The Peripheral Nerve Clinic focuses on the evaluation and treatment of acquired peripheral neuropathies, such as:
- Neuropathy associated with diabetes, prediabetes, and metabolic syndrome
- Nutritional neuropathy: B12, thiamine, and post-bariatric surgery neuropathy
- Paraproteinemic neuropathies associated with such conditions as amyloid and IgM neuropathy
- Autoimmune neuropathies such as chronic inflammatory demyelinating polyneuropathy (CIDP) and Guillain-Barre Syndrome (GBS)
- Vasculitic neuropathies such as those associated with rheumatoid arthritis, non-systemic vasculitic neuropathy
- Traumatic neuropathy
Patients need a referral to make an appointment.
Amro Stino, MD, assistant professor, serves as director of the Peripheral Nerve Clinic, as well as co-director of the Autonomic Lab. He has expertise in the treatment of neuromuscular disorders, with special clinical and research interest in the care of patients with acquired peripheral neuropathy.
Currently, he serves as site principal investigator on multi-center studies in the areas of metabolic and autoimmune neuropathy. He is presently conducting an investigator-initiated phase 1b trial on the novel use of Lenalidomide in anti-MAG neuropathy.
Dr. Stino is an advocate for patient awareness and education in autoimmune neuropathy and serves as physician liaison for the GBS-CIDP Foundation, with whom he was interviewed on Good Day Columbus as part of GBS-CIDP Awareness Month. He also takes great interest in helping patients tackle peripheral neuropathy care in an evidence-based fashion, particularly as it pertains to pain control. Visit Dr. Stino's physician profile for more information about Dr. Stino.
The every-3-month dedicated Diabetic Foot & Nerve Clinic also includes Brian Schmidt, DPM, assistant professor podiatry. Dr. Schmidt is an Assistant Professor of Internal Medicine in the Division of Metabolism, Endocrinology, and Diabetes at the University of Michigan Medical School.
He has focused his clinical interest into translational research to better understand and promote diabetic foot ulcer healing and limb salvage. He is actively supported in his research by the National Institute of Health, the National Institute of Diabetes and Digestive and Kidney Diseases, and industry. To learn more about him, visit Dr. Schmidt's physician profile.
Who Can Be Seen at the Peripheral Neuropathy Clinic?
The Peripheral Neuropathy Clinic evaluates patients with acquired peripheral neuropathies, including all of the types of neuropathies mentioned above (except hereditary neuropathies, which are seen in the CMT Clinic — a clinic for those who have been diagnosed with Charcot-Marie-Tooth disease). Such cases would include patients:
- Who are newly diagnosed
- Who have been recently discharged
- With refractory cases needing second opinion, and those
- From outside centers seeking expert specialty care
Of note, our clinic also serves as GBS-CIDP Center of Excellence, and would bea natural hub for dysimmune neuropathy patients seeking specialty care.
- Podiatry Care (Diabetic Foot & Nerve Clinic only): Patients with advanced diabetic foot care needs, including ulcers, foot deformities, and/or neuropathic pain can be evaluated by both podiatry and neurology in this dedicated clinic.
- Clinical Research: Investigators at the University of Michigan are actively involved in helping to understand, diagnose, and develop new treatments for peripheral neuropathy. Cutting-edge research studies and clinical trials are regularly available to patients who qualify. Visit UMHealthResearch.org to search for peripheral nerve studies or other studies you may be interested in.
A standard Peripheral Nerve Clinic appointment would last 1 hour and would involve evaluation with Dr. Stino, Peripheral Neuropathy Clinic director. For patients seeking Diabetic Foot & Nerve Clinic care, the expected appointment time would be 2 hours, 1 hour per provider, as patients would see both Dr. Stino and Dr. Schmidt, podiatrist.