
Stephen Goutman, M.D., M.S.
Clinical Associate Professor, Neurology
Director, Pranger ALS Clinic
Associate Director, ALS Center of Excellence at Michigan Medicine
Dr. Stephen Goutman, director of the Pranger ALS Clinic and associate director of the ALS Center of Excellence at Michigan Medicine in Ann Arbor, said muscle weakness typically starts in one region of the body and then spreads to other areas.