What to Expect During Physiotherapy for LEMS

Emily Malcolm, PhD avatar

by Emily Malcolm, PhD |

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LEMS and massage therapy

Physiotherapy is one of the treatments that may help patients with Lambert-Eaton myasthenic syndrome (LEMS), a rare autoimmune disease characterized by muscle weakness that starts in the lower limbs.

How do I prepare for the first session?

Wear comfortable clothing that is easy to move in. Make sure that you are well-hydrated and well-rested.

Bring your prescription or referral from your primary care physician, and also your insurance card if your insurance is paying for the session.

What happens during the first session?

The first physiotherapy session usually starts with a physical examination. The physiotherapist may test your flexibility and range of motion, as well as your physical strength.

The therapist may ask you to go through a few exercises under their supervision, and will discuss your short- and long-term goals for the treatment.

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What happens after the session?

You may feel tired after the session, with some achy muscles. If you feel severe aches or pains, notify your physiotherapist and physician.

The therapist will design an exercise program that you can do at home, which will help you maintain muscle strength and improve flexibility and range of motion. This type of “homework” is common, but the specifics will be different depending on each patient’s needs.

What happens in future sessions?

The therapist will ask you whether the exercises are working for you and if any of them are too difficult or easy. If you have problems completing any of the exercises, inform your therapist, who can then modify the exercises accordingly.


Last updated: Sept. 26, 2019


Lambert-Eaton News is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.