Neuromuscular

Neuromuscular Center

The neuromuscular program within the Department of Neurology at Loma Linda University Health provides comprehensive and aggressive treatment for diseases affecting the spine, the nerves, the muscle and the junction between the nerve and muscle.  Six faculty with subspecialty interests and advanced training in neuromuscular disease make this program one of the largest of its kind in the region.  Patients are referred for evaluation and treatment in one of several specialty focused clinics comprising the Program:

Services

Motor Neuron Disease / ALS Clinic

This program is organized to provide comprehensive and aggressive multidisciplinary care to patients with all types of motor neuron disorders. The treatment philosophy within the program is one of early and aggressive multidisciplinary intervention.  There are hopeful alternatives at all stages of disease progression and the patient/families are oriented toward these approaches from the onset.

Proactive and integrated care is provided by a team of nine specialists in addition to Neurology.These include:

  • Physical therapy 
  • Behavioral health/counseling
  • Speech and language pathology
  • Respiratory therapy
  • Occupational therapy 
  • Equipment
  • Nutrition
  • Orthotics
  • Home health care coordinated by the ALS Association

In addition, we maintain close working relationships with colleagues within the LLUH system specializing in gastroenterology and pulmonary medicine to provide prompt collaboration.

The motor neuron disease / ALS Clinic program is also regularly involved in both local and national research trials allowing our patients opportunity to participate in the best state-of-the-art treatment approaches.

Electrodiagnostic Laboratory

Accredited by the American Association of Neuromuscular & Electrodiagnostic Medicine with Exemplary Status since 2012, the Laboratory provides routine and advanced EMG/Nerve conduction testing for a wide range of neuromuscular conditions.  The electrodiagnostic laboratory also provides intraoperative monitoring for patient safety during complex spinal and brain operations.  

Neuromuscular Clinic

A vast spectrum of patients suspected of having neuromuscular disorders are evaluated daily by the neuromuscular faculty.  Using clinical, genetic, electrodiagnostic, laboratory and biopsy tools, both common and rare disorders are readily identified.  The large specialty faculty within the neuromuscular division allows for regular collaboration on challenging diagnostic issues.  The neuromuscular faculty regularly receive referrals from other neurologists within the community.

Conditions treated include those affecting anterior horn cells, nerve roots, peripheral nerves (polyneuropathy), neuromuscular junction (myasthenia gravis and related disorders), and muscle (muscular dystrophies, inflammatory myopathy, and others).

Spasticity Clinic

Numerous medications and more aggressive surgical approaches are currently available for management of patients with spasticity caused by many neurological conditions.  A specialty clinic program dedicated to the advanced treatment of spasticity is currently being developed within the neuromuscular program.  This multidisciplinary specialty program will utilize members of our allied health team (OT, PT, speech) as well as collaboration with faculty in Physical Medicine and Rehabilitation, Pediatric Neurology and Neurosurgery. The clinic will be accepting referrals for consideration of intrathecal baclofen treatment, botulinum toxin injection and newer modes of treatment in physical and speech therapy.

Research

The neuromuscular faculty are involved in an ever-changing array of local and national research trials for disorders such as:  ALS/motor neuron disease, myasthenic syndromes, and Pompe’s disease (acid maltase deficiency).  In addition research activity in the short and long-term effects of botulinum toxin injection is underway.   Available research programs are offered as options for appropriate patients as part of the standard treatment paradigms.

Neuromuscular Team Members

ALS/Neuromuscular Director: Jeffrey Rosenfeld, MD, PhD
Theresa LaBarte, DO
Sarah Humbert, MD
Laura Nist, MD
Ricardo Olivo, MD
Bryan Tsao, MD

Contact Us

Loma Linda University Medical Center
Department of Neurology
11370 Anderson Street, Suite B100
Loma Linda, CA 92354

For appointments or referrals, please call 909-558-2880.