https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2020\/04\/Dr.-Hadar-2048x1245.jpg 2048w, https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2020\/04\/Dr.-Hadar-600x365.jpg 600w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/> respond to medication or initially respond to medication that eventually becomes ineffective. For these patients, <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/services\/movement-disorders\/deep-brain-stimulation\/\">deep brain stimulation<\/a> (DBS) surgery can be a life-changing option.<\/p>\n<p>In DBS procedures, precise electrodes are implanted into specific targets in the brain. Then, a pacemaker installed below the collarbone delivers continuous electrical stimulation to the affected brain target. An overwhelming majority of patients experience a remarkable improvement in symptoms and quality of life after deep brain stimulation surgery.<\/p>\n<p>A successful deep brain stimulation program requires the partnership of several medical specialties, including neurosurgery, neurology, neuropsychology, radiology, and anesthesiology. The UNC deep brain stimulation program incorporates these specialties into a multidisciplinary team approach. We discuss and treat every patient individually to meet our patients&#8217; specific needs and maximize their clinical improvement.<\/p>\n<p>Read more about <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/services\/movement-disorders\/deep-brain-stimulation\/\">deep brain stimulation surgery at UNC Health<\/a>.<\/p>\n<h1>What is spinal cord or nerve stimulation?<\/h1>\n<p>Spinal cord or nerve stimulation uses a surgically implanted device that sends pulses through the body to stop pain messages from reaching the brain. This treatment option is considered when medications and other pain interventions cannot relieve pain.<\/p>\n<p>Patients undergo a multidisciplinary assessment by experts in interventional pain, neuropsychology, and neurosurgery. A trial of the spinal cord or nerve stimulation is then performed. Patients who experience substantial pain improvement then receive permanent stimulator implants to reduce pain long-term.<\/p>\n<p>If you would like to make an appointment, please call <a style=\"background-color: #ffffff\" href=\"tel:984-974-4175\">984-974-4175<\/a>.<\/p>\n<h1>Research<\/h1>\n<p>Dr. Vibhor Krishna is a surgeon-scientist with expertise in functional neurosurgery and neuromodulation. Learn about cutting-edge translational research for patients with movement disorders on the <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/krishnalab\/\">Krishna Lab website<\/a>.<\/p>\n<h3><strong>Our Team<\/strong><\/h3>\n<div class=\"container-fluid divisions-container multi-column\">\n    \n            <article class=\"row post entry\">\n            <div class=\"directory-gallery-thumbnail\">\n                                                                                                \t\t\n                    <div class=\"upd-image\">\n                        <img loading=\"lazy\" decoding=\"async\" class=\"upd_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2025\/12\/Krishna-791x1024.jpg\" alt=\"Vibhor Krishna, MD\" height=\"160\" width=\"120\" \/>\n                        <img decoding=\"async\" class=\"print_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2025\/12\/Krishna-791x1024.jpg\" alt=\"\" \/>\n                    <\/div>\t\t\t\t\t\t\t\t\t\n                            <\/div>\n            <div class=\"directory-gallery-content\">\n                <h2 class=\"entry-title\">                                            <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/directory\/vibhor-krishna-md\/\" rel=\"bookmark\">\n                            Vibhor Krishna, MD                        <\/a>\n                                    <\/h2> \n                \n                                                                    <p>Vice Chair, Inpatient Operations<br \/>\nService Line Leader<br \/>\nAssociate Professor<\/p>\n                            <\/div>\n        <\/article>\n\n            <article class=\"row post entry\">\n            <div class=\"directory-gallery-thumbnail\">\n                                                                                                \t\t\n                    <div class=\"upd-image\">\n                        <img loading=\"lazy\" decoding=\"async\" class=\"upd_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2023\/10\/Screenshot-2023-10-16-at-3.08.31-PM.png\" alt=\"Daniel Roque, MD - UNC Health\" height=\"160\" width=\"120\" \/>\n                        <img decoding=\"async\" class=\"print_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2023\/10\/Screenshot-2023-10-16-at-3.08.31-PM.png\" alt=\"\" \/>\n                    <\/div>\t\t\t\t\t\t\t\t\t\n                            <\/div>\n            <div class=\"directory-gallery-content\">\n                <h2 class=\"entry-title\">                                            <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/directory\/daniel-roque-md\/\" rel=\"bookmark\">\n                            Daniel Roque, MD                        <\/a>\n                                    <\/h2> \n                \n                                                                    <p>Director, UNC Movement Disorders Neuromodulation Program<br \/>\nAssociate Professor, Movement Disorders<br \/>\nVice Chair, Ambulatory Affairs<\/p>\n                            <\/div>\n        <\/article>\n\n            <article class=\"row post entry\">\n            <div class=\"directory-gallery-thumbnail\">\n                                                                                                \t\t\n                    <div class=\"upd-image\">\n                        <img loading=\"lazy\" decoding=\"async\" class=\"upd_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2023\/11\/Matthew-Harris.jpeg\" alt=\"Matthew Harris, PhD, ABPP(CN)\" height=\"160\" width=\"120\" \/>\n                        <img decoding=\"async\" class=\"print_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2023\/11\/Matthew-Harris.jpeg\" alt=\"\" \/>\n                    <\/div>\t\t\t\t\t\t\t\t\t\n                            <\/div>\n            <div class=\"directory-gallery-content\">\n                <h2 class=\"entry-title\">                                            <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/directory\/matthew-harris-phd-abppcn\/\" rel=\"bookmark\">\n                            Matthew Harris, PhD, ABPP(CN)                        <\/a>\n                                    <\/h2> \n                \n                                                                    <p>Assistant Professor, Neuropsychology<\/p>\n                            <\/div>\n        <\/article>\n\n            <article class=\"row post entry\">\n            <div class=\"directory-gallery-thumbnail\">\n                                                                                                \t\t\n                    <div class=\"upd-image\">\n                        <img loading=\"lazy\" decoding=\"async\" class=\"upd_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2023\/11\/JRY_UNC_headshot_2022-759x1024.png\" alt=\"John Younce, MD\" height=\"160\" width=\"120\" \/>\n                        <img decoding=\"async\" class=\"print_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2023\/11\/JRY_UNC_headshot_2022-759x1024.png\" alt=\"\" \/>\n                    <\/div>\t\t\t\t\t\t\t\t\t\n                            <\/div>\n            <div class=\"directory-gallery-content\">\n                <h2 class=\"entry-title\">                                            <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/directory\/john-younce-md\/\" rel=\"bookmark\">\n                            John Younce, MD                        <\/a>\n                                    <\/h2> \n                \n                                                                    <p>Assistant Professor, Movement Disorders<\/p>\n                            <\/div>\n        <\/article>\n\n            <article class=\"row post entry\">\n            <div class=\"directory-gallery-thumbnail\">\n                                                                                                \t\t\n                    <div class=\"upd-image\">\n                        <img loading=\"lazy\" decoding=\"async\" class=\"upd_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2025\/12\/Cavanaugh-791x1024.jpg\" alt=\"Susan Cavanaugh, ACNP\" height=\"160\" width=\"120\" \/>\n                        <img decoding=\"async\" class=\"print_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2025\/12\/Cavanaugh-791x1024.jpg\" alt=\"\" \/>\n                    <\/div>\t\t\t\t\t\t\t\t\t\n                            <\/div>\n            <div class=\"directory-gallery-content\">\n                <h2 class=\"entry-title\">                                            <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/directory\/susan-cavanaugh-dnp-acnp\/\" rel=\"bookmark\">\n                            Susan Cavanaugh, ACNP                        <\/a>\n                                    <\/h2> \n                \n                                                                    <p>Nurse Practitioner<\/p>\n                            <\/div>\n        <\/article>\n\n            <article class=\"row post entry\">\n            <div class=\"directory-gallery-thumbnail\">\n                                                                                                \t\t\n                    <div class=\"upd-image\">\n                        <img loading=\"lazy\" decoding=\"async\" class=\"upd_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2024\/02\/Kelsey-Wertman-1-791x1024.jpg\" alt=\"Kelsey Wertman BSN, RN, SCRN\u00a0\" height=\"160\" width=\"120\" \/>\n                        <img decoding=\"async\" class=\"print_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2024\/02\/Kelsey-Wertman-1-791x1024.jpg\" alt=\"\" \/>\n                    <\/div>\t\t\t\t\t\t\t\t\t\n                            <\/div>\n            <div class=\"directory-gallery-content\">\n                <h2 class=\"entry-title\">                                            <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/directory\/kelsey-wertman-bsn-rn-scrn\/\" rel=\"bookmark\">\n                            Kelsey Wertman BSN, RN, SCRN\u00a0                        <\/a>\n                                    <\/h2> \n                \n                                                                    <p>Functional Neurosurgery Nurse Coordinator<\/p>\n                            <\/div>\n        <\/article>\n\n    \n    <script type=\"text\/javascript\">\n        (function($){\n            var entries = $('.entry-content');\n                entries.each(function(index, entry ){\n 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Functional neurosurgery is devoted to treating patients with chronic neurological disorders that disrupt a patient\u2019s quality of life. Our functional neurosurgery team at the UNC Center for Movement Disorders treats patients with a wide variety of diagnoses: Movement disorders such as essential tremor, Parkinson\u2019s disease, dystonia Chronic pain such as chronic &hellip; <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/services\/movement-disorders\/\" aria-label=\"Read more about Movement Disorders\">Read more<\/a><\/p>\n","protected":false},"author":44955,"featured_media":0,"parent":73,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-8125","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Movement Disorders | Department of Neurosurgery<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/neurosurgery\/services\/movement-disorders\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Movement Disorders | Department of Neurosurgery\" \/>\n<meta property=\"og:description\" content=\"What is functional neurosurgery? Functional neurosurgery is devoted to treating patients with chronic neurological disorders that disrupt a patient\u2019s quality of life. 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