Shea, Paul F, MD

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Physicians & Surgeons, Mental Health Services, Physical Therapists

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Today: 9:00 am - 5:00 pm

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98 Years

in Business

(901) 761-9720Call Visit WebsiteVisit Website Map & DirectionsDirections6133 Poplar PikeMemphis, TN 38119 Write a ReviewWrite Review

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Hours

Regular Hours

Mon - Fri:	9:00 am - 5:00 pm

Places Near Memphis with Physicians & Surgeons

Germantown (5 miles)
East Memphis (8 miles)
Cordova (10 miles)
Ellendale (15 miles)

Accepted Insurance

Shea, Paul F, MD has not yet specified accepted insurance plans.

Specialties

Additional Specialties: Otorhinolaryngology

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Extra Phones: TollFree: (888) 266-9734
Payment method: master card, visa
AKA: DR Paul F Shea MD
Other Link: http://www.sheaclinic.com
Categories: Physicians & Surgeons, Mental Health Services, Physical Therapists, Physicians & Surgeons, Allergy & Immunology, Physicians & Surgeons, Cosmetic Surgery, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Emergency Medicine, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Neurology, Physicians & Surgeons, Ophthalmology, Physicians & Surgeons, Otorhinolaryngology (Ear, Nose & Throat), Physicians & Surgeons, Pain Management, Physicians & Surgeons, Plastic & Reconstructive, Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Radiology, Skin Care

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Phone: (901) 761-9720

Address: 6133 Poplar Pike, Memphis, TN 38119

Website: http://www.sheaclinic.com

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Shea, Paul F, MD

General Practitioners

Headaches
Sinusitis
Primary Care
Migraine and its variants must be addressed in the clinical setting by a combination of medical management and comprehensive testing and rehabilitation techniques that offer the most complete and lasting benefit to the patient. Traditionally, patients with recurrent vertigo associated with migraine are seen in consultation by neurologists. Otolaryngologists and internists are now becoming more familiar with this condition, but there remains a huge gap between those who care for migraine patients (with or without associated vertigo) and those who have remained “old school”—that is, not recognizing the peripheral and central vestibular components of migraine. Patients with migraine associated vertigo (MAV) are often seen by audiologists and vestibular rehabilitation therapists for evaluation and treatment. These paramedical specialists are frequently needed to help the primary care doctor make a diagnosis of MAV. After an initial, thorough subjective history is obtained, including a recitation of ongoing symptoms and disruption of activities of daily living, a battery of tests is typically performed, to determine a plan of care for optimized therapy. There are a large number of methods available for testing patients with MAV, and an optimal testing protocol is yet to be determined for this population. Some combination of computerized audiological and vestibular-function tests is typically employed, including positional testing with video-oculography; oculomotor and VOR (vestibulo-ocular reflex) assessments with gaze stability and/or dynamic visual acuity testing; horizontal canal testing with vENG (video electronystagmography), with calorics or rotational chair testing (preferred); audiogram and ABR (auditory brainstem response test); functional balance and gait assessments with CDP (computerized dynamic posturography); and VEMP. In our clinic, a review of results obtained from such tests with MAV patients reveals a combination of findings that are attributable to both central processes and peripheral vestibular functions. An important component of the evaluation is reliable documentation of the degree of limitation of daily functional capacities. A number of questionnaires and inventories have been employed for this purpose, including the Jacobsen Dizziness Inventory, Dynamic Gait Index, Activities-Specific Balance Confidence Scale, Timed Up and Go test, and others.
Ear Infections
Vestibular neuritis and labyrinthitis are disorders resulting from an infection that inflames the inner ear or the nerves connecting the inner ear to the brain. This inflammation disrupts the transmission of sensory information from the ear to the brain. Vertigo, dizziness, and difficulties with balance, vision, or hearing may result. Infections of the inner ear are usually viral; less commonly, the cause is bacterial. Such inner ear infections are not the same as middle ear infections, which are the type of bacterial infections common in childhood affecting the area around the eardrum.
Emergency Care
Acute phase: Onset of symptoms is usually very sudden, with severe dizziness developing abruptly during routine daily activities. In other cases, the symptoms are present upon awakening in the morning. The sudden onset of such symptoms can be very frightening; many people go to the emergency room or visit their physician on the same day.
Immunizations
The risks of cochlear implantation include the risk of any surgical procedure involving general anesthesia, as well as bleeding, infection, spinal fluid leak, change in taste, and facial nerve weakness. However, the likelihood of one of these events is very small and cochlear implantation is, in general, a well-tolerated procedure. Post-operative pain and discomfort from the incision behind the ear is minimal. Most patients resume normal activities in a few days. On very rare occasions, the device may malfunction or extrude (come out through the skin), necessitating another operation to replace or remove the device. There is also a small risk of bacterial meningitis with a cochlear implant, so all patients are required to have a vaccination for meningitis prior to their cochlear implant surgery. This vaccine is not offered at the Shea Clinic, so you will be given a prescription for the vaccine, which you can obtain through your primary care provider or your local health department.

Ophthalmologists

Macular Degeneration
Seeing your eye doctor to make sure your glasses are the correct prescription is essential. If you have bifocal or progressive lenses, you may want to get a pair of glasses with only your distance prescription for outdoor activities, such as walking. Sometimes progressive lenses can make things seem closer or farther away than they really are, which is especially risky when walking down steps or slopes. It is also important to be screened for diabetes, cataracts, macular degeneration or neuropathy.
Cataracts

Multiple Sclerosis
When patients participate in VR, different factors can impact the potential for recovery. For example, the type of vestibular disorder affects recovery. Patients that have a stable vestibular disorder, such as vestibular neuritis or labyrinthitis, have the best opportunity to have a satisfactory resolution of symptoms. When patients have a progressive vestibular disorder, like with multiple sclerosis, or a fluctuating condition, like with Migraine and Meniere’s, which causes spontaneous attacks of dizziness or vertigo, compensation can be difficult to achieve, and therefore, success with VR is more difficult. There are also differences in response to VR depending on whether you have one or both inner ears involved, or whether the problem lies within the vestibular parts of the brain as opposed to the ear(s).
Epilepsy
The emergence of new technologies, such as functional/dynamic imaging studies, has shown promise in documenting the evol functional/ dynamic imaging studies, has shown promise in documenting the evolution of the migraine processes. As a result, a better understanding of the vascular and neural processes of migraine has been developed. The consensus is that the types of headache outlined above—especially migraine/vascular types—are related to a mixed pathophysiology, with cerebral spreading depression of Leão (a spontaneous spreading of an electrical charge along the cortex) followed by activation of pain receptors located in the brainstem, not far from the vestibular apparatus. The release of neurotransmitters then leads to the dilation of blood vessels near the scalp and other structures outside of the brain substance. Migraine is also thought to be an inherited disorder giving rise to a “vulnerability” to an abnormal discharge of neurons (different from that seen in epilepsy) that preferentially affects brainstem regions and is triggered by a chemical event.9 The vascular theory has been long accepted (and is perhaps better understood), which may make it difficult for some practitioners to accept the neural components and associated vestibular manifestations. The exact mechanisms of migraine are still not completely understood. But since migraine pathophysiology has been shown to be not solely vascular, and is now thought to be a combination of altered vascular and neural processes, migrainerelated vestibulopathy is easier to accept and to treat.

Depression
Anxiety

Endocrinologist

Diabetes Care

MRI
An acoustic neuroma is diagnosed with an MRI scan of the brain with gadolinium (contrast dye). This is generally ordered when a patient’s hearing test demonstrates loss that is significantly poorer in one ear than the other or when the patient has had a sudden decrease in the hearing in only one ear. Sometimes acoustic neuromas are discovered incidentally when an MRI of the brain is ordered for some other reason. If you have been diagnosed with an acoustic neuroma, your doctor will likely refer you to a neurotologist
Computed Tomography
CT imaging: High-resolution CT scans of the temporal bones are very useful in making the diagnosis of SSCD. These scans demonstrate the opening in the bone that should cover the superior canal. Care must be exercised, however, because such scans may miss a thin layer of intact bone overlying the canal. Applying specific parameters for the CT imaging can improve the specificity of the scans (Belden et al. 2003), but false positives can still occur, even with the highestresolution scans. Individuals who are suspected of having SSCD are strongly urged to have their CT scans performed at a center experienced in the diagnosis of SSCD. It must be emphasized that even with these scans, the diagnosis depends upon characteristic clinical findings and other physiologic tests.
Chemotherapy
A decline in inner ear function may be caused by a number of conditions, including normal aging, benign paroxysmal positional vertigo (BPPV), infection, Meniere’s disease, or diminished blood flow to specialized nerve cells. Additionally, certain medications such as some antibiotics for severe infections and chemotherapy may damage the inner ear, resulting in temporary or permanent hearing loss, impaired balance, and trouble seeing clearly while in motion. Feelings of dizziness, vertigo, imbalance, and disequilibrium may indicate that the inner ear is not functioning correctly.
Radiation Therapy

Otolaryngology
Shea Clinic specializes in otolaryngology and proudly serves the Memphis area. Our emphasis is on state-of-the-art treatment of the ear, hearing and balance system, otherwise referred to as ENT. Our physicians, nurses, audiologists and administrative staff collaborate to discover the best solutions for each patients’ specific needs.

Plastic Surgeons

Botox
When the muscles in the throat or in the esophagus don’t work properly or in conjunction swallowing difficulties or even pain may result. Treatment is based upon on how severe the symptoms might be, and how they respond to other types of treatment. Some treatments include certain types of stomach acid medication, and possibly Botox or medication for the affected area. Endoscopic surgery may also be an option. In the case of stricture (narrow or tight places in the esophagus, one might need a balloon dilation to the esophagus as well.
Liposuction
Rhinoplasty
Plastic Surgery
John R. Emmett, M.D. joined the Shea Clinic staff in 1976, retired in 2019, became a partner, and carried on the long tradition of excellence in otology at the Shea Clinic. Dr. Greg Staffel joined the clinic in 1998 and specializes in general otolaryngology and facial plastic surgery. Dr. Chris Hall, specializing in general otolaryngology and facial plastic surgery, and Dr. Victoria Lim, specializing in general otolaryngology, joined the Shea Clinic physician staff in 2018.
Otoplasty
Cosmetic Surgery
The Shea Clinic Ear Nose & Throat offers complete and comprehensive cosmetic surgery in one location. With the increased popularity of cosmetic surgery, patients face an array of options and decisions.

Cyst
Skin Care

Physical Therapists

Physical Therapy
Testing and treatment during the chronic phase: If symptoms persist, further testing may be appropriate to help determine whether a different vestibular disorder is in fact the correct diagnosis, as well as to identify the specific location of the problem within the vestibular system. These additional tests will usually include an audiogram (hearing test); and electro-nystagmography (ENG) or videonystagmography (VNG), which may include a caloric test to measure any differences between the function of the two sides. Vestibular evoked myogenic potentials (VEMP) may also be suggested to detect damage in a particular portion of the vestibular nerve. Physicians and audiologists will review test results to determine whether permanent damage to hearing has occurred and whether hearing aids may be useful. They may also consider treatment for tinnitus if it is present. If symptoms of dizziness or imbalance are chronic and persist for several months, vestibular rehabilitation exercises (a form of physical therapy) may be suggested in order to evaluate and retrain the brain’s ability to adjust to the vestibular imbalance. Usually, the brain can adapt to the altered signals resulting from labyrinthitis or neuritis in a process known as compensation. Vestibular rehabilitation exercises facilitate this compensation. In order to develop effective retraining exercises, a physical therapist will assess how well the legs are sensing balance (that is, providing proprioceptive information), how well the sense of vision is used for orientation, and how well the inner ear functions in maintaining balance. The evaluation may also detect any abnormalities in the person’s perceived center of gravity. As part of assessing the individual’s balancing strategies, a test called computerized dynamic posturography (CDP) is sometimes used. After the evaluation, personalized vestibular rehabilitation exercises are developed. Most of these exercises can be performed independently at home, although the therapist will continue to monitor and modify the exercises. It is usually recommended that vestibular-suppressant medications be discontinued during this exercise therapy, because the drugs interfere with the ability of the brain to achieve compensation. The exercises may provide relief immediately, but a noticeable difference may not occur for several weeks. Many people find they must continue the exercises for years in order to maintain optimum inner ear function, while others can stop doing the exercises altogether without experiencing any further problems. A key component of successful adaptation is a dedicated effort to keep moving, despite the symptoms of dizziness and imbalance. Sitting or lying with the head still, while more comfortable, can prolong or even prevent the process of adaptation.
Neck Pain

Allergies
Our emphasis is on state of the art treatment for diseases of the ear, hearing, and balance system, as well as disorders of the nose, throat, and sinuses in adults and children. Our list of services also includes facial and cosmetic plastic surgical procedures, which are performed in our ambulatory surgery center, allergy testing and treatment, and a state of the art hearing aid center.

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