Neuromuscular Service

Our services are currently impacted by coronavirus so information on this page may be subject to change. If you have any questions, please get in touch with the department or team your care is under.

The Neuromuscular Service aims to provide a full diagnostic and clinical management service for both children and adults living with a neuromuscular condition. It was recently awarded Centre of Excellence status by the national body Muscular Dystrophy UK.

The team comprises of specialist neuromuscular consultant, and attended by consultants in neurology, rehabilitation, genetics and orthopaedics. Neuromuscular care advisors, neuromuscular physiotherapists and a psychologist are in attendance at the clinics.

The inherited neuromuscular conditions seen include;

  • Muscular dystrophy
  • Congenital myopathies
  • Spinal Muscular Atrophy (SMA)
  • Charcot Marie Tooth disease (CMT)
  • Myotonic Dystrophy
  • Congenital Myasthenia gravis
  • Neuropathies and mitochondrial myopathies

These specialist clinics are run weekly both for adult and children, and some clinics will run jointly with other clinical specialties, such as cardiology, genetics, dietetics and orthopaedics. This means that patients can be seen by a number of clinicians and have a number of assessments at one appointment if required.


Information about Coronavirus for Neuromuscular patients

Due to the ongoing Coronavirus outbreak, we felt it was important to share information about the virus for Neuromuscular patients and their families.

Here is a detailed guide from Muscular Dystrophy UK: 

We have also published steroid management advice for patients already taking steroids during the Coronavirus outbreak


How can an individual be referred to the ‘muscle service’

Referrals to the ‘muscle service’ and the physiotherapists can be made via a patient’s GP or hospital doctor. 

As part of the diagnostic workup patients may have blood tests, including DNA for genetic testing where appropriate. A patient may have neurophysiological testing (electrical testing of the nerves and muscles), muscle MRI (imaging) and a muscle biopsy (a piece of muscle taken and looked at via a microscope). These all help in the diagnostic process.

As part of the clinical management patients will have regular assessments of their muscle function and strength, respiratory and cardiac health, diet and nutrition and bone health as well as schooling (where appropriate) and job opportunities, and social and wellbeing.

Regular clinic attendance means that ongoing management of a patients neuromuscular condition can prevent problems such as acute hospital admissions for chest infections, correction of spinal curvatures at an early stage, treatment and monitoring of heart problems associated with some conditions and regular updates on clinical trials and research and opportunities, if appropriate, to take part in clinical trials.

The Team

Lead Consultant:

Specialist Neuromuscular Team Clinicians:

  • Dr Richa Kulshrestha, Consultant Neurodisability (Special Interest in Neuromuscular Disorders)
  • Dr Ashish Chikermane, Consultant Paediatric Cardiologist
  • ​Dr Adrian Morley-Davies, Consultant Cardiologist
  • Dr Suman Kundu, Consultant Cardiologist
  • Dr Ajit Thomas, Consultant Respiratory Physician
  • Dr Mark Roberts, Consultant Neurologist
  • Mr Nigel Kiely, Consultant Adult and Paediatric Orthopaedic Surgeon
  • Mr Simon Hill, Consultant Orthopaedic Surgeon

Clinical Support Team:

  • Dr Yvette Easthope-Mowatt, Specialist Clinical Psychologist, Adult & Children
  • Professor Caroline Sewry, Histopathologist
  • Nick Emery, Specialist Adult and Children Neuromuscular Physiotherapist
  • Jenny Moustoukas, Specialist Neuromuscular Physiotherapist
  • Kate Strachan, Senior Physiotherapist
  • Amy Wyatt, Neuromuscular Physiotherapist
  • Claire Bassie, Neuromuscular Clinical Nurse Specialist
  • Kerry Jones, Neuromuscular Care Advisor
  • Cheryl Mills, Pathway Co-ordinator
  • Jill Lamb, Booking Clerk
  • Debbie Davies, Secretary
  • Nicola Jones, Secretary

Contact Us:

Tel: 01691 404486