Neuromuscular Diagnosis and Treatment in Rancho Mirage
Southland Neuromuscular provides specialist evaluation and care for nerve, muscle, neuropathy, weakness, numbness, Myasthenia Gravis, CIDP, and related neuromuscular disorders.
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Medical Solutions for Neuromuscular and Nerve Disorders
Southland Neuromuscular focuses on diagnosis, treatment planning, and ongoing care for patients with complex nerve, muscle, and neuromuscular conditions. Care begins with understanding the symptoms, identifying the cause, and choosing the right next step based on clinical evaluation.
Neuromuscular Diagnosis
Evaluation for weakness, numbness, tingling, nerve pain, muscle fatigue, twitching, and abnormal nerve or muscle function. Diagnostic testing may include EMG/NCS when clinically appropriate.
Autoimmune Neuromuscular Care
Care for conditions such as Myasthenia Gravis, CIDP, Guillain-Barré Syndrome, Myositis, Multifocal Motor Neuropathy, and Lambert-Eaton Myasthenic Syndrome.
Neuropathy and Nerve Conditions
Evaluation for diabetic neuropathy, peripheral neuropathy, small fiber neuropathy, carpal tunnel syndrome, burning foot pain, numbness, tingling, and nerve compression symptoms.
Neurotoxin Treatment
Medical botulinum toxin treatment for limb spasticity, cervical dystonia, focal dystonias, chronic migraine, sialorrhea, blepharospasm, and facial spasm.
NEURO CARE
Meet Dr. Samir P. Macwan, MD
Dr. Samir P. Macwan is ABPN Board Certified in both Neurology and Neuromuscular Medicine. He is on medical staff at Eisenhower Health where he served as a section chief of Neurology between 2012 to 2015. He is involved in teaching internal medicine residents,family medicine residents and sports medicine fellows at Eisenhower Health. He is a neuromuscular site director for neurology residency at California University of Science and Medicine.
Prior to completing an Internal Medicine internship at New York Medical College Dr. Macwan did a research fellowship in Headache/Cranial Neuralgia at University of Southern California. He performed a residency and fellowship at University of Kansas Medical Center. He has been trained under internationally acclaimed neuromuscular expert Dr. Richard Barohn.
Dr. Macwan has been practicing Neuromuscular Medicine in the Greater Palm Springs area for 15 years. He is a member of MG care as well as a speaker at the national meeting of Myasthenia Gravis Foundation of America. He is also on the advisory board of Myasthenia Gravis Foundation of California. He moderates and speaks at support groups for MG patients and caregivers. He has been involved in research of Myasthenia Gravis, CIDP, Multifocal Motor Neuropathy and Inflammatory Myositis.
Dr. Macwan is professionally trained in performing botulinum toxin injections in limb spasticity, cervical dystonia/focal dystonias,chronic migraine,sialorrhea and facial spasm.
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Neuromuscular Conditions and Symptoms Treated
Southland Neuromuscular evaluates patients with nerve, muscle, neuropathy, weakness, and autoimmune neuromuscular concerns. Some patients come with a known diagnosis, while others need testing to understand what is causing their symptoms.
Weakness and Autoimmune Neuromuscular Disorders
Myasthenia Gravis | CIDP | Guillain-Barré Syndrome | Myositis | Multifocal Motor Neuropathy | Lambert-Eaton Myasthenic Syndrome
Neuropathy, Numbness, and Nerve Pain
Diabetic Neuropathy | Peripheral Neuropathy | Small Fiber Neuropathy | Carpal Tunnel Syndrome
Muscle and Motor Nerve Conditions
Amyotrophic Lateral Sclerosis | Muscular Dystrophy | Progressive weakness concerns | Muscle fatigue and twitching
Symptoms That May Need Evaluation
Progressive muscle weakness | Burning pain in the feet | Tingling or numbness | Drooping eyelids | Double vision | Difficulty walking | Difficulty speaking or swallowing | Muscle fatigue | Hand weakness or dropping objects
Diagnostic Testing and Treatment Planning for Nerve and Muscle Disorders
Southland Neuromuscular uses clinical evaluation and diagnostic testing to understand nerve, muscle, neuropathy, and neuromuscular symptoms before recommending treatment.
EMG/NCS Testing
EMG/NCS helps evaluate muscle function, nerve function, and the connection between nerves and muscles when symptoms include weakness, numbness, tingling, or suspected nerve damage.
Small Fiber Neuropathy Skin Biopsy
Skin biopsy may help diagnose small fiber neuropathy when symptoms include burning foot pain, tingling, or numbness and nerve conduction testing is normal.
Treatment Planning After Diagnosis
Care may include medication management, IVIG or immunotherapy-related care, disease-specific therapy planning, neurotoxin injections, monitoring, or clinical trial evaluation when appropriate.
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Research-Connected Neuromuscular Care
Southland Neuromuscular is involved in clinical research for complex neuromuscular conditions, including Myasthenia Gravis, CIDP, Multifocal Motor Neuropathy, inflammatory myopathy, IVIG, and related therapies.
Dr. Macwan has served as Principal Investigator for ongoing and completed clinical trials. When appropriate, treatment discussions may include disease-specific therapies, immunotherapy pathways, IVIG-related options, neurotoxin treatment, or clinical trial evaluation based on diagnosis, testing, medical history, and eligibility.
Patient Resources for Neuromuscular Diagnosis and Treatment
Patient education is an important part of neuromuscular care. These resources help patients understand diagnostic testing, common neuromuscular conditions, neuropathy symptoms, and treatment options before or after their visit.
What to Expect During EMG/NCS
Learn how EMG and nerve conduction studies are used to evaluate muscle and nerve function, what the test may feel like, and why it may be recommended.
Understanding Myasthenia Gravis and CIDP
Read more about autoimmune neuromuscular conditions that may cause weakness, fatigue, numbness, difficulty walking, or changes in muscle function.
Neuropathy, Numbness, and Burning Foot Pain
Explore why tingling, numbness, burning pain, or normal nerve conduction results may require further evaluation for conditions such as small fiber neuropathy.
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Specialist-Led Practice
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