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QualificationsMB BS FRCP
Nerve conduction studies (NCS)
Electromyography (EMG)
Diagnosis of peripheral nerve disease or entrapment, eg. Carpal Tunnel Syndrome (CTS), ulnar neuropathy
I was appointed Consultant Clinical Neurophysiologist at the Western General Hospital Edinburgh in 1999. My particular expertise is in the diagnosis and management of neuromuscular disease.
As a neurophysiologist I employ electrophysiological techniques such as Nerve Conduction Studies (NCS) and Electromyography (EMG) to diagnose and determine the severity of diseases of the peripheral nervous system. This this is only after a thorough clinical assessment of the patient. I am first and foremost a clinician and I use NCS and EMG as an extension to the clinical examination.
The commonest indication for NCS and EMG is peripheral nerve entrapment such as Carpal Tunnel Syndrome (CTS) or ulnar neuropathy but these techniques are of great value in the assessment of any disease affecting the peripheral nervous system ranging anatomically from the anterior horn cell (motor neurone diseases) and the nerve root (cervical and lumbar radiculopathy) through to the peripheral nerve (peripheral neuropathies), neuromuscular junction (myasthenia) and muscle (myopathy).
For the last 13 years I have run a neuropathy clinic at the Western General Hospital for the diagnosis of the more obscure neuropathies such as inflammatory and hereditary polyneuropathies and unusual peripheral nerve lesions. I currently look after most patients with inflammatory demyelinating neuropathies in Lothian.
I also run the Botulinum Toxin clinic at the Western General for the treatment of neurological disorders requiring botulinum toxin therapy such as cervical dystonia, hemifacial spasm, task specific dystonia, such as writer’s cramp, and spasticity.
Please note these are regular clinics, other times may be available by appointment
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AW: Alternative weeks M: Monthly AH: Ad Hoc