Neuromuscular Anomalies: How Do Nerve Cells Work?

How do Nerve Cells Work?

Nerve anatomy creates the physiology or functions which nerves carry out. The inner part of the cell is the nucleus that is endowed with coding that is its program to perform the work of your nervous system. The outer layer of the cell is the myelin sheath, which helps carry the signals. Nerves help deliver feeling hot, cold, pain, and pressure messages to the brain. Nerves also carry the message of how the body responds to these signals. Your nervous system also balances the awareness of your body in relation to space. This is known as proprioception. Which entails understanding that the perception of whether you are sitting or standing or suspended upside down.

How do muscle fibers work?

Just like the shape and structure of nerve cells help them work as such, muscle fibers are formed in such a way to perform the way muscles are supposed to.

This diagram shows the connection of muscle with nerve, that anatomy combined performs the function or neuromuscular physiology.

The electrical signals from energy made by mitochondria in cells carries along the nerve to your muscles and creates contractions that perform movement. Some movement is intentional, that is your somatic system, and the unintended movement is your autonomic system performing brainless operations.

When there is a problem

Whether it is a rare or common complication with the nerve and muscle functions, it often results in similar outcomes, restrictions and sequelae. Neuromuscular Anomolies can reak havoc on patients and familes, as well as health care community in missions to help out.

  • CMT Charcae Marie Tooth Syndrome and variants
  • Cerebral Palsy
  • Traumatic Brain Injuries
  • Seizures
  • strokes, the brain attack
  • Quadriplegia and other paralysis
  • Alzheimers is a disease of the brain and central nervous system.
  • Multiple sclerosis
  • Parkinsons
  • Huntington’s
  • Congenital complications
  • Audiology and nerve dysfunction of the ear
  • Botulinum toxin

This list only includes firsthand patient experience. There are many other types of nerve and muscle problems not listed here. All the anomalies interrupt the normal flow of energy from nerves to parts of the body and affect some or all ability to perform sensory. They impede some or all ability to create movement.

Role of therapies

Skilled Nursing-

Skilled needs include home bound wound care, medication management, pain control, tracheostomy and ventilator, Parenteral nutrition, infusion teaching and administration, medical and surgical rehabilitation, coordination of ancillary disciplines:


Physical therapy-work outs and physical training

Occupational therapy-use of adaptive products, equipment and techniques to adapt to health impairments

Speech therapy- Did you know the hidden super power of speech therapy? They do not just help people practice talking with mashed potatoes in their mouth. For example, they are heroes when modifying diet to someone who is unable to swallow properly after a stroke. This prevents them from choking or silently aspirating stomach contents into the lungs.

Medical social work- assists in adapting to loss of function requiring therapies. They provide social, spiritual and emotional resources and coordinate living will, power of attorney, as well as advocacy.

Home Health is certified for 2 month periods if the interdisciplinary team can progress on planned objectives by meeting measurable milestones.

In-Home Care has a separate niche, they provide care in the home in specific time increments through the day or night and if needed, 24 hour care.

Hospice 101: Many families and individuals have a very tough time when making a decision whether to use hospice care at the end of life for comfort measures. Sometimes families disagree or are in denial that the loved one is knockin on heaven’s door. Denial is a stage of grief! Grief is complicated when someone is frozen in one stage with ongoing depression. Hospice combats complicated death with support, and the support continues after the loss of a loved one. During the process of death, the medical team helps prioritize comfort and provides hospital beds, medication, wound care and many other skilled needs. The treatment plan shifts, to focus on quality of life and prevention of complicated recovery from a death of someone you love.



Immunoglobulins are liquid medicine made from blood plasma. The intravenous route has its disadvantages, leading to new subcutaneous immunoglobulins that can be given in the skin instead of veins.

Ports can also help to alleviate venous access difficulty, less frequently a PICC line can be used.

Peripheral IV

“peripheral” =(arms usually)

IV (into the vein, hopefully!)

Methods for the PIV (peripheral intravenous) therapy have improved over time, and the use of this method for people with neuromuscular anomalies can pose challenges. For better access to get an IV started, plenty of drinking fluid over time and not a lot all at once prior to starting an IV can help dilate the vein. A “springy” vein is best because the surface tension of the blood vessel needs to accommodate the needle. I am terribly sorry for those patients with the fear of needles as we discuss this part. Other ways to have a better start are a warm pack, with hot hands or a baggy filled with warm water to apply to a springy vein. New products are fascinating and helpful in different ways. The Turemo butterfly is great for small volume infusions, and there is now a butterfly cannula, that is the start which is easier to keep hold of with a flexible little plastic straw to add comfort and easier access into the vein. The cannulas, or small straws that give veins the drink from the bag of fluid.

To be safe each cannula can only be attempted ONE time.

Not only for infection prevention, but also for the purpose of preventing a small piece of the plastic from breaking off into the vein to create health hazards. There is a small risk of this adverse incidence. The way to prevent this is to have a trained professional or professional training. Do NOT try any of these things without one of these:

Proper training is obtained by a practitioner with knowledge and experience in this area!

Toxic Torts

Damages are sought in court cases regarding toxic torts. An example is when a chemical has caused personal injury toward people that was preventable or undisclosed. An example is asbestos or Agent Orange. Round Up Weed Killer is another chemical, which was settled as the cause of many cases of Non-Hodgkin’s Lymphoma. (Cancer). Others include exposure to carcinogens, such as the ‘sartan’ blood pressure medications that are recalled.

Some toxic torts will cause irreparable harm to nerve and muscle cells.

Fall Prevention

Regardless of the etiology, any neuromuscular impairment requires attention to preventing injury related to falls. Standards are changing to incorporate a universal fall prevention approach that considers every person a fall risk. The over use of fall alarms is debated due to the risk of pressure ulcers or restraint of the patient. As well as alarm fatigue of caregivers. Using a standard precaution approach is developed to avoid missing a fall risk. This prevents failing to acknowledge all who require medical attention will have diagnosis or treatment that inherently increases risk of falls.

One very highly litigated topic is falls. This results in constant pressure for the health care team to do everything in their power to prevent falls. Still, falls occur regardless of every prevention and precaution known to man. Some people will require 1 to 1 care for prevention of falls. This will greatly decrease the incidence and severity of injuries.

Changes of Technology

The evolution of technology makes it possible for reversing paralysis. Treatment or reversal of once incurable ailments are emerging. A few elite patients of mine have gone from completely paralyzed to walking each day. I could hardly believe seeing someone go from needing a hoyer lift to driving a car after infusions to help the nerve cells.

Current studies progress about paralysis reversal involving non differentiated cells that are given a special treatment to become a nerve cell and then re infused in increments after pooling the precursor cells. These are autologous infusions, that means the product comes from the patient. It is very sci-fi idea to imagine. The fat is extracted from stomach, then the undeveloped cells are extracted from this to be used in the experiment- I mean treatment. It is still in stages of development, but there has been reversal of diaphragm paralysis. The diaphragm is a muscle that is needed in order to breathe. People with diaphragm paralysis often require a ventilator, but it is possible to treat with discoveries recently made.

Technology can revolutionize the way medications are prescribed. Now you can get a buccal swab to identify the set of enzymes that tells you which medications your body can tolerate. The results are nearly 100% accurate, and consist of composites for psychotropics, anesthesia, antibiotics, opioids, and this technology will continue to grow. It seems natural that the if you can check for anaphylaxis (certain risk of sudden death), this will soon be a common diagnostic. The price of this is expensive, but some insurances do pay for it, and the good news is that you should only need to get the swab one time. That would eliminate many unnecessary and dangerous medications.

Studies continue to reverse paralysis, and products related to all the medical needs of people with paralysis. Studies continue involving genetics in medicine and results will entail new standards of care.

Innovating Care

Point blank: our health system needs to involve nurses who actively practice at the bedside in making the policies.

Goals for care planning can be revised to reflect new products, standards and individual needs that are ever-changing. Nurses are required for this process.

Nurses are natural innovators, and can collaborate in many respects to help achieve the best outcomes for patients and the greater communities they serve. An ongoing investigation of new requirements, standards and best practice is needed for patient safety and quality of life.

A cornerstone of integration is for health care consumers to report needs to providers, this reciprocates the plan of action to incorporate diverse needs within the community.

Community Conclusion

The community can impact care, and has an integral role to adapt to changing health systems, products and standards.

When the community plays primary role of shaping our health care with communication, we have the ability to make changes to benefit all and adapt for ensuring better outcomes.

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11 thoughts on “Neuromuscular Anomalies: How Do Nerve Cells Work?”

  1. Wow! great article about neuromuscular anomalies and how cells work.  This article touched on so many points that I need right now.  My father has had a stroke, he is older and is suffering some paralysis and having difficulty eating and speaking.  Your post is so informative and eye opening.  I want to investigate some of the therapies you wrote about to see if they can help my Dad.  I also realize I need to speak with my dad’s nurses more as they are on the front lines fighting for him and they probably have a lot of info and advice that can help us. I don’t think we are thinking of hospice but at 82 I don’t know what this stroke might mean to him so I will bookmark your page for future reference if I need it. Thanks so much for giving so much information about such a difficult subject in such an informative and dignified manner.

    • Dearheart now is a great time to talk to hospice. Last year I did calls, triage and director roles and the benefits are immense. Some people are on hospice for years. It is definitely worth investigating for family support now and or in the future. The tornado oxygen system could help reoxygenate, it maybe good to ask your doctor if it would be of benefit. It uses Tesla technology and increases oxygen at a cell level. Perhaps nerve therapy will include this in the future. As well as for breakthrough in light and sound theralies, pharmacogenetics, infusion therapies. I am thinking outside of the box, but excited to learn more. My dad had 7 strokes, so I always try and help stroke victims in remembrance. I hope my notes find you both feeling well. Thank you so much for leaving a note!

      Kind Regards,

      Nurse Becca

  2. Dear Rebecca,

    Thanks for the article I enjoyed it, I must say I found your post highly uplifting and educational. I can tell you I have taken some great insights from this post.

    I am shocked to read the list of nerve and muscle problems. You not only discussed the problem but the best thing is you have provided with the solution as well.

    Your post means a lot to me and the timing of this post is awesome. Very recently started to learn about cells, as a result I am currently reading the book, Biology of belief by Bruce Lipton. 

    Indeed the changes in technology are a great blessing to us and it changing many lives and turning the impossible to possible. In the part of the world where I live we call nurses as sisters and they are playing a vital in helping the society.

    I thoroughly appreciate the research you must have done to gather and compile so much information. You have given me plenty to think about here. This post is so thorough it opened my eyes to all sorts of information I wasn’t aware of!

    Much Success!


    • Dear Paul,

      Thank you so much! I uodated it to see of it makes a good impact, adding links and organizing. I will keep uodates coming for this post and more on this site. I have been researching for a long time, hoping to share with writing as I age. I began writing for college news and was featured in the Sookeman Review and Coeur d’ Alene Press, and the alumni newsletter for North Idaho College. I hope to grow as an author and write some books. That sounds like an interesting book you are reading. I am grateful for your feedback and support. My consulting is to furnish the Pharm D someday research and writing about medicine, with decades of experience as an RN. What a privilege you visited as a guest. Thanks again,

      Nurse Becca

  3. It’s good to learn about these types of diseases. I wasn’t aware of them till I came across your article. However, I have a few questions. Are these diseases more common at a certain age? Can they occur in young children? Can they cure the disease before it fully takes action?

    • They can occur in any age, some are more prevalent in younger people because of a shorter life expectancy. Sometimes there are ways to treat prior to them taking a toll on people. These are outstanding questions. Thank you for your encouragement, feedback and support.


      Nurse Becca

  4. This was a very thorough explanation of neuromuscular anomalies that can arise when the nerve cells are not working properly due to any number of reasons that can be internally or externally caused by enablers such as chemicals or flaws in the body itself that then manifest themselves as diseases.

    There is any number of solutions out there, and more are being discovered each day, as you report, and this gives me hope for the future as many therapies are available today that were simply not there just a few years ago, and the pace of solutions seems to be quickening.

    You are right that it takes a coordinated effort, from the nurses at patient’s bedsides all the way up to the communities and the governments to allow this trend to continue. Another vital player in this is the corporations, many of which are profit driven to the detriment of the rest of the society and people.

    Neuromuscular anomalies will remain part of the health concerns we all have for the foreseeable future, but we are not helpless. Through active involvement starting with identifying the problems to then finding suitable solutions, we can all make a difference. 

    When I read about just how many areas of our lives are affected by nerve cells that are not working properly, it motivates me to do something, anything, that in some small way will help. It can be many things like volunteering, charity work, donations, or community-related. I am open to everything. Thanks for an excellent and thought-provoking post…

    • Thank you! I truly appreciate your comments. Your enthusiasm and support are priceless. That is a great unwritten call to action. If writing this inspires any of the above, it has been worth every endeavor. I agree the movement is catapulting to real success stories. It has been my greatest honor and privilege to see some of these miracles in action.

      Have a great night,

      Nurse Becca

  5. I like your site; being a Nursing Attendant for over 30 years myself, it was very interesting to re-read about Neurons and how they worked.  I am working on a site about the elderly and what they go through when their minds do not work and cause Dementia and Alzheimer’s. I am very interested in learning more and will be keeping your site in mind. 

    • Alzheimer’s and Dementia are an ongoing are of interest for me. I would enjoy visiting your site if you send it to me. I appreciate your response and message to keep moving forward. Thanks so much for your interest and support.


      Nurse Becca


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