Sakra Institute of Neuromuscular clinic
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1. What the clinic is all about?
This is the first of its kind in a private hospital setup which provides comprehensive care from diagnosis to management of all types of neuromuscular diseases. There are only three to four such comprehensive clinics in the entire country. The idea is to promote our hospital as a nodal quaternary referral center in the field of neuromuscular diseases.
2. What is Neuromuscular disease (in layman’s terms)?
Neuromuscular diseases is a broad sub specialty in Neurology that deals with all the diseases affecting your nerves and muscles. The commonest symptoms which indicate that your nerves/ muscles are affected include Tingling & Burning sensation, Numbness, pain / cramps/ stiffness in muscles, excessive tiredness, weakness or wasting of the muscles
3. Why is this specialty so rare, especially in a metro city like Bangalore?
There is a stigma among the patients and sometimes even among the physicians that neuromuscular diseases are untreatable which is entirely a wrong understanding. There are numerous neuromuscular diseases which can be given exclusive management and we have made patients who were wheel chair bound to even run.
4. What services does the clinic offer?
The clinic offers patient evaluation by two experienced neuromuscular specialists. Advanced electrophysiology studies like NCS, EMG, RNS, EPs are available. We also provide latest treatments with dedicated physiotherapy and rehabilitation. Genetic testing with genetic counselling also forms an integral part of the clinic
Tingling & burning sensation
Numbness
Pain / spasm / rigidity in muscles
Fatigue
Weakness in muscles
Wasting of muscles
Drooping of eyelids
Swallowing / speech difficulty
Frequent buckling / falls
Contractures of joints
Consultation with Neuromusular Expert
Advanced Electrophysiology Techniques
Access to advanced and latest treatment in Neuromuscular disease
Multidisciplinary care
1. ALS / MND
2. SMA
3. PMAs
4. PLS
5. Poliomyelitis
6. Kennedy's
1. Radiculopathies due to spine pathologies
2. Diabetic / traumatic plexopathy
3. Guillain-Barre syndrome (GBS)
4. CIDP
5. Multifocal motor neuropathy with conduction block (MMNCB) etc.,
1. Polyneuropathy
2. Mononeuritis simplex and multiplex
3. Carpal tunnel syndrome/ entrapment neuropathies
4. Charcot marie tooth disease
5. demyelinating peripheral neuropathies etc.,
1. Myasthenia gravis
2. Botulinium poisoning
3. Lambert Eaton
4. Congenital myasthenic syndromes etc.,
1. Inflammatory myositis
2. hIBM/sIBM
3. Metabolic muscle diseases like hypothyroidism etc.
4. Muscular dystrophies
5. Myopathies
6. Mitochondrial diseases etc.,
Tingling & Burning sensation
Numbness
Pain / spasm / rigidity in muscles
Fatigue
Weakness in muscles
Wasting of muscles
Drooping of eyelids
Swallowing / speech difficulty
Frequent buckling / falls
Contractures of joints
Genetic diseases, testing and counselling
Pediatric neuromuscular diseases
Neuromuscular diseases can also be diagnosed by testing the levels of various chemicals and antigens in the blood, and using electrodiagnostic medicine tests like
Electromyography (EMG)
Nerve conduction studies (NCS)
Repetitive nerve stimulation (RNS)
sfEMG (Single fiber EMG)
VEP, SSEP, BERA (associated tests) and sometimes genetic testing
Various medications ranging from IVIG, Plasma exchange, Rituximab, Azathioprine, MMF, Methotrexate, Cyclophosphamide, steroids, pyridostigmine/ neostigmine etc.,
Symptomatic relief is from drugs like Pregabalin, Gabapentin, Amitriptline, Nortriptline, NSAIDS etc. are available
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