Neuromuscular Disorders Specialist

David S. Feldman, MD

Orthopedic Specialist located in West Palm Beach, FL

Neuromuscular disorders can cause symptoms that range from mildly disruptive to absolutely debilitating. World-renowned orthopedic surgeon David S. Feldman, MD, and his team at The Paley Orthopedic and Spine Institute in West Palm Beach, Florida, work to help men and women of all ages from all over the world find relief from the symptoms of various types of neuromuscular disorders. Schedule a time to meet with Dr. Feldman to discuss his approach to these conditions. Booking a visit takes just moments online or over the phone.

Neuromuscular Disorders Q & A

What are neuromuscular disorders?

Neuromuscular disorders encompass a wide range of diseases that affect your peripheral nervous system. These conditions can lead to problems with your muscles, the nerves that control your muscles, or the communication patterns between nerve and muscle tissues. 

There are various types of neuromuscular disorders, including:

  • Cerebral palsy
  • Rett syndrome
  • Familial spastic paraparesis
  • Spinal muscular atrophy
  • Diabetic neuropathy
  • Muscular dystrophy
  • Myasthenia gravis
  • Amyotrophic lateral sclerosis
  • Lambert-Eaton syndrome

This is far from a comprehensive list. There are many conditions that fall under the classification of neuromuscular conditions. 

What are some symptoms of neuromuscular disorders?

Each type of neuromuscular disorder has a unique set of symptoms, and not everyone will display the full range of symptoms for any one disease. Some symptoms that might suggest a neuromuscular disorder include:

  • Balance problems
  • Muscle loss
  • Problems with movement
  • Muscle weakness that progresses to cramping, twitching, aches or pains
  • Double vision
  • Droopy eyelids
  • Breathing difficulties
  • Sensations of numbness, tingling, or weakness

If you notice any changes in the way your muscles feel or function, schedule a diagnostic exam to find answers and explore treatments. 

What types of treatments help with neuromuscular disorders?

Dr. Feldman creates a customized treatment path for every person under his care. He considers your short- and long-term goals as well as the scientific evidence of how certain neuromuscular diseases progress. 

Physical therapy can do wonders for treating neuromuscular conditions. Options might include stretching, gait training, serial casting, the Feldenkrais Method®, and constraint therapy, among others. 

Medications might play a role in treating your neuromuscular condition. Chemodenervation using medications like Dysport® and Botox® can help by loosening tight or spastic muscles to aid in physical therapy. An implanted baclofen pump can reduce muscle spasms by delivering medication directly into your spinal fluid. 

In some cases, a surgical procedure called rhizotomy is performed to address muscle spasms. Electric current stimulates targeted nerves to determine which areas cause abnormal muscle activity, then those nerves are deactivated. 

To explore these and other treatment options in more detail, call the office or spend a few moments on the online booking page to set up your visit.