Nerve & Muscle Disorders
Nerve & Muscle Disorders — Comprehensive Care by Dr. Chirag Gupta
At the intersection of movement, sensation and quality of life lie the nerves and muscles that power our daily lives. When something goes wrong—tingling that won’t stop, weakness that limits work or play, cramps that steal sleep—those small disruptions become major burdens. Dr. Chirag Gupta and his multidisciplinary team offer compassionate, cutting-edge care for nerve and muscle disorders, blending advanced diagnostics, personalized treatment plans, and rehabilitation strategies that get you back to the life you love.
Who we help
Our clinic treats people across the lifespan — from young adults with inherited conditions to seniors facing age-related neuromuscular decline. Whether symptoms started yesterday or have been slowly progressing for years, we evaluate each person as an individual, not a diagnosis. Common presentations we see include:
- Muscle weakness, stiffness, or wasting
- Unexplained fatigue with activity
- Numbness, tingling, burning, or shock-like sensations
- Cramps, twitching (fasciculations), or involuntary movements
- Difficulty swallowing, slurred speech, or breathing trouble linked to muscle control
- Recurrent falls or gait instability
Conditions we treat
Our expertise covers a wide spectrum of neuromuscular illnesses, including but not limited to:
- Peripheral neuropathies (diabetic, autoimmune, toxic, idiopathic)
- Myopathies (inflammatory myositis, metabolic myopathies, muscular dystrophies)
- Motor neuron diseases (early workup and supportive management)
- Neuromuscular junction disorders (myasthenia gravis, Lambert-Eaton syndrome)
- Small fiber neuropathy and autonomic neuropathies
- Entrapment syndromes (carpal tunnel, ulnar neuropathy, peroneal palsy)
- Chronic inflammatory demyelinating polyneuropathy (CIDP)
- Post-viral and post-infectious neuromuscular complications
Our approach — accurate diagnosis, humane care
Nerve and muscle disorders can mimic each other and other medical conditions. Dr. Chirag Gupta believes clear answers are the foundation of effective care. Our approach:
- Deep listening & targeted history: We map your symptoms across time, activity, sleep, medication exposures, family history, and workplace risks to prioritize the most likely causes.
- Focused neurological exam: The physical exam reveals patterns — which muscles are weak, what reflexes are altered, whether sensory loss follows nerve distributions — that guide testing.
- State-of-the-art diagnostics: We use electromyography (EMG) and nerve conduction studies to quantify nerve and muscle function, specialized blood tests to detect autoimmune or metabolic causes, and coordinate with imaging (MRI, ultrasound) or genetic testing when needed.
- Personalized diagnosis & plan: Every patient receives an individualized plan that balances symptom control, disease-modifying therapy when available, and rehabilitation goals.
Treatments we provide
Treatment is never one-size-fits-all. Dr. Gupta combines evidence-based medical therapies with rehabilitative and lifestyle strategies:
- Medications: Immunotherapies (steroids, IVIG, plasmapheresis, steroid-sparing agents) for inflammatory conditions; neuropathic pain modulators; medications to reduce muscle stiffness or cramping; agents to improve neuromuscular transmission in myasthenia.
- Infusion services & procedural care: We coordinate IVIG infusions and plasma exchange with experienced nursing teams, ensuring safety and comfort.
- Targeted injections & nerve procedures: For entrapment neuropathies and focal problems, we offer ultrasound-guided injections and referral for surgical decompression when indicated.
- Rehabilitation & functional restoration: Our therapists design progressive strength, endurance, and balance programs, plus assistive device assessments (bracing, orthoses, mobility aids). We emphasize neuroplasticity — the nervous system’s ability to adapt — through graded exercise and task-specific training.
- Multidisciplinary support: Nutrition, pain psychology, occupational therapy, speech/swallow therapy, and respiratory specialists collaborate for complex cases.
Living well with neuromuscular disease
Beyond treating disease, we focus on sustaining meaningful life. Dr. Gupta’s clinic offers:
- Practical strategies for energy conservation and adaptive techniques for work and home.
- Vocational and school guidance to help patients continue meaningful roles.
- Education for families and caregivers — recognizing early red flags, managing medications, and planning for progressive needs.
- Connection to support groups and clinical research when appropriate.
Why choose Dr. Chirag Gupta
Dr. Gupta combines empathy with expertise. He prioritizes clear communication: you’ll leave visits understanding what we know, what we don’t, and the rationale for each test or treatment. The clinic’s care is:
- Patient-centered: Shared decision-making and respect for your goals.
- Evidence-driven: Therapies guided by the latest clinical standards.
- Holistic: Attention to mental health, function, and social impact — not just lab numbers.
- Coordinated: Smooth referrals and follow-up with physiotherapy, rehabilitation, and surgical teams.
What to expect at your first visit
Bring a summary of your medical history, current medications, and any previous test results or imaging. Expect a detailed history, a neurological exam, and a discussion of initial testing options. We’ll prioritize what’s urgent, explain next steps, and, whenever possible, begin treatment that day.
Frequently asked questions (short)
- How long does diagnosis take? Some diagnoses are clear after one visit and EMG; others require stepwise testing. We aim to reduce uncertainty quickly.
- Are these conditions curable? Some are reversible or highly treatable (e.g., certain neuropathies, myasthenia), others are chronic but manageable. Our goal is to maximize function and quality of life.
- Do you offer telemedicine? Yes — for follow-ups, review of results, and many medication-management visits.
