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Department of Physical Medicine and Rehabilitation

Department of Physical Medicine and Rehabilitation

Neuromuscular disease clinic

The Neuromuscular Disease Clinic is the official Muscular Dystrophy Association (MDA) Diagnostic Clinic for the Sacramento area. The clinic offers care to adults and children with neuromuscular diseases including all of the muscular dystrophies, the myotonias, congenital myopathies, myositis, peroneal muscular atrophy, infantile and juvenile spinal muscular atrophy and amyotrophic lateral sclerosis (ALS).

ALS is a disorder of the motor neurons, nerve cells in the brain and spinal cord that control the action of voluntary muscles. In ALS, for unknown reasons, these nerve cells gradually die and as they die, the nerve fibers that travel from them to the muscles die. As a result, the muscles that normally receive signals from these nerve fibers can no longer function. Fortunately, many functions remain intact and continue throughout the course of ALS such as intellect and the ability to think and feel emotions. At the UC Davis Medical Center Dept. of PM&R our physicians and staff are prepared to help the ALS patient and their family throughout the course of ALS. Brochures This regional MDA clinic includes neuromuscular disorders sponsored by the Muscular Dystophy Association. This multidisciplinary clinic is directed by a member of the PM&R Department and staffed by PM&R faculty with experience in these neuromuscular disorders. New diagnostic workups, including electrodiagnostic studies, molecular Genetic studies, and pathologic evaluations are coordinated by PM&R faculty and residents. Neurology, Orthopedic Surgery, Pulmonary, and Medical Genetics faculty are also available for consultation. The clinics include Adult Neuromuscular Disease, Child Neuromuscular Disease, ALS and Restrictive Lung Disease.

Services and treatments available

  • Multidisciplinary diagnostic consultation and follow-up including genetic counseling
  • Inpatient care for diagnostic evaluation or surgical procedures
  • Physical and occupational therapy evaluations
  • Psychological evaluation and social service consultations
  • Prevocational evaluation
  • Prescription of orthotic treatment
  • Diagnostic procedures including laboratory tests, electrodiagnostic tests and muscle biopsy evaluation


Contact and referral information

MDA Neuromuscular Clinic

Director:   Craig McDonald, M.D.

Co-Director: Nanette Joyce, D.O.

ALS Clinic

Director:  Nanette Joyce, D.O.

Health care professionals who wish to refer a patient to the UC Davis Physical
Medicine and Rehabilitation Clinic should call (800) 4-UCDAVIS or (800) 482-3284.
Patients who would like more information about the clinic should call (916) 734-7041.

The Web site for The Muscular Dystrophy Association