Neuromuscular disorders, caused by the nervous system, impair the functioning of muscles and as a result, your muscles weaken and waste away. The weakness can lead to twitching, cramps, aches and pains, and joint and movement problems.
Depending upon the location and nature of the problem, the impairment can cause either spasticity or some degree of paralysis.
Examples of neuromuscular disorders include:
- Amyotrophic lateral sclerosis (ALS)
- Charcot-Marie-Tooth disease
- Muscular dystrophy
- Myasthenia gravis
- Myopathy, including metabolic and mitochondrial myopathies
- Inflammatory myositis, including polymyositis and dermatomyositis
- CIDP and other inflammatory-immune neuropathies
- Paraneoplastic neuromuscular disorders
Neuromuscular disorders can be inherited or caused by a spontaneous gene mutation.
Symptoms will depend on the type of neuromuscular disorder and the areas of the body that are affected. Depending on the disorder, symptoms may initially appear in childhood while others may begin in early or late adulthood.
Symptoms common to neuromuscular disorders include:
- Muscle weakness that can lead to twitching, cramps, aches and pains
- Muscle loss
- Movement issues, either involuntary or lacking
- Balance problems
- Numbness, tingling or painful sensations
- Droopy eyelids
- Double vision
- Trouble swallowing
- Trouble breathing
- EMG and nerve conduction studies including specialized studies such as Volitional Single Fiber EMG, Brachial plexus, Tongue, Abdominal wall and Rectal Sphincter EMG, Pediatric EMG.
- EMG guided Botox injection for dystonia
- Botox injection for Chronic migraine, post-herpetic neuralgia, and Axillary hyperhidrosis
- Occipital nerve block and trigger point injection
- Consultation and management of Neuromuscular diagnosis