Neurology in Poland

Neurology is a branch of medicine that focuses on the diagnosis and the treatment of diseases of the nervous system. The nervous system is a complex and sophisticated system that regulates and coordinates our body activities. It is divided into two major parts:

• The central nervous system: the brain and spinal cord
• The peripheral nervous system: all nerves branching out from the brain and spinal cord, and extend to other parts of the body, including organs and muscles.

Since the nervous system is complex, there are numerous subspecialties within the field of neurology, including:

• Neurodevelopmental disabilities
• Pediatric or child neurology
• Neuromuscular medicine
• Pain medicine
• Hospice and palliative care neurology
• Headache medicine
• Vascular Neurology (stroke care)
• Sleep medicine
• Autonomic disorders
• Brain injury medicine
• Neuropsychiatry
• Epilepsy
• Neurointensive care

A doctor who specializes in treating diseases of the nervous system is called a neurologist. Symptoms that often require a neurologist help may include coordination problems, muscle weakness, confusion, dizziness, and a change in sensation. People who are having problems with their senses, such as vision, touch, or smell, may also require to see a neurologist since problems with senses are sometimes caused by disorders of the nervous system.

A neurologist may also treat patients with:

• Stroke
• Seizure disorders, such as epilepsy
• Migraines and headaches
• Brain aneurysms
• Brain tumors
• Peripheral neuropathy
• Multiple sclerosis
• Infections of the nervous systems, such as meningitis, encephalitis, or brain abscesses
• Neuromuscular disorders, such as myasthenia gravis
• Neurodegenerative disorders, such as Alzheimer’s disease and Lou Gehrig’s disease
• Sleep disorders
• Spinal cord disorders, such as autoimmune and inflammatory disorders
• Speech and language disorders

Keep in mind that neurologist does not perform surgery. If you need surgery, you will be referred to a neurosurgeon.

What does Neurology Involve?

A wide variety of different tests and procedures are used to diagnose and treat neurological conditions. On your first appointment with a neurologist, a physical and neurological exam is likely to be performed. A neurological exam is done to test muscle strength, coordination, and reflexes.

Because different diseases can have similar symptoms, more than one testing may be required for your neurologist to make a diagnosis.

Some of the procedures that fall into the field of neurology may include:

Electromyography

Electromyography (EMG) is used to measure how well your muscles react to electrical stimulation from motor neurons, which are specific nerves controlling muscle movement. It can help neurologists diagnose general muscle or nerve dysfunction, as well as spinal cord disease.

During an EMG, small needles called electrodes are inserted into the muscle by a specially trained technician. The electrodes can measure the different electrical activity occurring in muscle tissue during periods of movement and rest.

Electroencephalogram

Electroencephalogram (EEG) is performed to assess and record electrical activity in your brain. Neurons in our brain communicate with other neurons through electrical impulses, which an EEG can record. Brain wave patterns can also be tracked by an EEG. It is used to help diagnose conditions of the brain, including tumors, inflammation, injuries, as well as psychiatric disorders, epilepsy, and seizures.

During an EEG, electrodes are placed on your head. The electrodes are connected to a computer, which converts electrical signals into patterns that can be seen from a screen or printed on a piece of paper.

Lumbar puncture

Lumbar puncture is done to test your spinal fluid. It involves inserting a needle into your spine after numbing it with an anesthetic. Using the needle, a sample of your spinal fluid is taken.

A lumbar puncture can help diagnose the following conditions:

• Meningitis
• Encephalitis
• Leukemia
• Myelitis
• Dementia
• Autoimmune diseases, such as multiple sclerosis (MS)
• Bleeding in the brain

The procedure can also be used to treat conditions affecting the spinal cord. Your neurologist may inject anesthetics, cancer treatments, or antibiotics using a lumbar puncture needle.

Tensilon test

To help diagnose myasthenia gravis, your neurologist may perform a tensilon test. It involves the injection of a medicine called Tensilon. Then, your neurologist observes how medicine affects your muscle movements.

Sleep study

Chronic sleep problems are diagnosed in a Sleep Study. Also known as a Polysomnogram (PSG), this procedure involves monitoring patients during sleep and physiological data is recorded electronically.

Other tests

Other types of tests may be used by your neurologist to make a diagnosis. These may include:

• Magnetic resonance imaging (MRI scan)
• Computed tomography (CT scan)
• Positron emission tomography (PET scan)
• Biopsy
• Genetic testing
• Angiography

Botox injections

Botox injections can be done to treat some neurological conditions, such as cerebral palsy, that can cause your limbs to pull in toward your center. Sometimes, these contracted muscles can be relaxed with Botox injections.

Botox injections involve injecting tiny amounts of botulinum toxin into your skin of muscles using a thin needle.

Brain tumor treatment

A range of treatments can be done to treat a brain tumor. If your neurologist believes that you need surgery, you will be referred to a neurosurgeon who will remove as much of the brain tumor as possible through surgery.

A brain tumor may also be treated with radiation therapy, which uses high-energy beams to kill tumor cells.

Brain tumor treatment may be integrated between the departments of neurology and oncology.

Brain rehabilitation therapy

Brain rehabilitation therapy is used to help you relearn functions that are lost as a result of a brain injury. Brain rehabilitation therapy is usually integrated between specialty teams in the departments of neurology, sports medicine, psychiatry and psychology, neuroradiology, and the vestibular/balance laboratory.

Deep brain stimulation

During deep brain stimulation, electrodes are implanted within certain areas of the brain. The electrodes generate electrical impulses that can regulate abnormal impulses. These electrical impulses may also affect certain chemicals and cells within the brain.

Deep brain stimulation can be done to treat numerous conditions, including dystonia, essential tremor, epilepsy, and Parkinson’s disease. It is also being studied as a potential treatment for multiple sclerosis and stroke recovery.

Spinal stenosis treatment

Spinal stenosis is a condition that occurs when the spinal canal narrows and pinches the nerves, leading to back and leg pain. Spinal stenosis may be treated with pain medications, physical therapy, steroid injections, decompression procedure, or surgery. Surgery is usually performed if other treatments have not helped.

How Long Should I Stay in Poland?

Your length of stay depends on the type of procedure you have, you may be allowed to leave the hospital on the same day or you will stay for several days. For diagnostic procedures, you should be allowed to leave the hospital on the same day. However, you should wait until the results of the test are ready before you can fly home, which may take as long as 7 days, sometimes even longer. If you undergo brain tumor treatments or other types of treatment, especially treatments that involve surgical intervention, you should aim to stay in Poland at least for 10 days.

What's the Recovery Time?

The recovery time can be different for each procedure. It may also depend on the reason why you are having the procedure and your overall health. Your neurologist and neurosurgeon will give you a recovery timeline for each procedure. The recovery period for diagnostic procedures is typically short and you may be able to resume your normal activities within a week or so. For surgical procedures, you may need to wait 4 weeks or months until you can go back to your daily routine, including work and exercise.

What About Aftercare?

A detailed aftercare instruction will be given to you following your procedure. While the instructions will be different for each procedure, they typically include a diet plan, exercise, restrictions, and wound care (if any surgical intervention is involved). You should follow these instructions carefully in order to have a speedy and smooth recovery.

You may also need to attend follow-up checkups to monitor your overall condition and healing. For brain tumors, you may need to attend regular checkups to ensure the tumor has not come back.

What's the Success Rate?

The field of neurology is constantly advancing. The success rate of each procedure is typically high, particularly when performed by highly skilled and experienced medical professionals. Still, some procedures may carry some risks, such as bleeding, infection, and nerve injury.

Are there Alternatives to Neurology?

Since neurology is the branch of medicine to diagnose and treat problems of the nervous system, there are no other alternatives. However, if your doctor found that your disease or illness is found to be caused by other problems unrelated to the nervous system, your doctor will recommend you to see the relevant doctor.

Neurology in and around Poland

About Poland

Poland, as one of Central Europe's most expansive nations, has only recently begun to make its mark as a key player in the realm of Medical Tourism. Being particularly appealing to tourists from neighboring regions, many visitors arrive seeking Neurology procedures. Poland's open border policy further simplifies travel between its territory and other countries within the European Union (EU), making it an accessible destination for many.

The Polish healthcare system comprises a blend of public and private establishments. While none of these facilities hold JCI accreditation, they are endorsed by local accreditations issued by the Polish Ministry of Health. Their recognition within the European Union testifies to the quality and reliability of these certifying bodies.

In Poland, the most frequently sought-after medical procedures encompass dental, cosmetic, orthopedic, and bariatric treatments. Impressively, the costs of these treatments are significantly lower than what one would expect to pay in Poland's Western European counterparts. Beyond Poland's vibrant capital, Warsaw, cities such as Krakow, Jelenia Gora, and Wroclaw have emerged as favored destinations among medical tourists.

Popular Parts of Poland

Poland, with a population exceeding 38.5 million, is a nation steeped in rich history and recognized for its whopping fourteen UNESCO World Heritage Sites. Despite frequently being overshadowed in the realm of tourism, the country in reality, boasts of a multitude of alluring attractions waiting to be explored and appreciated.

• Warsaw, Poland’s capital provides tourists with a mix of old and new. Restored Gothic buildings and modern glass structures stand side by side. The city offers a scenic view. Wander around the streets of Old Town to see the oldest part of the city. Warsaw was also the former home of Frederic François Chopin; tourists can retrace his steps by visiting Saxon Garden, where Chopin’s family used to live next door.
• Krakow is Poland’s former capital. The city is full of charms; from cobbled streets, beautiful squares, pretty buildings, churches, and a castle. Wawel Castle, located in the Old Town area, is an architectural wonder with medieval, baroque, and renaissance style. The city has numerous museums that provide insights into its fascinating history.
• Gdansk stands as one of the country's most breathtaking seaside cities. It houses some of the finest museums in Poland and is renowned for its thriving nightlife and diverse culinary scene. Visitors are encouraged to admire the vibrant street art, delve into history at the numerous museums, explore the charms of the Old Town, and embark on a gastronomic adventure with a food tour in Gdynia. In a nutshell, Gdansk offers a rich and memorable travel experience.
• Poznan will amaze tourists once they see its vibrant, playful, and unique treasures. As the birthplace of the Polish nation, the city offers many historical attractions as well as urban green spaces. Tour the Lech Brewery to learn more about the brewing process of beer visit the Old Market Square and find an array of bars and food stalls.
• Wroclaw is not as popular as other cities in Poland. It’s actually full of attractions, incredible architecture, and hidden gems. Tourists will find dwarf statues throughout the city and can go on the dwarf trail. Market Square is the city’s centerpiece that blends colorful buildings and gives a scenic view, especially in winters.

Weather and Climate in Poland

Poland has a temperate climate and sometimes experiences rough weather. Spring starts in late March to May. The season is characterized by a wave of warmer weather with less frequent rain. It is one of the best times to visit Poland because the temperature is comfortable.

Poland's summer season extends from June until August and brings with it a certain unpredictability in weather patterns. The general climate is warm, with temperatures hovering between 18 to 30°C. Amidst sunny spells and elevated temperatures, frequent rain showers and storms are also common phenomena. This period marks the peak of the tourism season and tourists can expect prices to see a corresponding increase. Despite the occasional rains, summer promises a delightful time to experience Poland in all its warmth.

September to November is Autumn, the season where the temperature starts to drop. Late September and October are still warm, while November is cold and wet. Sunny days during this season are known as “Polish Golden Autumn.”

Winter in Poland, which runs from December until early March, can be exceedingly cold. Temperatures often tumble to an average range of 0 to -10°C and can even drop as low as -20°C. Despite the chilly conditions, this is actually the peak season for mountain ski resorts, attracting numerous enthusiasts to take advantage of Poland's picturesque winter landscapes.

Getting Around in Poland

Most international flights arrive at Warsaw Frederic Chopin Airport. It’s Poland’s largest and busiest airport. The airport serves domestic and has International connections with many cities around the world. It is the hub for LOT Polish Airlines. Budget airlines such as Wizz Air and EasyJet also operate flights from this airport. There is a smaller airport, Warsaw Modlin Airport, which handles more budget airlines.

To get to the city center, bus, taxi, and train are available. There are five public buses that stop at Warsaw’s city center; bus 175, bus 188, bus 148, bus 331, and bus N32 (night bus). Taxis are available, but always make sure to use licensed taxi services. The fare from the airport to the city center is around 40 PLN. Chopin Airport is linked to Legionowo and Sulejówek Miłosna by a railway service. Tourists can buy ZTM tickets to ride the bus and train which can be purchased at the Passenger Information Point in the arrivals hall, ticket machines at bus stops and train station entrance, or from bus drivers.

Ample public transportation options simplify getting around in Poland. Trains, in particular, offer an incredibly budget-friendly means of travel. For instance, the journey from Krakow to Warsaw is set to cost approximately 45 PLN and spans a duration of around three hours. Meanwhile, a slightly longer five-hour train journey from Warsaw to Gdansk can be undertaken at a reasonable fare of around 65 PLN. Such connectivity and affordability make exploration within Poland both easy and economical.

Within the cities, local buses in the central zone cost around 4 PLN (a single-fare ticket). Major cities offer one-day tickets for 20 PLN. Taxis are relatively cheap and tourists can get around the city quickly. Taxis are metered and usually start at around 6 PLN to 8 PLN. Unlicensed taxi drivers are most likely to cheat and charge more. There are taxis that put a fake phone number in their cars, be careful and ask your hotel staff for the number of the taxi company they have used previously. Cycling is a good way to explore the scenery in Poland. There are many bike rentals around the country, always be aware of drivers since some are careless.

For cities like Krakow, tourists are highly recommended to secure tourist cards. These cards provide unlimited access to public transportation for a period of one to three days. In addition, they also offer free or discounted admission to several museums. This is a great bargains that grants tourists flexibility and sizable savings to fully relish their visit.

Tourist Visas in Poland

Poland is part of the Schengen Area. Citizens of the United States, Canada, Australia, New Zealand, Japan, Israel, and several other countries do not need to obtain a visa and can stay in Poland for up to 90 days. EU citizens do not need a visa and can stay indefinitely. Other nationalities must check with their local Polish embassy. All visitors must hold a passport valid for at least six months.

Additional Information about Visa in Poland:

• It is important to note that the visa requirements for Poland can change at any time, so it is always best to check with the Polish embassy or consulate in your home country before you travel.
• If you are planning to stay in Poland for longer than 90 days, you will need to apply for a visa. You can do this at the Polish embassy or consulate in your home country.
• When applying for a visa, you will need to provide a number of documents, including a valid passport, proof of travel insurance, and proof of financial means.

Additional Information

1. Local Currency: the official currency is the Polish złoty (PLN). 1 USD converts to 4.21 PLN.
2. Money & Payments: ATMs are available in cities and towns; even small villages should have at least one. The best way to exchange rates is at banks or withdrawing money from ATMs. Credit cards (Visa and MasterCard) are accepted in most hotels and restaurants. Always carry small cash and coins for shops and cafes. Tipping in Poland is mostly optional. In restaurants, 10% is the standard. Room-service staff and porters in hotels expect to be tipped. Taxis don’t expect tips.
3. Local Language: The official language is Polish. Most of the locals in the tourist areas will have decent English. Foreign tourists should be aware that all official information including street signs and directions are only written in Polish.
4. Local Culture and Religion: Christianity is the largest religion in Poland with 87.5% of the population identified as Roman Catholic.
5. Public Holidays: Poland celebrates major Christian holidays such as Christmas and Easter. The country hosts many festivals throughout the year such as St. Dominik’s Fair every July to August, Light & Move Festival every October, and Ice Festival every December.