About
Dr. Michael Krelina 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 the Peterborough Regional Health Centre in Ottawa, ON, he is an integral part of the local medical community. He provides comprehensive care for a wide range of neurological conditions, including headaches, neuropathy, stroke, and cognitive disorders. Dr. Krelina's practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that patients receive safe and effective neurological care tailored to their individual needs.
He graduated with a Medical Degree from the University of Ottawa in Canada and has been practicing as a Neurologist since 1982, bringing over 42 years of specialized experience to his patients. Dr. Krelina is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), reflecting his commitment to maintaining the highest level of clinical expertise and professional integrity.
His clinical philosophy centers on patient-centered care, emphasizing a holistic approach to neurological health. He believes in evidence-based practice, ongoing patient education, and providing support to empower individuals navigating neurological conditions. Fluent in English and Czech, Dr. Krelina is dedicated to building trusting relationships with his patients in Ottawa, ensuring they feel heard, informed, and supported throughout their treatment journey.
Dr. Michael Krelina addresses a wide range of neurological conditions, including:
Common Neurological Symptoms (Requiring Evaluation)
- Memory Loss & Cognitive Changes: Difficulties with memory, concentration, language, or problem-solving that interfere with daily life.
- Persistent or Severe Headaches / Migraines: Head pain that is frequent, debilitating, or associated with other neurological symptoms like aura or nausea.
- Dizziness, Vertigo & Balance Problems: Sensations of spinning, unsteadiness, or lightheadedness that may indicate an underlying neurological issue.
Neuromuscular Diseases
- Myasthenia Gravis: A chronic autoimmune neuromuscular disease characterized by varying degrees of weakness of the skeletal (voluntary) muscles of the body.
- Guillain-Barré Syndrome (GBS): A rare neurological disorder in which the body's immune system mistakenly attacks part of its peripheral nervous system.
- Muscular Dystrophies (e.g., Duchenne, Becker, Myotonic Dystrophy): A group of genetic diseases that cause progressive weakness and loss of muscle mass.
Stroke & Cerebrovascular Diseases
- Carotid Artery Stenosis (Symptomatic): Narrowing of the carotid arteries in the neck, increasing stroke risk if it causes neurological symptoms.
- Ischemic Stroke: Occurs when a blood vessel supplying blood to the brain is obstructed, leading to brain cell damage.
- Cerebral Venous Sinus Thrombosis (CVST): A blood clot in the dural venous sinuses, which drain blood from the brain.
This list is not exhaustive. For personalized advice regarding your specific neurological concerns, please consult with Dr. Michael Krelina.
- Second Opinion Consultations for Neurological Disorders: Providing expert second opinions on complex neurological diagnoses and proposed treatment plans to ensure informed patient decision-making.
- Intraoperative Neurophysiological Monitoring (IONM) - Consultation/Oversight: Monitoring of nervous system function during surgeries that pose a risk to neurological structures.
- Management of General Neurological Conditions: Ongoing care for a variety of common neurological issues, including follow-up, medication management, and lifestyle counseling.
- 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.
- 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.
- 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.
- Electromyography (EMG) & Nerve Conduction Studies (NCS) - Performance & Interpretation: Diagnostic tests to assess the health of muscles and the nerve cells that control them (motor neurons), helping diagnose nerve damage, muscle diseases, and radiculopathies.
Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Krelina 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.
The Peterborough Regional Health Centre in Ottawa's Lower Town, Sandy Hill East, ByWard Market neighborhood serves as a key medical facility housing Dr. Krelina’s neurological practice. This specialized unit within the hospital provides essential neurological care close to major urban amenities, including the Glebe Shopping District and Billings Bridge Shopping Centre. Patients can access the facility via OC Transpo (O-Train LRT, Bus), with the hospital being wheelchair accessible. Parking is available at or near the facility, ensuring convenient access for all patients seeking expert neurological evaluation and treatment in Ottawa.
- Are consultations and treatments with Dr. Krelina, a Neurologist, covered by Ontario Health Insurance Plan (OHIP) in ON?
- Medically necessary consultations with a licensed Neurologist like Dr. Krelina, 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. Krelina's office or Ontario Health Insurance Plan (OHIP).
- Do I need a referral to see Dr. Krelina, a Neurologist?
- Yes, a referral from your family physician or another specialist is almost always required to see a Neurologist like Dr. Krelina 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 does a Neurologist do for stroke patients?
- For acute ischemic stroke, neurologists in a hospital setting are involved in rapid diagnosis and administration of time-sensitive treatments like thrombolysis (clot-busting medication) or coordinating endovascular thrombectomy. After a stroke or TIA (transient ischemic attack), a neurologist like Dr. Krelina focuses on identifying the cause and implementing strategies for secondary prevention to reduce the risk of future strokes. This includes managing risk factors like high blood pressure, diabetes, high cholesterol, atrial fibrillation, and recommending antiplatelet or anticoagulant medications and lifestyle changes.
- How are migraines typically managed by a Neurologist?
- Migraine management is multifaceted. Dr. Krelina will work with you to identify triggers, discuss lifestyle modifications (diet, sleep, stress management), and recommend acute treatments to stop a migraine when it occurs (e.g., triptans, CGRP antagonists). For frequent or severe migraines, preventive treatments may be prescribed, which can include oral medications, botulinum toxin (Botox) injections, or newer CGRP monoclonal antibodies. A personalized treatment plan is key.
Peterborough Regional Health Centre
117 Murray Street
Ottawa, ON K1N 5M5
Phone: (613) 562-1972 | Fax: (613) 224-4466
The facility is wheelchair accessible.
Dr. Krelina 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. Krelina 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/Krelina-Michael/0026229-31052