Neuromuscular Disease

The Neuromuscular Program at Boston Medical Center provides consultation for inpatients and outpatients as well as a full range of diagnostic testing and electromyographically guided botulinum toxin injection. The expertise of our Board Certified Neurologists encompasses the full range of neuromuscular disorders including peripheral neuropathies (including those secondary to toxic exposures), compression neuropathies, traumatic injury to nerves, Amyotrophic Lateral Sclerosis (ALS), Myasthenia Gravis and diseases of muscle.


BMC Shapiro Ambulatory Care Center: Inpatient and outpatient office consultations are provided as well as inpatient and outpatient electrodiagnostic testing and procedures.

Veteran’s Administration Boston Healthcare System (Jamaica Plain, West Roxbury): The full range of services is available through the VA system.

Diagnostic Testing and Procedures

The laboratory can accommodate adults, children and infants. The combined laboratories perform over 1800 studies each year. These include:

diamond shaped bullet Routine Nerve Conduction Studies and Electromyography (EMG)
diamond shaped bullet Single Fiber EMG
diamond shaped bullet Laryngeal EMG for disorders of voice and phonation
diamond shaped bullet Anal sphincter EMG
diamond shaped bullet Sexual dysfunction testing
diamond shaped bullet Ischemic forearm testing for metabolic diseases of muscle
diamond shaped bullet EMG guided botulinum toxin injection

Education and Training

Education and training are integral parts of the Neuromuscular Service and EMG Laboratory. A clinical neurophysiology conference for residents and medical students is held weekly. Our faculty participates in the education and training of residents and fellows in the performance of EMG and Nerve Conduction studies. Visitors from throughout the United States and the world come to learn new procedures developed in our Laboratory and members of our faculty lecture at national and international meetings.

Patient Education

As part of our patient education program, we maintain a popular EMG website at:


Our faculty has published extensively on novel EMG and Nerve Conduction techniques, the development of special electrodes, peripheral neuropathies, Myasthenia Gravis and ALS.


Patients are typically referred by their primary care physician. Patients are seen for routine evaluations and second opinions. Patient appointments can be made at the following numbers:

Shapiro Ambulatory Care Center (office visits)
VA Medical Center (Jamaica Plain)
617-232-9500 x 4827


BMC Shapiro Ambulatory Care Center:
diamond shaped bullet Peter Siao, M.D., Director, EMG Laboratory
diamond shaped bullet Michelle Kaku, M.D.
diamond shaped bullet H.K. Vincent Lau, M.D.
VA Medical Center:
diamond shaped bullet M. Kian Salajegheh, M.D., Director, Neuromuscular Center and EMG Laboratory
diamond shaped bullet Manisha Thakore-James, M.D.
diamond shaped bullet Rose Domingo Horne, M.D.

Primary teaching affiliate
of BU School of Medicine