Ian Purcell MD PhD Otoneurology
Providers▾
Our team
Carter Copeland, MPAS PA-C Evan Camarillo, PA-C Jake Perkins, MPAP PA-C Touraj Yari, MSPA PA-C
Specialties▾
Conditions we treat
Spatial Disorientation in Aviation / Aerospace Environments Vestibular Disorders Vertigo (BPPV) Meniere’s Disease Viral Neuronitis / Labyrinthitis Nystagmus Gait Ataxia Tinnitus Hearing Loss Orthostatic Hypotension Neuropathy Trigeminal Neuralgia Parkinson's Disease Neuromuscular Disorders Sleep Disorders Cardiac Arrhythmias
Testing▾
Diagnostics
Computerized Dynamic Posturography (CDP) Electroencephalogram (EEG) Electromyography / Nerve Conduction Velocity (EMG/NCV) Epley Omniax Chair TRV Chair DizzyDoctor Vertigo Recording Goggles Videonystagmography (VNG)
Resources▾
Clinic guides
BPPV Characterization Charts Epley Treatment Maneuvers Migraine Cocktail Tinnitus Cocktail All guides →
Educational topics
Benign Paroxysmal Positional Vertigo (BPPV) Dizziness Nystagmus Cupulolithiasis Meniere's Disease Vestibular Migraine The Inner Ear Vestibulo-Ocular Reflex (VOR) Viral Neuronitis & Labyrinthitis Vestibular Rehabilitation Clinic location All resources →
Dr. Purcell▾
About the practice
Dr. Ian Purcell — The Dizzy Doctor DizzyDoctor Around the World Vestibular Rehabilitation
Dr. Patel
Call 858 223 2172
Educational Resources
Neuromuscular Disorders

Neuromuscular Disorders

(click to enlarge)

Neuromuscular disorders encompass a wide range of conditions that impair the function of muscles and the nerves that control them. These disorders can result from genetic, autoimmune, or degenerative processes, leading to muscle weakness, atrophy, and other functional impairments.

Symptoms of Neuromuscular Disorders:

  • Muscle Weakness: Gradual or sudden onset, often beginning in specific muscle groups.
  • Muscle Cramps: Painful contractions, particularly during or after physical activity.
  • Fatigue: A common symptom due to the muscles' inability to perform sustained activities.
  • Difficulty with Motor Skills: Challenges in performing tasks that require fine motor coordination.

Diagnostic Techniques:

  • Electromyography (EMG): Measures electrical activity in muscles to identify abnormal muscle or nerve function.
  • Nerve Conduction Studies (NCS): Assesses the speed and strength of electrical signals traveling through the nerves.
  • Muscle Biopsy: Involves taking a small sample of muscle tissue to examine under a microscope for signs of disease which we setup with outside providers.
  • Genetic & Metabolic Testing: Which may be performed with buccal swab/blood collection.

Treatment Options:

  • Medication: Includes immunosuppressants, corticosteroids, and other drugs to manage symptoms and slow disease progression.
  • Physical Therapy: Aims to maintain muscle strength and flexibility, and improve mobility.
  • Assistive Devices: Cyberdyne HAL System, Braces, walkers, or wheelchairs may be recommended to aid in mobility.‍
  • Transcutaneous Electrical Nerve Stimulation (TENS): Delivers mild electrical impulses to reduce pain and improve muscle function.

Living with Neuromuscular Disorders: Management strategies focus on improving quality of life through:

  • Customized Rehabilitation Programs: Tailored exercises to maintain muscle function and prevent complications.
  • Nutritional Support: Dietary plans to support muscle health and manage weight.
  • Support Services: Access to counseling and support groups for patients and families.

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Ian Purcell MD PhD
Otoneurology · Vertigo & balance specialists

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7625 Mesa College Drive
Suite 200A
San Diego, CA 92111

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(858) 223-2172
Fax: (858) 533-8397

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