Neuromuscular Disorders

Peter O'Donnell Jr. Brain Institute

Appointment New Patient Appointment or 214-645-8300

UT Southwestern Medical Center’s neuromuscular specialists are experts in the diagnosis and treatment of neuromuscular disorders, and we’re active in research to develop new therapies. Our large team of physicians is board-certified in both neurology and neuromuscular medicine and supported in our clinics by experienced nurses and nurse practitioners.

While we treat all neuromuscular disorders, our group has particular expertise in amyotrophic lateral sclerosis (ALS, or Lou Gehrig’s disease), myasthenia gravis, muscular dystrophy, immune-mediated neuropathies, myositis, and autonomic disorders. 

Why Choose UT Southwestern for Neuromuscular Disorder Care?

Neuromuscular disorders are caused by nerves and muscles not functioning correctly. Typical symptoms of these disorders are weakness and changes in sensation.

UT Southwestern’s physicians utilize the latest treatments for neuromuscular disorders, developed using the groundbreaking research conducted here. Our team has nationally and internationally recognized leaders in myasthenia gravis, skeletal muscle channelopathies, autonomic disorders, and myopathies.

Our patients have access to a multidisciplinary team of health care providers and a full range of neurodiagnostic tests, such as nerve conduction studies; electromyography; autonomic testing; and skin, nerve, and muscle biopsies. Through our expert use of these and other assessments, we provide the most accurate diagnoses and compassionate, effective care.

Our myotrophic lateral sclerosis (ALS) and muscular dystrophy multidisciplinary clinics are supported by a Clinical Care Center Grant from the Muscular Dystrophy Association (MDA) and have been funded for over 30 years for their excellence. We are also a Guillain-Barré syndrome/Chronic inflammatory demyelinating polyneuropathy (GBS/CIDP) Center of Excellence. 

What Are the Symptoms of Neuromuscular Disorders?

Symptoms can vary from mild to debilitating and are sometimes progressive. They include:

  • Pain
  • Weakness
  • Numbness
  • Difficulty swallowing
  • Difficulty speaking
  • Muscle cramps
  • Lightheadedness
  • Muscle atrophy
  • Difficulty breathing

What Conditions Are Included Under Neuromuscular Disorders?

Common neuromuscular diseases treated at UT Southwestern include: 

Amyotrophic lateral sclerosis (ALS)

Often called “Lou Gehrig’s disease,” ALS is one of the more common neuromuscular disorders. The disease involves a breakdown of motor neurons that work to control voluntary muscle movements. While there is no cure for ALS, UT Southwestern physicians provide the latest therapies and treatments that can help slow the disease’s progress and manage its symptoms. 

Our multidisciplinary ALS team includes specialists in neuromuscular neurology, neuropalliative care, and physical medicine/rehabilitation, as well as physical therapy, occupational therapy, speech therapy, nutrition, respiratory therapy, social work, counseling, and equipment/orthotics specialists.

Autonomic disorders

This diverse group of diseases affects the automatic functions of the body. When the autonomic nervous system is not working properly, patients can develop a number of symptoms, such as lightheadedness and fainting, inability to sweat, constipation, bladder problems, and dry mouth. These disorders can be diagnosed with testing that is available only at specialized centers like UT Southwestern, where our physicians provide effective treatment.

Muscular dystrophies (MD)

MD is a group of more than 30 disorders that cause progressive weakness of muscles. While no treatment for reversing the effects of these disorders exists, UT Southwestern physicians can provide several treatments and therapies for improving a patient’s outlook.

Our nationally recognized MDA Clinic serves patients from North Texas, Oklahoma, Arkansas, and Louisiana and is funded by a Care Center Grant from the Muscular Dystrophy Association.

Our patients benefit from a multispecialty care team that includes experts in neuromuscular neurology, neuropalliative care, and physical medicine/rehabilitation, as well as occupational therapy, pharmacy, speech therapy, nutrition, respiratory therapy, social work, and counseling. When needed, a patient’s care includes evaluation by heart and lung doctors as well as physical therapy and recommendations for assistive devices. 

Myasthenia gravis (MG)

MG is an autoimmune disease caused by antibodies that interrupt communication between nerve impulses and muscles, resulting in muscle weakness and fatigue. Treatments for myasthenia gravis include surgical options and medications to reduce antibody levels and improve nerve transmission.

Neurologists at UT Southwestern are recognized experts in the diagnosis and treatment of MG and are involved in clinical research studies to evaluate new therapies. Our patients have access to advanced diagnostics, including single-fiber electromyography (EMG) and diaphragm EMG.

Our multidisciplinary team includes neuromuscular specialists, as well as UT Southwestern experts from cardiothoracic surgery, physical medicine, pulmonology, and transfusion medicine. The team treats about 200 patients per year from throughout the region.

Peripheral neuropathies (PN)

These disorders cause damage to nerve fibers. Common symptoms of PN include numbness of the feet and fingers, weakness, and unsteadiness. Neurologists in the Neuromuscular Disorders Clinic are experts at identifying the cause of PN and recommending effective treatment.

In addition to these conditions, specialists in the clinic also treat inflammatory neuropathies (such as Guillain-Barré syndrome; chronic inflammatory demyelinating polyradiculoneuropathy, or CIDP; and others), inflammatory and metabolic myopathies, motor neuron diseases, stiff person syndrome, peripheral neuropathy, inflammatory myopathy, dysautonomia, and many other disorders.

What Testing and Treatment Options Are Available for Neuromuscular Conditions?

UT Southwestern provides routine and advanced diagnostic services to diagnose neuromuscular disorders; these include:

  • Nerve conduction studies
  • Routine and single-fiber electromyography
  • Quantitative autonomic testing, known as autonomic reflex screen (ARS)
  • Skin biopsy for determination of small fiber nerve density
  • Muscle biopsy
  • Genetic testing
  • Antibody testing for autoimmune neuromuscular conditions
  • Ultrasound to examine nerves and muscles

Our specialists identify how patients’ neuromuscular and neurological conditions are related, enabling us to tailor the treatments to the conditions.

While not all neuromuscular disorders have specific therapies available, a number of these diseases can be treated, often with immunosuppressive medications. We also offer an infusion clinic and plasma exchange service for patients with immune-mediated disorders.

Patients receive care from a complete team – neurologists, physical therapists, speech pathologists, respiratory therapists, pulmonologists, psychologists, dietitians, and social workers. These specialists help patients access all needed therapies and rehabilitation services to improve symptoms, increase mobility, and lengthen life.

What Rehabilitation and Support Services Are Available?

Whether symptoms are mild or severe, anyone with neuromuscular disorders can benefit from neurological rehabilitation at UT Southwestern. Our rehabilitation program strives to help patients participate in activities at work, at home, and in the community.

Our multidisciplinary team approach to rehabilitation is designed to address the physical and psychological management of the condition. Our rehabilitation team includes physicians, nurses, neuropsychologists, psychologists, and occupational, physical, recreational, vocational, and speech therapists. 

Our palliative program helps patients with neuromuscular disorders that cause disability, pain, and loss of independence. Support and guidance can help patients maintain a good quality of life for as long as possible. Care focuses on diagnosis and management of disease-related symptoms, advance care planning and medical decision-making, and optimal supportive care throughout all stages of disease.

What Clinical Trials and Ongoing Research Does UT Southwestern Offer for Neuromuscular Disorders?

Our physicians and scientists are involved in a number of research and therapy studies, such as treatment and pathophysiological studies for ALS, peripheral neuropathies, myasthenia gravis, autonomic failure, muscular dystrophy, and others.

Learn more about our researchers and their current research.