Phone 303-781-0511 | Fax 303-781-0517 | 323 W Drake Rd Suite 200 Fort Collins Colorado 80526


Providing patients with comprehensive DBS care and research since 1998. Excellence, Compassion, Experience by board certified medical specialists. Learn more about our programs and services.


Unparalleled knowledge & experience across the spectrum from recently implanted, optimization, long-term care and troubleshooting problems.

Deep Brain Stimulation Surgery

We prepare our patients for surgery using the highest standards in care and partnering with surgeons with exceptional outcomes and safety.

Empowerment Books

Sharing our patient-centered care philosophy, knowledge & technical experience for anyone wanting to learn more.

High Tech Research

Research is an important contribution to science and future breakthroughs in treatment strategies for our patients and community. We are honored to be a part of device and pharmaceutical research studies. We have published many articles and book chapters that serve to inform patient and scientific communities.

Movement & Neuroperformance Center Colorado

Deep Brain Stimulation Comprehensive Care & Research

Highly Specialized Care

Dr. Monique Giroux is a board certified neurologist that combines medical, rehabilitation and wellness therapies offering holistic, empathic and comprehensive personalized care in Colorado. Dr. Giroux completed her Neurology residency at Yale and movement disorders and PET imaging fellowships at Emory University where she worked with renown Movement Disorders specialists. She studied under deep brain stimulation researchers when the field of stimulation was just beginning. Following her two fellowships in early 1999, Dr. Giroux considered patient-centered comprehensive care ideal for her patients' quality of life and set the course to develop one of the first specialty centers for Parkinson's in Seattle. This was a time when the concept of holistic care was unknown in the field of Movement Disorders. Her interest in the mind-body connection grew out of observations of her patients' capacity for self-healing. Moving toward this complementary side of medicine, she explored mindfulness training under the Jon Kabat Zinn, PhD approach at the University of Massachusetts, completed an extensive mindfulness training certification for professionals at Duke Integrative Medicine at Chapel Hill and studied Therapeutic Yoga at White Lotus. Further shaping the next decade of her evolving care model, Dr. Giroux completed an additional fellowship in Integrative Medicine at the University of Arizona under direction of Dr. Andrew Weil. Dr. Giroux's strong belief that patient-centered care empowers and strengthens resiliency is evident in the hope she inspires in her patients. 

Dr. Giroux is an author of several patient books, national speaker and recognized specialist in Movement Disorders, deep brain stimulation and complementary therapies. Dr. Giroux has participated in research that has shaped best treatments strategies and is currently a principal investigator in the Boston Scientific Vercise INTREPID trial, the latest innovations in deep brain stimulation therapy. A distinguished physician that embraces both high touch and high tech therapies. 

Dr. Giroux is the founder and executive director of The Healthy Living Institute, a non-profit organization dedicated to providing programs and online support for people living with chronic illness. You can learn more at The Healthy Living Institute.

DBS Focused Medical Experts

Sierra Farris PA-C, Deep Brain Stimulation medical and technical specialist since 2000 and director of the Deep Brain Stimulation Care and Troubleshooting Services. We offer a comprehensive team approach including a thorough medical and neurological evaluation, DBS education and surgical risk assessment and monitoring of stimulation and implanted hardware for long-term success. Sierra works closely with exceptional neurosurgeons, board certified neurologists and rehabilitation specialists to maximize the overall success of deep brain stimulation. Microelectrode recording, electrode mapping and testing stimulation in the operating room broadened Sierra's experience and understanding how best to achieve long-term success with deep brain stimulation. Sierra is a master level specialist in troubleshooting DBS problems with goal to optimize stimulation, eliminate stimulation side effects or proceed with lead revision surgery. 

Sierra has extensive experience programming all Medtronic DBS devices, Boston Scientific Vercise neurostimulation system and trained to program the Abbott (formerly St. Jude) Infinity programming platform. Sierra has provided DBS professional training, mentoring and technical consulting since 2004 and authored several informative publications about DBS hardware, neuroethics, long-term care and troubleshooting DBS problems and therapy failures as well as co-author on pivotal DBS publications. Sierra was honored as Alumni of the Year by the Physician Assistant Program at Stony Brook University in New York and recipient of the national Paragon Award for PA MD Partnerships from the American Academy of Physician Assistants. 

Pre-register using our patient portal or call Nicole Mootry at 303-781-0511 to schedule an appointment.

Most recent publication – Rapid Assessment of Gait and Speech

Surgical Neurology International Sierra M. Farris, Monique L. Giroux August 2, 2016 Rapid Assessment of Gait and Speech after Subthalamic DBS Background: Describe a rapid assessment for patients with idiopathic Parkinson's disease (PD) and deep brain stimulation of...

Redefining Life After DBS – Mt Kilimanjaro

What defines our patients? Is it a rating scale, a stage of disease or dose of medication? Should we make allowances or give in to a perceived limitations? Could we alter the disease course with empowerment by raising the bar of expectations? My patients' commonly...

Top Benefits of DBS

What are the top-ten benefits we expect from DBS? The information in this post assumes the stimulation settings are optimized and electrodes are adequately positioned in the brain. Rigidity – muscle stiffness is typically a problem in Parkinson’s and can coincide with...

Patient Guide to Solving DBS Problems

Deep brain stimulation is a complex treatment that requires time and attention beyond the typical medical appointment, especially when there are DBS problems. Decisions about stimulation changes are based on patient reporting of symptoms, medication...

DBS Outcomes – Advocating for better care.

In review of my DBS blog created in May 2013, the most common search that brings someone to the blog include speech and walking problems. My August 2013 post titled "Walking and balance is worse after DBS, What can be done" has been read over 2,000 times. Speech and...

From My Troubleshooting Files – Odd Sensations

Case Study (from my troubleshooting files) A new patient was seen for a second opinion about a funny sensation on their scalp and occasional tingling, heat sensation and minor shock-like sensation in the neck.  The person had been having the sensations for about 6...

Typical and Atypical DBS Side Effects

Deep brain stimulation provides benefit when applied properly and the benefit should persist for decades. Configuring stimulation parameters to optimize benefit while avoiding side effects is paramount to prolonged success and patient satisfaction. Optimal stimulation...

Considering DBS Earlier in Parkinson’s

Deep brain stimulation (DBS) improves overall quality of life and social functioning in patients in earlier stages of Parkinson's disease, according to results of a two-year clinical trial.The study, led by Günther Deuschl, a professor at...

Speech Quality & DBS

Speech & DBS Speech changes are a common symptom of Parkinson's, tremor or dystonia. The cause is multifactorial and typically speech changes occur very slowly over time. (This distinction is important.) Speech can also be altered by deep brain stimulation and is one...

Walking and balance is worse after DBS, what can be done?

Unexpected declines in balance and walking are the two most common problems that result in dissatisfaction and seeking a second opinion after deep brain stimulation. Walking and balance problems jeopardize independence and can lead to injury from falls which calls for...

Deep Brain Stimulation Problems & Failures

Deep Brain Stimulation Problems & DBS Failures      MANAGING DBS PROBLEMS & FAILURES AFTER DEEP BRAIN STIMULATION SURGERY Sierra Farris, MA, MPAS, PA-C Deep brain stimulation (DBS) is a surgical...