CMT care is best delivered by a team. HNF has built a national network of CMT Centers of Excellence:
medical centers that demonstrate strength in both clinical care and research, and that serve as hubs
for the Charcot-Marie-Tooth (CMT) community. Being seen at a center that knows CMT can change your care
and, often, your access to research and trials.
National network31 HNF-designated centers, US and Canada.
MultidisciplinaryOne coordinated team, not scattered visits.
Research-activeMany run research studies with some clinical trials.
CMT-experiencedClinicians who see CMT every week.
What a CMT Center of Excellence is
A Center of Excellence is a center HNF has designated for demonstrated excellence in CMT clinical
care and research. These centers collaborate with HNF to serve as hubs for the CMT patient
community, spanning clinical care, community engagement, research, and education and training for
other providers.
Designation is not automatic. HNF runs an application process with set terms, and encourages partner
centers to deliver excellent patient care and to host a Patient-Focused Summit or a CMT Connect
webinar. Research centers may receive HNF funding for preclinical or clinical work and can serve
as trial sites for HNF’s therapeutic research and accelerated discovery partners (TRIAD). Some
of these sites also participate in the Global Registry for Inherited Neuropathies (GRIN) Natural
History Study, and some lead sites have members on the TRIAD Council or the GRIN Advisory Council.
What a Center of Excellence offers
The value of a Center of Excellence is range: the specialists you need for CMT, in one coordinated
place, with a path into research when it is right for you.
Expert diagnosisNeurologists who know CMT, plus access to EMG/NCV testing and genetic confirmation.
Bracing & AFOsGuidance on the many ankle-foot orthosis options and proper fitting.
Corrective surgeryFoot and hand surgical procedures for the very young through adults.
Pain managementSpecialists who understand neuropathic and musculoskeletal pain in CMT.
PT & OTPhysical and occupational therapy tailored to maintaining function.
Bone healthCMT can weaken foot and ankle bones and lower bone density over time. A center can screen bone health, manage fractures and deformity, and coordinate with your therapy and bracing team.
Mental healthLiving with a progressive condition takes a real emotional toll. Support can include counseling, help with anxiety or depression, chronic-pain coping strategies, and connection to the CMT community.
Research & trialsMany centers run clinical trials and can connect you with studies you may qualify for.
The multidisciplinary team
CMT touches many systems, so good care draws on many specialties. A Center of Excellence brings them
together so you are not coordinating it all yourself.
Neurologist (neuromuscular specialist)
Physical therapist
Occupational therapist
Orthotist (bracing / AFOs)
Orthopedic / foot surgeon
Genetic counselor
Pain specialist
Pediatric specialists (for children)
Two ways to get genetically tested
You do not have to wait for a center visit to confirm your subtype. There are two paths, and both are
valid.
Patient-initiated
You can start on your own through CMT Genie, HNF’s
genetic-testing program with our partners at InformedDNA. It is done remotely, so an in-person visit
is not required.
Physician-initiated
Your primary care physician, pediatrician, or neurologist can order genetic testing, as can any of
the Centers of Excellence below. A genetic diagnosis is always obtainable through a Center of
Excellence.
Science and medical care are critical for helping our patient community have access to the best
options for maintaining function and mobility. There are wonderful CMT experts at our Centers of
Excellence: hubs for clinical care, community engagement, and innovative research.
CMT Center of Excellence director (Florian Thomas, MD, PhD)
Find a center near you
HNF has designated 33 Centers of Excellence across the United States and Canada. Each
listing shows the coordinator and physician, the office and scheduling numbers, and pediatric centers
are marked. Use Request an introduction and we will connect you with that center and
track the referral. Confirming your subtype first through CMT Genie
helps any center give you the most useful care from the first visit.
33 centers (7 pediatric)
Centers of Excellence across the US and Canada
Hover a pin to preview a center, then click the card to request an introduction. Every center is also
listed below.
We’ll introduce you to and track your referral. Your details go to HNF,
not published anywhere.
We’ll introduce you to Dr. Nassim Rad and track your referral. Your details go
to HNF, not published anywhere.
University of Toronto Pediatric
SickKids Neuromuscular Clinic
Physician
Hernan D. Gonorazky, MD
Office
Toronto, ON, Canada
A primary care provider must send a referral to the SickKids Neuromuscular Clinic before an appointment can be arranged.
Request an introduction
We’ll introduce you to Hernan D. Gonorazky and track your referral. Your details go
to HNF, not published anywhere.
No centers match that search.
Frequently asked questions
What is a CMT Center of Excellence?
A Center of Excellence (COE) is a medical center that HNF has designated for demonstrated strength in both CMT clinical care and research. These centers bring the specialists you need into one coordinated team, and many serve as sites for clinical trials and studies.
Do I have to travel to a Center of Excellence to get good CMT care?
Not always. A COE is the gold standard for complex or coordinated care, and some centers offer virtual visits by telemedicine. Even one visit to a CMT-experienced center can help shape a care plan your local team can follow. If you need help finding a CMT-experienced clinician, use Request an introduction above and we will point you in the right direction.
How do I find a Center of Excellence near me?
The current list of HNF Centers of Excellence, with locations and scheduling phone numbers, is on this page. Pediatric centers are marked. Confirming your subtype first, through CMT Genie, helps any center give you the most useful care from the first visit.
What kinds of specialists are at a Center of Excellence?
A COE typically brings together a neuromuscular neurologist, physical and occupational therapists, an orthotist for bracing, an orthopedic or foot surgeon, a genetic counselor, a pain specialist, and pediatric specialists for children, all coordinating around your care rather than leaving you to organize it yourself.
Find a Center of Excellence
Connecting with a center that knows CMT can change your care and your access to research. Find a
center, then confirm your subtype so your first visit is as useful as possible.
Centers of Excellence are also where research happens. Join GRIN →
to help power the trials many of these centers run.
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