Dr. Galina Nikolskaya

Neurology
Long Beach, CA
13 years experience female

About

Bio

Dr.Nikolskaya, provides 2nd opinion consultations and concierge neurology for limited number of patients in Southern California. She is a top quality neurologist fellowship trained in clinical neurophysiology. Skilled in Botulinum toxin injections, electro diagnostics including electromyography (EMG), nerve conduction studies (NCS) and electroencephalography (EEG) and had an additional expertise in headache and movement disorders.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Neurology

Neuromuscular Medicine

Licenses

United States: California

Doctor Q&A

111 Answers
11 Agrees
The number of answers this doctor has agreed with.
A 27-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Depends: depends on how severe your migraine was and how quickly.you took the abortive medication, the faster you abort the migraine before it escalates into a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Spasticity: CP related spasticity can cause pain and stiffness sensation in your joints, talk to your neurologist about anti-spasticity medications like baclofen,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Get checked out: The symptom of feeling weird is pretty nonspecific, and while may sound benign sometimes can be a signal to something not so benign like a brain bleed... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Broad ddx: There may be a bilateral cortical/subcortical brain disruption and MRI could help identify a potential cause based on the pattern of abnormalities. Fo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Need to see MRI: For MS dx need at least 2 lesions in different locations (brain,or spine,or optic nerve) of different chronicity (ex:1 contrast enhancing new lesion a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Not related: benign fasciculations is a peripheral neuromuscular process and your brain concussion had not caused it
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Facial nerve: facial nerve supplies the forehead muscles and anything that makes the facial nerve get active will cause this, idiopathic hemifacial spasm is the mos... Read More
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A 39-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
May not need surgery: I had some patients with a disk bulge in L5S1 region with numbness in the leg, sometimes distal weakness; after a few months of suffering the symptoms... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Need more info: tension headaches typically has pressure pain quality while migraine headache has throbbing pain, sometimes people can have both types of headaches an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Need MRI LS spine: If by L5-S1 pain you refer to low back in that dermatomal area this could be a from something near those roots pressing on those nerve roots (that som... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 60-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Yes many options: 1st step: neuromodulators like Gabapentin or Amitriptyline or Duloxerine or Venlafaxine. Accupuncture can help.if above don't help consider epidural s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Ulnar neuropathy: little finger is innervated by the ulnar nerve and you may have an ulnar neuropathy causing this, most commonly it is at the elbow (due to leaning on ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Need more info: if you hit the back of your head this could be occipital neuralgia, another possibility is a pinched cervical nerve which can get more compressed with... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Many: depends on the type of headache: ex-migraine vs tension vs due to a brain tumor vs due to sleep apnea vs high or low csf pressure headache etc, each s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Abdominal migraine: This could be an abdominal migraine which causes severe stomach cramping, nausea, vomiting along with the usual migraine symptoms of throbbing headach... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Typically yes: yes typically acute stroke will show up on MRI brain. In very rare instances strokes can be not seen (especially posterior circulation related) and th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Depends: These two medicines can be taken together but you may end up feeling more groggy/drowsy then you want in AM. 10 mg of amitriptyline is a starting dose... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Avoid DA blocking: sounds like an oromandibular dystonia which can be from an inherited, neurodegenerative or an acquired cause like exposure to dopamine blocking agents... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Eye exam, LP: Opthalmologic exam showing swelling of the optic disks, visual acuity and field testing showing potential loss of peripheral vision, If severe acuity ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Yes: depending on the cause of kyphosis, if its very mild kyphosis and one is healthy, active, it should not progress much, however kyphosis in patients w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Need more info: if headache persists with neck stiffness when bending head down, light bothers you, you had recent viral illness this could be viral meningitis. its s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Ice pick headache: If you don't suffer from migraines or cluster headaches then this could be a type of paroxysmal headache called a "stabbing headache" another term use... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Need more info: most commonly this is the musculoskeletal pain from the build-up of tension from prolonged standing and walking, if aching feeling is relieved by leg ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Epley: Epley otocanalith respositioning maneuver which is best done by your neurologist in the office the 1st time around; once you learn the proper techniq... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Many causes: hemorrhagic stroke can happen from severe elevation in blood pressure (most common), or from an ischemic stroke transforming into a hemorrhagic, or a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Sensory C7 radic: if you have purely sensory C7 radiculopathy aka only the sensory portion of the C7 nerve root is being pinched by a herniated disk, this will cause nu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Depends: Maca is not a stimulant and there have not been any information about it lowering the seizure threshold. It has an affect on the hypothalamic system a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Please see a doctor: This is not ALS, but dark urine is a symptom with a wide differential ranging from post-traumatic over-exertion hematuria to issues with kidney (IgG n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Need more info: More information is needed to answer this question as these 2 symptoms could be related to one neurological condition (migraine) or be completely unre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Many causes: muscle spasms can be from many causes from electrolyte abnormalities (magnesium, potassium, calcium, phosphorus) to motor nerves,roots,anterior horn d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Unlikely: loss of consciousness would result from bilateral inflammation of deep brain structures with reticular activating system as part of them (bilateral th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Unlikely: below the last rib is the area of T9 however if area of pain is small it's likely a musculoskeletal local issue rather than an entire T9 nerve root
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Doubt the dx: you may be having catamenial (estrogen fluctuations related) vestibular (causing vertigo aka dizziness) migraine which sometimes can occur without the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
No: it is very unlikely as the trigge for CRPS is local trauma to one extremity like a cut, this is also much less common than routine polyneuropathy, you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Migraine vs TCA: This is not a typical stress headache and some of the features point to either a vestibular migraine or a trigeminal autonomic cephalgia which present... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Need more info: this can be from many causes and the treatment depends on the cause.if jetlag is an issue then yes. but if other reasons like depression that can caus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
L1 radiculopathy: The skin distribution you describe is covered by the ilioinguinal nerve which is a branch of the first lumbar root L1. Based on your hx of low back ad... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Unlikely: you may have local muscle pain from the irritation of the medicine, given this was an intra-muscular injection it is highly unlikely your shoulder was... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
No: No the eye being blurry is not normal and if your blurriness does not improve you need to see an opthalmologist asap to ensure you did not cause a cor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Vasovagal: sounds like a typical vasovagal response to needle pick, pain or sight of blood causes transient drop in heart rate making you faint. this is not that... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
May avoid surgery: Assuming walking is an issue only due to pain, make sure you have been tried on neuromodulators that quite down pain signal transmission coming from p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Lifestyle measures: If unable to decrease that medication your best bet is lifestyle adjustments: daily 8 hrs of sleep, cardio 45 min, non-processed food high in veggies/... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Unlikely: Xanax is very short acting and with just 4 days into 1mg, your brain unlikely got used to it. It's with longer acting anti-epileptic drugs that you ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Need more info: you have many symptoms that are not specific for one condition and could be either part of MS or part of separate entities like neuropathy, radiculopa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Switch: talk to a psychiatrist or neurologist regarding switching to a different anti-anxiety agent that is not a benzodiazepine (ex: Buspar or Wellbutrin) wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Unlikely: if myoclonus was of cerebral (aka brain) origin, it would very likely show up on EEG as either generalized epileptiform discharges. depending on the t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Hydrate and nourish: If your fatigue mainly becomes an issue after an exercise, it may be related to a dehydration or low sugar following your exercise, so ensure you are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Unlikely: tumor usually would not cause bilateral symptoms, likely side effect of pain medicine
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Not a problem: you should be fine being off Tecfidera for 4 days. chances of you experiencing MS relapse in that short of a time frame are minimal and there is no ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Withdrawal SE: if you developed headaches following decrease in cipramil then likely it is a withdrawal side effect, consider decreasing even slower by 5 mg instead ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

70
Thank you notes
HealthTap member
This was very helpful. Thanks! Thank you so much. It's nice to actually hear what the possibility are. I hope none of the above but now I know what to learn more about. Thank very much again.
HealthTap member
Thank you but MS lesions don't show like "dots" and mine are in the frontal lobe. At least that is what my neuro said.
HealthTap member
Your answer was very helpful, thanks! I've had MRI came up fine. What's HSV? I did have migraines bit no mor

Education & Training

Medical/Graduate school

The Wright State University Boonshoft School of Medicine, OH
Graduated 2010MD

Residency

UC San Diego
Completed 2015

Awards

Top Neurologist, First Place, the Orange County Region - Spring
2017
HealthTap Founding Doctor

Affiliations

Los Alamitos Medical Center
Harbor-UCLA medical center
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