Movement Disorders

John Bertoni, MD

Welcome to the University of Nebraska Medical Center Movement Disorders Program.  We hope that we can help you find answers to your questions and concerns here.  Our goals are to provide comprehensive and compassionate care to patients with movement disorders, to advance research in these diseases, to educate future generations of physicians and healthcare providers, and to support our communities.  Ours is the only movement disorders program in Nebraska, and the largest in the region.

There are many different types of movement disorders, but what they all have in common is that they are complex disorders of the brain that cause difficulties in controlling one's movements.  Some movement disorders cause patients to have too much movement, or uncontrolled movement, while other movement disorders cause slowness, or too little movement.  Movement disorders include the following conditions:

Our program works closely with the Nebraska Medicine Departments of Neurosurgery, Neuroradiology, Neuropsychology, Psychiatry, Orthopedic Surgery and Rehabilitation to provide comprehensive, state-of-the-art, multidisciplinary care for all patients with movement disorders.  Our areas of expertise include the management of patients with Parkinson disease, Huntington disease, essential tremor, orthostatic tremor, dystonia, tics, ataxia, and myoclonus.

We have recently established the Nebraska Medicine Comprehensive Multidisciplinary Parkinson's Disease Clinic, directed by Dr. Danish Bhatti and Dr. John Bertoni, to serve as Nebraska's premier comprehensive multidisciplinary program for Parkinson's Disease.  All newly referred patients not only see a movement disorders specialist, but also receive a comprehensive evaluation and management plan from a team of providers and therapists that includes occupational therapists, physical therapists, speech therapists, dieticians and nutritionists, social workers and nurse case managers.

November 2017 Parkinson's Post Newsletter

We are also proud to have been designated as a Center of Excellence by the Huntington's Disease Society of America.  Our Huntington's Disease Clinic, directed by Dr. Amy Hellman, is a comprehensive, multidisciplinary clinic where patients and their families can obtain advanced care from a team that includes movement disorders specialists and experts from the Nebraska Medicine departments of Psychiatry, Rehabilitation, Nutrition, and Genetics.

The UNMC Movement Disorders Program is also at the forefront in the effort to understand and treat a rare movement disorder known as orthostatic tremor.  UNMC is one of the three worldwide sites for meetings of the Orthostatic Tremor Community, and we are performing research designed to unravel the origins of this little-known disorder.  Dr. Diego Torres-Russotto is currently leading the largest prospective orthostatic tremor research study ever conducted.

To serve our many patients with dysonia and spasticity, we manage that largest Dytonia and Spasticity Clinic in the region, providing a full complement of treatments for these conditions that includes botulinum toxin injections, intrathecal baclofen pump therapy, and deep brain stimulation.  Our very active Deep Brain Stimulation Program, directed by Dr. Kenneth Follett, has expertise in the treatment of even the most challenging movement disorders cases.

Throughout our programs and clinics, our movement disorders specialists teach medical students, residents, and fellows from many disciplines how to recognize and treat these complex diseases.  In addition to teaching in the clinic, we reach out to both medical professionals and patients in the community to extend understanding of movement disorders and their management.

We are also active in conducting research in Parkinson's Disease, tremor, dystonia, Huntington's Disease, and other similar conditions.

Just fifty years ago, most movement disorders were considered untreatable.  We have made tremendous strides in understanding the causes of movement disorders and developing medical and surgical treatments for them.  We are committed to further advancing research and treatment of movement disorders to improve the lives of our patients and their families.