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Neuromuscular & Neurometabolic Clinic

Contact Us:

2H Clinic, McMaster Children's Hospital

Phone: 905-521-7933,  Fax: 905-521-2638

Conditions We Treat:

Mitochondrial Diseases: MELAS, MERRF, LHON, CPEO

Muscular Dystrophies: Myotonic, FacioScapuloHumeral , Oculopharyngeal, Limb Girdle, Duchenne, Becker’s

Neuropathies: Acquired, Congenital, Metabolic, Toxic, CMT, HSMN, HNPP, CIDP, Guillan-Barre

Myopathies: Toxic, Congenital

Myositis: Dermatomyositis, Polymyositis, IBM

Neurometabolic Disorders: GSD, Fatty Oxidation Defect, Pompe

Neuromuscular Junction Disorders: Congenital, Acquired, Myasthenia Gravis, Lambert-Eaton Syndrome

Neurogenetic Disorders: HSP, SCA, SMA

What Services Do We Provide?

  • Consultation for neuromuscular, neurometabolic and neurogenetic disorders

  • EMG, nerve conduction studies, lumbar puncture, muscle biopsy and skin biopsy procedures

  • Exercise, strength, and functional testing for children and adults with the above conditions

  • Genetic and metabolic consultation for neuromuscular and neurological disorders

  • Development assessment

Clinic Location:

The hospital is located at 1200 Main St. W., Hamilton, ON, L8N 3Z5.

2H Clinic, McMaster Children's Hospital

2nd Floor, Red Section

Hospital Map

What Happens When We Arrive?

When you arrive to the clinic please check in with the Business clerk at the reception desk. The business clerk will let the team know that you have arrived.

Staff will do their best to make sure you are seen at your appointment time.  If you feel you have been waiting a long time please speak with a business clerk at the reception desk. 

 Referral Process:

  • The referral process in made through a direct referral from a pediatrician, other specialist or a family doctor to a specialist.

  • Referrals can be faxed directly to the clinic as noted on the referral form 

  • All referrals are screened by one of the clinic doctors

Urgent Referrals:

The clinics are not for emergencies. If you or your child needs to be seen on an urgent basis, please contact your family doctor or go to your local emergency department. 

Clinic Hours:

The clinic hours are Monday to Friday (closed on holidays)

8:30 a.m. to 4:30 p.m.

Changing Your Appointment:

Please contact us as soon as possible, if you need to change or cancel your appointment.


If you or your child has a respiratory illness with coughing/fever or vomiting/diarrhea please do not come to the clinic but call for further assessment/instructions as soon as possible prior to the appointment.

If the patient is ill with any antibiotic resistant organism, MRSA, a communicable disease (such as chicken pox), or respiratory infection, please notify the staff at the reception desk upon arriving at the clinic as the child will be directed to a location other than the main waiting room

What Should You Bring To The Clinic:

  • Health Card - the Ministry of Health requires us to validate your health card at every clinic visit

  • Any relevant x-rays, letters, or blood work from your doctor

  • Any notes or questions that you may have

  • List of medications

Interdisciplinary Team:

The 2H Clinic at McMaster University Hospital consists of a complete comprehensive care team specializing in neuromuscular and neurometabolic diseases. In addition to our Doctors, there is a Psychiatrist and Developmental Pediatrician available to  support our patients when necessary. The clinic support team consists of the clinic coordinator and business clerks organizing new referrals as well as booking appointments. The nurse, genetic counselor and the exercise testing technicians collaborate with the Physicians to provide optimal patient-centered care and support. This may include, genetic, exercise and functional testing as well as patient education.

Exercise Testing Technicians:

The techs conduct various exercise, pulmonary, strength and functional testing on patients as well as educating them on disease-specific exercise programs that they can incorporate into their daily lives.

EMG Technician:

The duties of the EMG tech include conducting electromyography tests which measures electrical activity in peripheral nerves to assist the Physician in diagnosing neuromuscular disorders.

Genetic Counsellor:

The duties include coordination and interpretation of genetic results to patients as well as education around inheritance and implications of other family members.

Registered Nurse:

The duties of the RN include taking patient histories in clinical appointments, assisting the Physician in procedures, as well as patient education in regards to medications and treatments.

Business Clerks:

The duties include answering any general patient inquiries concerning our clinic, organizing new referrals as well as booking new consults and follow-up appointments for patients. In addition, they are responsible for scheduling in the Resident rotations within the clinic.

Our Philosophy:

Our philosophy is family-centered care. We strive to provide the best care possible.





Chronic Progressive External Ophthalmoplegia:

Duchenne Muscular Dystrophy:

Mitochondrial Disease:

In addition to the library, below are several links to various association and support services pertaining to Neuromuscular and Neurometabolic Diseases:

Families of SMA Canada

Muscular Dystrophy Association of Canada

Mito Canada

CMT Association


Hamilton Health Sciences • Hamilton, Ontario • 905.521.2100

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