As the largest group of Neurologists in the Cape Girardeau, Missouri region, we offer a wide variety of services for our patients, often at a lower cost than having your testing done at one of the local hospitals.  Below is a listing of the services we provide:



Dr. Gardner JR. has specialty training in the evaluation and long term care of patients with ALS.  Where many other physicians will tell patients with ALS "there is nothing I can do," Dr. Gardner JR. realizes the importance of long term multidisicpinary follow up and care of the patient (and family) with ALS.  Patients with ALS have enormus needs involving physical, occupational, speech therapies, mobility specialists, and respiratory care.


The ALS Association, Saint Francis Medical Center, and Dr. Gardner Jr. have partnered to offer a Multidisciplinary ALS Clinic in Cape Girardeau to serve those patients.  No longer do ALS patients and families have to make the long burdensome trip to St. Louis to receive excellent care.   The ALS clinic offers patients a comprehensive review of all their needs as they navigate a difficult disease.  If you or a family member has ALS and would like to be seen at the ALS clinic, please call the clinic coordinator at 573-331-5520. 



Dr. Gardner JR. offers Botox (and other botulinum toxins) for a wide range of neurologic conditions, including chronic migraine headaches, spacticity, dystonia, and hemifacial spasm.  He uses EMG guidance, when appropriate, to maximaze the treatment effect and minimize repetitive needle sticks.  If you are a patient who thinks you mignt benefit from therapeutic Botox, or have questions about it, contact the Cape Girardeau, Missouri office for a comprehensive evaluation.  (573) 651-3188.  Initial Botox evaluations can be performed in either the Cape office or at the Sikeston office.  Botox is administered only in the Cape Girardeau, Missouri office at this time.



Do you or a loved one suffer from memory problems?  A comprehensive memory test and evaluation by one of our board certified neurologists can help you put your mind at ease, or give you the treatment you need.  Basic cognitive consultations are performed at the Cape Girardeau, Sikeston, and Perryville, Missouri locations.  More comprehensive testing is available only in the Cape Girardeau location.



Dr. Gardner JR. has a special interest in treatment of chronic headaches.  If you are concerned your headaches aren't simply a headache, or are having ongoing headaches and want to explore treatment options, contact the Cape Girardeau Office to schedule a comprehensive headache evaluation.  Dr. Gardner JR. follows the best evidence for treatment of chronic headaches and can help you regain control of your life.  He understands the impact headaches can have on your life and works diligently to improve your quality of life.  In preparation for your complex Headache Clinic visit, please download these forms and keep a journal of your headache pattern:





Please also complete these forms prior to your first visit:





DR. Gardner JR. is the only neurologist in the region with experience in the initial evaluation and long term management of patients with deep brain stimulation systems.  He evaluates and treats patients with severe Parkinson's Disease, Essential Termor, and Dystonia with Deep Brain Stimulation.  Dr. Gardner is excited to partner with a local neurosurgeon to reintroduce this therapy option to the Southeast Missouri Region, so that patients with these conditions are not required to travel long distances to get advanced neurologic care.



EEG, or electroencephalography, is the recording of your brainwaves.  We offer both routine and long term ambulatory EEG.



Many neurologic conditions require intermittent IV medications.  at Neurologic Associates, we believe the best care for neurologic patients is in the neurologist's care.  That is why we offer infusion of your needed therapy here in our office with staff you are familiar with.  We treat immune neuropathies with IV steroids and IVIg.  We offer Tysabri for complicated patients with Multiple Sclerosis.  We treat intractable headaches with IV steroids.  If you have a neurologic condition which requires treatment with IV medications, please call the office to see if we can help you.  (573) 651-3188



Dr. Gardner JR. is board certified in Sleep Medicine, and offers a variety of sleep testing.  He has privileges to interpret comprenhensive in-lab sleep studies at all facilities which perform them in Cape Girardeau and Sikeston, Missouri.  He also offers Home Sleep Tests, as an innovative way to evaluate for sleep apnea at home.  Contact the office to schedule a comprehensive sleep evaluation.



Have you had a stroke, and still have questions?  Neurologic Associates offers patients in your situation a comprehensive second look at your stroke, and we will attempt to identify any treatable cause and reduce your risk of another stroke.  Please contact the office and request an appointment in our stroke Second Look Clinic.  (573) 651-3188  To make your visit efficient, please obtain all records of your stroke, an, in particular, please obtain copies of any diagnostic testing results.  (especially MRI, echocardiogram, carotid doppler)  These images on CD are preferred, but if they cannot be obtained, please bring the reports.  The results of any blood testing done while you were hospitalized can also be reviewed.