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Dr. Aruna Arora and Dr. David White are the Co-Medical Directors of the Crestwood Medical Center ALS Care Clinic. Crestwood Medical Center's ALS Care Clinic, an ALS Association Treatment Center of Excellence, strives to ensure no one is alone in their fight against Lou Gehrig's disease (Amyotrophic Lateral Sclerosis {ALS}).
We provide an interdisciplinary care program for the management of ALS. Crestwood Medical Center ALS Care Clinic allows patients to see multiple clinical staff all on one clinic day including a neurologist, physical therapist, nurse, occupational therapist, respiratory therapist, registered dietician, speech and language therapist and social worker.  ALS patients with a confirmed diagnosis and who are registered with the Alabama Chapter of the ALS Association are eligible to visit the clinic by appointment. 

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Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. Motor neurons reach from the brain to the spinal cord and from the spinal cord to the muscles throughout the body.

Often referred to by the name of a famous baseball player, Lou Gehrig, who died from the disease, ALS often develops in people between the ages of 40 and 70 but can develop at an earlier age. According to the ALS Association, the disease effects as many as 30,000 American with an average of 5,000 new cases diagnosed each year.

There are three types of ALS:

  • Sporadic ALS – The most common type of the disease, accounting for roughly 90 to 95 percent of all cases in the U.S., it occurs randomly without cause to people who have no family history of the disease.

  • Familial ALS – Only five to 10 percent of cases in the U.S. are this type, which suggests that the disease may be inherited.

  • Guamanian – Throughout the 1950s there was a high incidence of ALS observed in Guam and the Trust Territories of the Pacific Islands.

Because there currently is no cure for ALS, current treatments focus on easing symptoms and making day-to-day life more manageable for patients. In addition, various medications and supplements may be prescribed as the disease progresses to help ease symptoms. These include:

  • Medications that relieve stiffness in the limbs and throat

  • Medications that ease cramps

  • Medications that control excess saliva that is common with the disease

  • Nutritional supplements to slow muscle decline and weight loss


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