@wishingwell
I'm glad to hear that my previous suggestions have been helpful to you. I had spondylolisthesis as well and fusion was required to stabilize my spine since the vertebrae were slipping over the vertebrae below.

Given your situation and the need for a diagnostic neurologist in Maryland, here are some highly regarded options:

1. University of Maryland Medical Center (UMMC)
Specialties: Comprehensive care for neurological disorders, including spine and nerve conditions.
Contact: Call 410-328-4323 to make an appointment.
Location: 22 S. Greene Street, Baltimore, MD 21201.
Reputation: Known for its pioneering work in neurology and close collaboration with neurosurgeons.

2. Maryland Neurological Center
Services: Full-service neurology practice focusing on prevention, diagnosis, and treatment of neurological disorders.
Location: 11085 Little Patuxent Parkway, Suite 212, Columbia, MD 21044.
Website: Maryland Neurological Center

3. The Neurology Center
Overview: A premier independent provider of neurological services in the DC Metro area, offering a range of diagnostic services.
Physicians: Includes several board-certified neurologists with excellent patient reviews.
Website: The Neurology Center

4. MedStar Health Neurology
Notable Physicians:
Dr. Jerold Fleishman: Highly rated with a focus on various neurological conditions.
Dr. Anvi Gadani: Specializes in movement disorders and memory disorders.
Location: Multiple locations across Maryland.
Website: MedStar Health Neurology

It may be beneficial to schedule consultations with a couple of these specialists to find the best fit for your needs. You may ask your orthopedic surgeon which neurologists/neuromuscular specialists they recommend for EMG/nerve conduction studies.

Check with your insurance provider to ensure coverage for the neurologist you choose.

I hope this information helps you find the right neurologist to address your concerns. Wishing you the best in your journey toward better health!

P.S. Here is what AI says about how steroids and biologics affect bone health.

“ Yes, both steroids and biologics can have significant effects on bone health, but they do so in different ways.
Steroids
Impact on Bone Density: Long-term use of corticosteroids (like prednisone) is known to decrease bone density, leading to an increased risk of osteoporosis and fractures. This is because steroids can inhibit the formation of new bone and increase bone resorption.
Mechanism: Steroids affect calcium absorption in the intestines and increase calcium excretion in the kidneys, which can lead to lower calcium levels in the body. They also interfere with the function of osteoblasts, the cells responsible for bone formation.
Biologics
Impact on Bone Health: The effects of biologics on bone health can vary depending on the specific medication and the underlying condition being treated. Some biologics, particularly those used for autoimmune diseases like rheumatoid arthritis, may help improve bone health by reducing inflammation and preventing joint damage.
Specific Biologics:
TNF Inhibitors (e.g., etanercept, infliximab): These can help reduce inflammation and may have a neutral or even positive effect on bone density in some patients.
IL-6 Inhibitors (e.g., tocilizumab): These may also help in reducing inflammation and protecting bone health.
RANKL Inhibitors (e.g., denosumab): These are specifically designed to prevent bone loss and are often used in patients with osteoporosis.
Conclusion
Monitoring: If you are on long-term steroids, it's important to monitor bone health through DEXA scans and consider preventive measures such as calcium and vitamin D supplementation, weight-bearing exercises, and possibly medications to protect bone density.
Consultation: Always discuss with your healthcare provider about the risks and benefits of your treatment options, especially regarding bone health, and consider regular assessments to manage any potential side effects effectively.”