Dr. Larry Meredith Picard – Neurologist | Toronto, ON

Dr. Larry Meredith Picard is a dedicated Neurologist specializing in the diagnosis and treatment of disorders affecting the brain, spinal cord, nerves, and muscles in adult patients. Practicing at a neurology clinic within a hospital department in Toronto, ON, he is an integral part of the local medical community. Adhering to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), Dr. Picard provides comprehensive neurological care for a wide range of conditions, including headaches, neuropathy, stroke, and cognitive disorders. The clinic offers a supportive environment for patients and families navigating neurological conditions, ensuring compassionate and personalized care.

He graduated with a Medical Degree from the University of Toronto (Canada) and has over 41 years of experience practicing as a Neurologist since 1983. Dr. Picard is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), demonstrating his expertise and commitment to excellence in neurological medicine. His extensive training and experience enable him to accurately diagnose complex neurological issues and develop tailored treatment plans.

Dr. Picard’s clinical philosophy centers on patient-centered care, emphasizing a holistic approach to neurological health. He is dedicated to evidence-based practice, ongoing patient education, and providing support throughout the diagnostic and treatment process. Fluent in English, he strives to offer clear communication and compassionate support to all his patients in Toronto, ensuring they feel valued and well-informed about their neurological health.

Dr. Larry Picard addresses a wide range of neurological conditions, including:

Common Neurological Symptoms (Requiring Evaluation)

• Seizures or Episodes of Loss of Consciousness: Events involving abnormal electrical brain activity or unexplained blackouts requiring neurological assessment.
• Numbness, Tingling & Weakness (Focal or Generalized): Sensory changes or loss of strength in limbs or other body parts, potentially due to nerve or muscle disorders.
• Memory Loss & Cognitive Changes: Difficulties with memory, concentration, language, or problem-solving that interfere with daily life.

Movement Disorders

• Dystonia (Focal, Segmental, Generalized): A movement disorder in which a person's muscles contract uncontrollably, causing repetitive or twisting movements.
• Huntington's Disease & Other Choreas: Inherited or acquired conditions causing involuntary, irregular, and unpredictable muscle movements.
• Restless Legs Syndrome (RLS): A condition characterized by an uncontrollable urge to move the legs, typically because of an uncomfortable sensation.

Stroke & Cerebrovascular Diseases

• Transient Ischemic Attack (TIA) / Mini-Stroke: A temporary blockage of blood flow to the brain, often a warning sign for a future stroke.
• Hemorrhagic Stroke (Intracerebral & Subarachnoid): Occurs when a blood vessel in the brain ruptures and bleeds into or around brain tissue.
• Ischemic Stroke: Occurs when a blood vessel supplying blood to the brain is obstructed, leading to brain cell damage.

This list is not exhaustive. For personalized advice regarding your specific neurological concerns, please consult with Dr. Larry Picard.

• Evoked Potential Studies (Visual, Auditory, Somatosensory): Tests that measure the electrical activity in the brain in response to stimulation of sight, sound, or touch, often used in diagnosing MS and other conditions.
• Intraoperative Neurophysiological Monitoring (IONM) - Consultation/Oversight: Monitoring of nervous system function during surgeries that pose a risk to neurological structures.
• Interpretation of Neurological Imaging (MRI, CT scans): Expert review and interpretation of brain and spinal cord imaging to aid in the diagnosis of neurological conditions.
• Comprehensive Neurological Consultation & Examination: In-depth evaluation of symptoms related to the brain, spinal cord, nerves, and muscles, including detailed medical history, neurological examination, and diagnostic planning.
• Electroencephalography (EEG) - Performance & Interpretation: Recording and analysis of electrical activity in the brain, primarily used to diagnose epilepsy, seizures, and other brain disorders.
• Lumbar Puncture (Spinal Tap) - Performance or Referral & Interpretation: Procedure to collect cerebrospinal fluid for diagnostic testing of conditions like meningitis, encephalitis, MS, or certain neurological infections.
• Management of General Neurological Conditions: Ongoing care for a variety of common neurological issues, including follow-up, medication management, and lifestyle counseling.

Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Picard for care relevant to your needs.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant neurological care guidelines. Contact the clinic regarding new patient intake and referral processes.

Dr. Picard's practice is situated within a well-equipped neurology department in Toronto's Humewood-Cedarvale neighborhood. The facility is conveniently located near the vibrant districts of Distillery District and Cabbagetown, offering easy access for patients from across the city. Public transit options, including TTC (Subway, Streetcar, Bus), serve the area, making it accessible for patients traveling from different parts of Toronto. The facility is wheelchair accessible, ensuring inclusive care for patients with mobility challenges. Paid parking options are conveniently located nearby, providing additional ease for patients attending appointments.

Are consultations and treatments with Dr. Picard, a Neurologist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations with a licensed Neurologist like Dr. Picard, as well as many diagnostic tests (e.g., EEG, EMG, review of MRI/CT scans), are generally covered by Ontario Health Insurance Plan (OHIP) in ON when a referral from a family doctor or another specialist is in place. Coverage for specific medications, especially newer biologic therapies for conditions like MS or migraine, can vary by provincial formularies and may require special authorization. Some specialized procedures or devices may also have specific coverage criteria. It's always best to discuss coverage specifics with Dr. Picard's office or Ontario Health Insurance Plan (OHIP).

Do I need a referral to see Dr. Picard, a Neurologist?

Yes, a referral from your family physician or another specialist is almost always required to see a Neurologist like Dr. Picard for assessment or treatment of a neurological condition. This ensures your care is coordinated, that preliminary investigations may have been done, and that you are directed to the most appropriate specialist for your specific symptoms or suspected diagnosis.

What can I expect at my first appointment with Dr. Picard?

Your first appointment with Dr. Picard will likely be quite thorough. He will take a detailed medical history, including your current symptoms, past illnesses, family history of neurological conditions, and any medications you are taking. A comprehensive neurological examination will be performed, which assesses things like your mental status, cranial nerves (vision, hearing, facial movement), strength, coordination, reflexes, and sensation. Based on this, Dr. Picard may discuss potential diagnoses, order further tests (like an MRI, EEG, or blood work), or suggest initial treatment options. Bring a list of your medications and any relevant medical records or imaging reports if you have them.

How does Dr. Picard manage Parkinson's disease?

Management of Parkinson's disease is aimed at controlling symptoms and improving quality of life. This typically involves medications that increase dopamine levels in the brain (like levodopa) or mimic its effects. Other medications can help with non-motor symptoms. Dr. Picard will also emphasize the importance of exercise, physical therapy, occupational therapy, and speech therapy. For some patients with advanced Parkinson's disease, Deep Brain Stimulation (DBS) surgery may be an option. Care is highly individualized.

What is Multiple Sclerosis (MS) and how is it treated?

Multiple Sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system (brain and spinal cord), leading to a variety of neurological symptoms. Treatment focuses on managing acute relapses (often with corticosteroids), slowing disease progression with disease-modifying therapies (DMTs), and managing symptoms (like fatigue, spasticity, pain, bladder problems). Dr. Picard can provide a comprehensive overview of MS and develop a personalized treatment plan based on your specific type of MS and disease activity. The management of MS often involves immunomodulatory medications, symptom management, and lifestyle counseling to improve quality of life.

Suite 103, 582 St Clair Ave W
Toronto, ON M6C 1A6

Phone: (416) 324-8533 | Fax: (416) 324-9826

The facility is wheelchair accessible.

Dr. Picard is a licensed Neurologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician is typically required for consultations with Dr. Picard for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Picard-Larry-Meredith/0025881-30704