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The Neuromuscular Programs and Clinics

Co-Directors

Holli Horak, MD
Associate Professor of Clinical Neurology

Katalin Scherer, MD
Assistant Professor of Neurology

Information For Patients
Information For Physicians / Residents


Information For Patients

The Neuromuscular Clinics provide diagnosis and treatment for a variety of neuromuscular disorders in children and adults.

We also provide expert electrodiagnostic evaluation (EMG and Nerve Conduction Studies) for children and adults.

We are home to Southern Arizona's only ALS clinic; a multidisciplinary clinic that specializes in the diagnosis, treatment, and research or amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease).

Clinics in the Neuromuscular Program:


MDA clinic

The Muscular Dystrophy Association (MDA) sponsored clinic is held every Wednesday at the UPH Clinics at Alvernon.

Specialty care is provided for the following MDA supported disorders:

  • Myasthenia Gravis and Lambert Eaton Myasthenic Syndrome
  • Hereditary and genetic syndromes, including
    • Muscular dystrophy
    • Hereditary neuropathy (Charcot-Marie-Tooth disease or CMT)
    • Metabolic muscle diseases
    • Channelopathies (myotonia and paramyotonia congenita)
    • Congenital myopathies
    • Friedreich ataxia
  • Acquired myopathies
    • Polymyositis
    • Dermatomyositis
    • Inclusion body Myositis
    • Thyroid disease related myopathies
  • Motor neuron diseases (spinal muscular atrophy)

To schedule an appointment in the MDA clinic, please call 520-694-8888.

If you have a question about the MDA clinic, please call 520-874-2704 (clinic nurse) or 520-795-3434 (MDA).
Clinic fax: 520-874-2701.


ALS Clinic

The MDA/ALS center at UPH Hospital is Southern Arizona's only multidisciplinary clinic dedicated to the care of patients with Amyotrophic Lateral Sclerosis (ALS or Lou Gehrig's disease).

The clinic is held twice a month at the Outpatient Clinics at UPH Hospital.

In addition to an evaluation by the physician, during each ALS clinic visit the patient will also meet with:

  • Physical therapist
  • Occupational therapist
  • Respiratory therapist
  • Speech and language pathologist
  • Dietitian
  • MDA healthcare services coordinator

There cost of the evaluation by the therapists is provided free of charge to all patients, regardless of insurance.

The ALS clinic participates in local and national ALS research and clinical trials. Research at the ALS clinic is also supported by the Jim Himelic Foundation.

To schedule an appointment in the ALS clinic, please call 520-694-8888.

If you have a question about the ALS clinic, please call 520-874-2704 (clinic nurse) or 520-795-3434 (MDA).
Clinic fax: 520-874-2701.


General Neuromuscular Clinics

General neuromuscular clinics are held weekly at the Neurology Clinic at UPH Hospital (Dr. Scherer) and the Neurology Clinic located at the UMC Orange Grove Cancer Center building (Dr. Horak).

Specialty care is provided for the following neuromuscular disorders in the general NM clinics:

  • Autoimmune mediated polyneuropathies, including
    • MAG antibody associated neuropathy
    • Sulfatide antibody associated neuropathy
    • CIDP (chronic inflammatory demyelinating polyneuropathy)
    • MMN (multifocal motor neuropathy)
    • GBS (Guillain-Barré syndrome)
    • Paraproteinemia or MGUS associated neuropathy
  • Neuropathy due to other inflammatory or infectious disease, including
    • Mononeuritis multiplex
  • Stiff Person Syndrome
  • Cramp-fasciculation syndrome
  • Isaac's syndrome
  • Idiopathic neuropathy
  • Plexopathies

To schedule an appointment in the General Neuromuscular clinics, please call 520-694-8888.

If you have a question about the General Neuromuscular clinics, please call 520-874-2704 (clinic nurse). Clinic fax: 520-874-2701.


Children's Clinics for Rehabilitative Services

Children (age 0 - 21) with a confirmed diagnosis of a neuromuscular disorder may be eligible for specialized care in the MDA supported CCRS Neuromuscular Clinic. The clinic meets monthly at the Square and Compass Building on the TMC campus (2600 N Wyatt Drive). In addition to neuromuscular specialty care, the clinic offers outpatient rehabilitative (therapy) services, psychosocial and education support services to meet the special needs of patients and their families.

For information about the clinic, and how to enroll, please contact 520-324-5437.

If you are a patient in the CCRS NM clinic and have a medical question or concern, please call the clinic nurse at 520-324-3200.


Electromyography (EMG) testing

The EMG lab is located in the Outpatient Clinics at UPH Hospital.

All EMG's are performed by, or under the direct supervision of, fellowship-trained neurologists with board certification by the American Board of Electrodiagnostic Medicine.

Physicians performing EMG's at UPH are members of the American Association of Neuromuscular and Electrodiagnostic Medicine (AANEM) and follow AANEM guidelines and recommendations. Please visit the AANEM patient resources page for more information about EMG.

EMG is a test used to diagnose disorders of nerves and muscles. You need a doctor's order to schedule an EMG.

You may improve your EMG testing experience by preparing for your EMG appointment:

  • Expect some discomfort during the test due to normal testing procedures, that require the administration of small electric shocks to the skin, and insertion of a small needle electrode into the muscles.
  • Most EMGs last about 1 hour. Some specialized studies may take longer or a patient may need to return for more specialized testing at a later date.
  • If you take pain medications, make sure you don't skip your dose on the day of the test.
  • If you have a pacemaker, please get a written note from your cardiologist that clears you to undergo the test. The note must state if your pacemaker has a bipolar sensor or not.
  • If you take warfarin (Coumadin ®), please bring a copy of your last INR result and notify the examining physician before the start of the test.
  • If you take anti-inflammatories (like naproxen, ibuprofen) or aspirin, ask your physician if you can stop them for the test. Stop these medications 3 days prior to the test, if it is safe for you to do so.
  • Most patients experience only minor discomfort/ pain at the time of the procedure. Rarely, a patient may develop a blood clot in a muscle that was examined during the test. This usually resolves in a few days. This is why it is important to know your INR if you are on warfarin (Coumadin ®) and to hold your aspirin, ibuprofen or other blood thinner, if possible.
  • Dress warmly on the day of the test, and wear socks and gloves to keep your hands and feet warm. If your hands/feet are too cold, the test may be delayed or canceled/rescheduled. Drink a hot beverage before the test to keep your core body temperature warm (tea, chocolate or coffee).
  • Please do not apply any lotion to your skin on the day of the test. Please remove rings, bracelets and watches.

To schedule an EMG appointment, please call 520-694-8888. A doctor's order must be received prior to scheduling an appointment. Orders may be faxed to: 520-874-2742.

If you have a question about EMG, please call 520-874-2700.

Neuromuscular Program and Clinics
University of Arizona
Department of Neurology
PO BOX 245023
Tucson AZ 85724-5023

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Information For Physicians / Residents

EMG/Neuromuscular Fellowship

The emphasis of this one-year long fellowship is the acquisition of a high degree of clinical and technical competence evaluating patients with neuromuscular disorders by means of history, neurological examination, electromyography and nerve conduction studies. In general, the spectrum of patients seen will include those with peripheral nerve, motor neuron, neuromuscular junction, and muscle diseases. There is also the potential to gain experience in EMG guided chemodenervation. Fellows will perform EMG/NCS and attend MDA sponsored adult and pediatric general neuromuscular clinics, and the MDA sponsored ALS clinic. Advisors: Holli Horak, MD; Katalin Scherer, MD.


Referrals

If you would like to refer a patient, please have your office call University Health Connections at 520-694-8888. If you would like to send medical records for the neuromuscular physicians to review, please fax them to 520-874-2701, ATTN: Joanna.

If you have an urgent referral, and would like to talk to a neuromuscular physician, please call the Physicians Resource line at 520-694-5868 and ask for Dr. Horak or Dr. Scherer to be paged.

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