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Neuromuscular Diseases

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Neuromuscular diseases damage the nerves that control muscles. The brain sends messages through the nerves to the muscles telling them to move. Neuromuscular diseases disrupt the messages and affect movement. Over time, muscles can weaken or waste away.

Types of neuromuscular diseases include:

Symptoms of a neuromuscular disease can include:

  • Pain
  • Numbness and tingling
  • Muscle cramps and twitching
  • Problems with balance
  • Problems with memory or judgement
  • Trouble breathing
  • Problems eating and swallowing

If you have a neuromuscular disease, contact a physiatrist (physical medicine and rehabilitation doctor) at the University of Miami Health System. We’ll get you moving to your best ability, and stronger than before.

Why Choose UHealth?

Neuromuscular expertise. Our diverse faculty provides comprehensive and compassionate care to patients with a broad range of neuromuscular diseases, as well as both electrodiagnostic and neuromuscular pathology services. The neuromuscular team works out of the Kessenich Family ALS Clinics, the adult and pediatric Muscular Dystrophy Association (MDA) Clinics and the University of Miami Electromyography Laboratory.

Leading neuromuscular programs in South Florida. The Department of Physical Medicine and Rehabilitation is part of the Kessenich Family Amyotrophic Lateral Sclerosis Center and the Muscular Dystrophy Association Clinic for children and adults. Your care comes from one of the most trusted and experienced providers in South Florida.

Top-rated neurology team. Our team has more than 70 renowned research and clinical faculty in most of the neurological sub-specialties. Together with UHealth’s expert neurosurgeons, U.S. News and World Report ranked us in the top 50 among teams in the country, and our department ranked in the top 16 in NIH funding.

High case volume. Our neurologists are experienced and knowledgeable. The number of patients our department has cared for is impressive; as an example, there are about 2,500 patients with movement disorders, 2000 patients with multiple sclerosis, 1000 patients with cognitive impairment, 1500 with stroke and about 300 patients with amyotrophic lateral sclerosis (ALS).

Clinical and laboratory research. The physicians and scientists within the department also conduct cutting-edge clinical and basic science laboratory research in a variety of program areas including cerebrovascular disease; ALS and other neuromuscular diseases; epilepsy; genetic and mitochondrial diseases of the nervous system; movement disorders and degenerative diseases; neuro-pharmacology; and neurophysiology. 

Centers of Excellence. The Neurology department is considered a Center of Excellence with clinical and research focus on Parkinson’s Disease (PD) and Multiple Sclerosis (MS). This esteemed qualification is fostered by long-term collaborations with the National Parkinson Foundation and the National MS Society.

Specialized, comprehensive rehab services. We have special programs in rehabilitation psychology and neuropsychology. From restoring your physical and emotional health, to providing education for prevention and wellness, we’re here for all your needs.

Multispecialty care with teams built around your condition. Our rehabilitation team works closely with orthopedic specialists and surgeons, neurologists, neurosurgeons, and others to customize your treatment plan. You have access to the latest approaches to managing pain, including minimally invasive and non-surgical treatments like neurostimulation and interventional spine procedures, all in one place. And, you get a faster diagnosis and better care when we’re all working together for you.

Questions? We're here to help.

Our appointment specialists are ready to help you find what you need. Contact us today.

Treatments

  • Neurostimulation

    Neurostimulation, also called electrical stimulation, uses low-voltage electricity to stop the nerve impulses that cause pain. Examples include transcutaneous electrical nerve stimulation (TENS), applied on the skin over nerve endings, and spinal cord stimulation (SCS), which is inserted under the skin.

  • Interventional spine procedures

    These procedures use image-guided technology to deliver steroids and medications right to the pain source. Selective epidural injections, cervical facet injections, cervical selective nerve blocks, and discograms reduce pain and inflammation in the neck. This treatment is usually prescribed with physical therapy or exercise.

  • Ultrasound-guided injections

    Ultrasound imaging allows doctors to view nerves, bones, tendons, and muscles. Combining this technology with injection therapy means we can deliver medicines to the exact trigger point to relieve pain and inflammation. Steroids and platelet-rich plasma injections are commonly used to treat neuromusculoskeletal pain.

  • Radiofrequency ablation

    Radiofrequency ablation (RFA) is a minimally invasive procedure that uses heat from radio waves to damage nerve tissues, disrupting their ability to send pain signals. This is performed on the facet joints in the spine.

  • Spasticity management

    Therapies for spasticity relax muscle tightness and stiffness with medicines. Therapies include targeted botulinum toxin (Botox®) injections for specific muscles, and intrathecal baclofen pumps that deliver medicine to the spinal fluid.


Tests

  • Electrodiagnostics

    Electroneurophysiological testing is done with current and electrodes to determine nerve and muscle function/dysfunction and damage. Tests include electromyography (EMG) and nerve conduction studies (NCS).

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry First Health PPO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • Doctor's Healthcare Plan
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Community Care (FCC)
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Seasons Hospice
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care