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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
Yes: Xanax does not cause increase in sugar or fat metabolism so you should be fine taking it right before your morning lab, just don't take it with a swee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Cervical radic: this could be from pinched cervical roots aka cervical radiculopathy, at your age the most common reason for it is a disk bulge/herniation. less likel... 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
No: unilateral swelling of a foot or hand is not part of Parkinson's if that is what you are asking.
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 35-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Need more info: intracranial hypertension headache can be of pressure quality with vision changes, but to state with more certainty that it's this type of headache ne... 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
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 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 29-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Likely BFS: If you have had this for years with no weakness then benign fasciculations syndrome is highest on differential. Make sure you had your magnesium level... 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
Bppv: migraine sufferer is at higher risk for BPPV which causes positional vertigo (due to a dislodged stone in your ear). it is fixed by an Epley maneuver.... 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 23-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Safe but ask him why: It depends on what symptoms he is aiming to treat. lamotrigine has little interactions with your other psychiatric drugs but one needs to be sure it's... 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.
A 27-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
You need exam: this sounds like a muscle twitch (fasciculation), sometimes it is just a benign fasciculation from overuse of the muscle, sometimes it is from a more ... 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
Neurologist: Neurologist should be able to help you with both the tools for diagnosis (by performing and interpreting emg/ncs test) and medical treatment strategie... 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
Treated: depends on the cause of it, if its due to a local compression then potentially could be but if idiopathic then only symptomatic treatment with no cure
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Dystonic tremor: Depends on what you mean by "tremor": small movements or sudden jerking aka myoclonus? Bottom line, you need to be examined by a neurologist to rule ... 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 37-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Cold: cold compress to the area and Tylenol
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Yes, no: yes it can cause meningitis and encephalitis, there is no anti viral treatment to WNV, so the best prevention of WNV is vigilant use of insect repelle... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Indomethacin: indomethacin is longer acting than ibuprofen so preferred for a more sustained anti-inflammatory response and pain relief, muscle relaxants will not h... 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 27-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
No: You should be find taking both, they do not have any dangerous interactions, but if you develop any GI upset consult with your prescribing doctor abou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Yes: both medications tend to cause drowsiness and it's best to start at the lowest possible dose and slowly up-titrate every few days
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Migraine: migraine does not always have to be with light sensitivity, if nausea, pulsating throbbing pain worse with movement, sound sensitivity are present it'... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Complicated migraine: this is most likely a complicated migraine based on throbbing pain and skin sensitivity vs less likely brain lesion affecting the cranial nerve 5 or a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old female asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
This is a migraine: some women entering perimenopause develop frequent migraine headaches related to drop in estrogen, treatment is with usual migraine prophylaxis like t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
No: medically induced coma is to let the brain cool off shutting down its metabolism so it can heal faster, the duration is patient specific dependent on ... 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
Only nerve pain: If the foot pain is from a nerve damage then yes lyrica can reduce neuropathic pain, the numbness symptom will not be reduced by it however.
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 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 21-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Broad differential: you may have answered your own question but if this issue is progressing, there may be other causes of decreased fluency, some of which include endocr... 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
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 28-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Side effect: without additional parkinsonism symptoms such as slowness of movement, resting tremors, cogwheel rigidity, isolated excess drooling is unlikely to be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 67-year-old male asked:
Dr. Galina Nikolskaya
Neurology 13 years experience
Need more info: RSD is a diagnosis of exclusion, not enough symptoms are available to point towards a specific issue but b/l RSD is unusual and more common to get com... 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 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 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 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 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 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 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 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 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 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 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 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 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 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.

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

69
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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