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Neuromuscular Medicine

Neuromuscular medicine is the study, diagnosis, treatment and care of patients with afflictions of the peripheral nervous system, including diseases affecting spinal nerve roots, peripheral nerve, neuromuscular junction, and muscle. It includes a variety of diagnostic tests and therapeutic procedures to help with diagnosis and management of these diseases, such as nerve conduction studies, needle electromyography (EMG), Single Fiber EMG (SFEMG), skin biopsies for epidermal nerve fiber density, ischemic exercise testing, edrophonium testing and EMG-guided botulinum injections. Diseases cared for by the SIU Medicine Neuromuscular Medicine Team include Motor neuron disease, ALS, Radiculopathy, Plexopathy, Peripheral Neuropathy, Mononeuropathy Multiplex, Myasthenia Gravis, Lambert-Eaton Myasthenic Syndrome, Botulism, and muscular dystrophy, inflammatory myositis, and a host of other myopathies.

Our Neuromuscular clinic includes the MDA Care Center at SIU, sponsored by the Muscular Dystrophy Association. This is a multi-disciplinary clinic providing care to some 40 inherited and progressive neuromuscular diseases including ALS, Charcot-Marie-Tooth Disease, Friedreich’s Ataxia, myasthenia gravis and muscular dystrophy.  The MDA clinic team includes the Director Dr. Gilchrist, Dr. Dial, Dr. Patel, a team of pulmonologists, respiratory therapy, physical therapy, social work and Durable Medical Equipment (DME). SIU has both an adult and pediatric MDA Care Center.

The EMG laboratory is located within the SIU Neurology clinic and is staffed by four SIU neurologists and an EMG technologist. This lab provides nerve conduction study, needle EMG, repetitive nerve stimulation, single fiber EMG jitter analysis and EMG guided chemodenervation with Botox (Botulinum Toxin).


James Gilchrist, MD and Samantha Dial, MD

Appointments may be made by calling (217) 545-8000


The clinic is located in the SIU Department of Neurology clinic on the 3rd floor (Room 3100) of the SIU Clinics Building, 751 N. Rutledge Street, Springfield, IL.