Hereditary Ataxia Program The Hereditary Ataxia Program at URMC offers coordinated care for patients with genetic forms of ataxia. People who are diagnosed with ataxia lose muscle control in their arms and legs, which may lead to a lack of balance, coordination, and possibly a disturbance in gait. Ataxia may affect the fingers, hands, arms, legs, body, speech, and even eye movements. We take referrals from area physicians for diagnosis, genetic testing, and management. The only hereditary ataxia program in the region, we see patients from throughout upstate New York. We have a multidisciplinary team that includes: Alex Paciorkowski, M.D. Neurogeneticist Erika Augustine, MD Neurologist and movement disorder specialist Kelly McMahon, MS CGC Certified genetic counselor Lindsay Gerringer, PT Physical therapist Amy Cheshire, MSW Social worker For appointments, please call (585) 341-7500.