Nerve & Muscle disorders

Neuromuscular disease is a very broad term that encompasses many diseases and ailments that impair the functioning of the muscles, either directly, being pathologies of the voluntary muscle, or indirectly, being pathologies of nerves or neuromuscular junctions.

Progressive muscle weakness along with sensory paresthesias (tingling/ numbness) is the predominant symptoms of these disorders. Many of these disorders are treatable if the treatment is initiated early and appropriately. In fact, further disability can be stopped and potentially reversed. Finding out the exact nature of the disorder will also allow you to understand all the implications of your disease and, if it’s hereditary, what it might mean for your family and offspring. We treat the full scope of neuromuscular disorders, including:

  • Diabetic neuropathy – nerve damage caused by diabetes
  • Amyotrophic lateral sclerosis (Lou Gehrig’s Disease) and other motor neuron diseases – destroys cells that control voluntary muscle activity
  • Toxic neuropathy – pain and weakness caused by toxic substances
  • Small fiber neuropathy – affects the nerve endings of the skin
  • Autonomic neuropathies – damage to nerves that affects the heart, blood pressure, body temperature, digestion and more
  • Muscular disorders, hereditary:
    • Congenital myopathies – muscle weakness existing at birth
    • Muscular dystrophy – a group of disorders involving muscle weakness
    • Metabolic myopathies – breakdown of muscles, cramping syndromes, exercise intolerance, including mitochondrial disorders
  • Muscular disorders, acquired:
    • Inclusion body myositis – inflammatory muscle disease includes weakness and difficulty swallowing
    • Dermatomyositis – inflammatory muscle disease includes muscle weakness and skin rash
    • Polymyositis – includes muscle weakness and inflammation
    • Necrotizing myopathy – extensive muscle destruction
  • Neuromuscular junction disorders (dysfunction at location where nerves connect with muscles):
    • Myasthenia gravis – communication problem between nerves and muscles results in muscle weakness and muscle fatigue
    • Lambert-Eaton Syndrome – often coincides with cancer, causing muscle weakness To help us determine the best treatment, we do electrodiagnostic studies (NCV/EMG) at our Electroneuromyography Laboratory. Treatment varies widely, depending on your diagnosis and other factors. Some treatment options include medical therapy, including steroids, immunosuppressive drugs, pain management and assistive devices.