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Dr. Margarita Manahan McGuire, MD

(39 Ratings)

Specializes in: Physiatry (Physical Medicine & Rehabilitation)

Professional interests include: stroke, electromyography (EMG), spinal cord injury, and more.

280 Smith Avenue N Doctors Professional Building, Suite 220
Saint Paul, MN 55102

(651) 241-8295

Dr. Margarita Manahan McGuire, MD is a physiatrist in Saint Paul, MN specializing in physiatry (physical medicine & rehabilitation). Dr. Margarita Manahan McGuire, MD is affiliated with Allina Health.

Office Locations

Address:

280 Smith Avenue N Doctors Professional Building, Suite 220
Saint Paul, MN 55102

Address:

2925 Chicago Avenue
Minneapolis, MN 55407

Some issues Dr. Margarita Manahan McGuire, MD can help you with:

Spinal Cord Injury

Spinal cord injury medicine is a branch of medicine that treats damage to the spinal cord from an injury or a nontraumatic myelopathy, which is any disorder that affects the spinal area. The spinal cord is a section of nerve tissue protected by the vertebrae (spinal bones). Trauma to the spinal cord, typically caused by compression or bent vertebrae, prevents the body and brain from communicating. This can result in pain, loss of sensation, and impaired physical function and movement. Acute spinal cord injuries (SCIs) are a leading cause of permanent disability. Spinal cord injuries may develop from accidents or myelopathies, disorders that provoke spinal compression. Traumatic incidents such as falls, sports injuries, vehicle accidents, and bullet or stab wounds can cause an acute spinal cord injury.

Spinal cord injury medicine seeks to stabilize the spine and to alleviate the symptoms of spine damage. Practitioners of spinal cord injury medicine are called spinal cord injury specialists. Spinal cord injury medicine is an interdisciplinary field, meaning physicians of various specialties may be trained to treat spinal cord injuries.

Damage to the spinal cord may initially be diagnosed through X-ray, MRI, or CT scans. Patients can also undergo spinal exams to evaluate their sensory ability and strength. Injuries to the spinal cord can be complete (no feeling or sensation) or incomplete (some feeling or sensation remains). Conditions spinal cord injury medicine specialists may treat include:

Paralysis, such as paraplegia (loss of function in the legs), or quadriplegia (loss of function from the neck down)
Spine fracture or trauma, which can lead to impairment and/or significant pain
Spinal infections
Myelopathies, such as herniated disks, spinal tumors, and rheumatoid arthritis
Inflammatory diseases such as ankylosing spondylosis, and degenerative conditions like Lou Gehrig's disease (ALS)

Treatment for spinal cord injuries often involves surgery, either directly after an injury occurs or at a later date. Surgery for spine injuries is intended to ease spinal compression and stabilize the spine. Surgical procedures can involve shifting vertebrae, removing bone, or altering spinal placement with implantable devices. Patients with significant spinal trauma may require urgent surgical intervention.

Surgical treatments can be complemented by rehabilitative physical therapy to improve mobility. Spinal cord injury specialists also treat complications arising from a spinal injury, such as respiratory or bladder conditions. Some patients with spinal cord injuries may require lifelong treatment. Spinal cord injury specialists aim to help these patients successfully adjust and lead an improved quality of life. An emerging treatment for spinal cord injuries is neural prosthetics, which replicate patients' lost nerve function. Neural prostheses may be used as artificial body parts or assistive devices that patients may cognitively control. Other assistive devices include wheelchairs and scooters.

Spinal cord injury specialists may collaborate with physical therapists, radiologists, neurologists, urologists, and orthopedists.

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

doctor visit	96
hospital care	1365
inpatient care	1365

**Gender**
Male	144
Female	147

**Ethnicity**
Non-Hispanic White	246
Black	33
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	109
From 75 to 84	83
85 and over	54
Less than 65	45

Hypertension	75
High Cholesterol	68
Stroke	43
Ischemic Heart Disease	44
Depression	42
Chronic Kidney Disease	38
Asthma	9
Osteoperosis	13
Atrial Fibrilation	22
Heart Failure	32
Chronic Obstructive Pulmonary Disease	28
Diabetes	42
Dementia	21
Cancer	12

doctor visit	109
hospital care	1663
inpatient care	1663

**Gender**
Male	166
Female	171

**Ethnicity**
Non-Hispanic White	276
Black	43
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	115
From 75 to 84	97
85 and over	53
Less than 65	72

Hypertension	75
High Cholesterol	72
Stroke	44
Ischemic Heart Disease	53
Depression	52
Chronic Kidney Disease	45
Asthma	9
Osteoperosis	14
Atrial Fibrilation	23
Heart Failure	31
Chronic Obstructive Pulmonary Disease	27
Diabetes	43
Dementia	23
Cancer	11

doctor visit	115
hospital care	1502
inpatient care	1502

**Gender**
Male	322
Female	300

**Ethnicity**
Non-Hispanic White	526
Black	70
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	210
From 75 to 84	170
85 and over	72
Less than 65	170

Hypertension	75
High Cholesterol	67
Stroke	48
Ischemic Heart Disease	45
Depression	46
Chronic Kidney Disease	49
Asthma	19
Osteoperosis	13
Atrial Fibrilation	21
Heart Failure	28
Chronic Obstructive Pulmonary Disease	28
Diabetes	43
Dementia	24
Cancer	12

**Gender**
Male	135
Female	171

**Ethnicity**
Non-Hispanic White	276
Black	17
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	82
From 75 to 84	86
85 and over	85
Less than 65	53

Hypertension	75
High Cholesterol	65
Stroke	21
Ischemic Heart Disease	50
Depression	52
Chronic Kidney Disease	55
Asthma	31
Osteoperosis	16
Atrial Fibrilation	23
Heart Failure	37
Chronic Obstructive Pulmonary Disease	27
Diabetes	43
Dementia	46
Cancer	9

hospital care	487
inpatient care	487

**Gender**
Male	66
Female	90

**Ethnicity**
Non-Hispanic White	134
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	46
From 75 to 84	48
85 and over	34
Less than 65	28

Hypertension	75
High Cholesterol	69
Stroke	67
Ischemic Heart Disease	52
Depression	56
Chronic Kidney Disease	51
Asthma	8
Osteoperosis	8
Atrial Fibrilation	30
Heart Failure	33
Chronic Obstructive Pulmonary Disease	18
Diabetes	42
Dementia	41
Cancer	17

hospital care	424
inpatient care	424

**Gender**
Male	75
Female	71

**Ethnicity**
Non-Hispanic White	125
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	42
From 75 to 84	47
85 and over	27
Less than 65	30

Hypertension	75
High Cholesterol	75
Stroke	63
Ischemic Heart Disease	46
Depression	51
Chronic Kidney Disease	53
Asthma	8
Osteoperosis	0
Atrial Fibrilation	25
Heart Failure	34
Chronic Obstructive Pulmonary Disease	14
Diabetes	40
Dementia	34
Cancer	16

doctor visit	28
hospital care	699
inpatient care	699

**Gender**
Male	123
Female	126

**Ethnicity**
Non-Hispanic White	217
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	80
From 75 to 84	77
85 and over	46
Less than 65	46

Hypertension	75
High Cholesterol	74
Stroke	67
Ischemic Heart Disease	57
Depression	59
Chronic Kidney Disease	57
Asthma	13
Osteoperosis	11
Atrial Fibrilation	29
Heart Failure	50
Chronic Obstructive Pulmonary Disease	20
Diabetes	40
Dementia	33
Cancer	14

doctor visit	19
hospital care	441
inpatient care	441

**Gender**
Male	96
Female	93

**Ethnicity**
Non-Hispanic White	156
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	73
From 75 to 84	47
85 and over	30
Less than 65	39

Hypertension	75
High Cholesterol	75
Stroke	56
Ischemic Heart Disease	52
Depression	59
Chronic Kidney Disease	62
Asthma	12
Osteoperosis	11
Atrial Fibrilation	30
Heart Failure	46
Chronic Obstructive Pulmonary Disease	23
Diabetes	48
Dementia	39
Cancer	13

doctor visit	82
hospital care	830
inpatient care	830

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Margarita Manahan McGuire, MD for Medicare patients.

The highest averages for the top procedures that Dr. Margarita Manahan McGuire, MD treated as a physiatrist in Saint Paul, MN were nursing home care, hospital care, inpatient care and aspiration.

aspiration	22
doctor visit	68
hospital care	840
injections	22
inpatient care	840
nursing home care	1499

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Margarita Manahan McGuire, MD.

**Gender**
Male	102
Female	106

**Ethnicity**
Black / African American	14
Asian / Pacific Islander	0
Non-Hispanic White	177
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	36
75 to 84	59
Less than 65	43
65 to 74	68

Average of Total of Conditions of Medicare patients treated by Dr. Margarita Manahan McGuire, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Margarita Manahan McGuire, MD treated were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	54
High Cholesterol	51
Stroke	37
Ischemic Heart Disease	36
Depression	37
Chronic Kidney Disease	37
Asthma	9
Osteoporosis	7
Heart Failure	26
Chronic Obstructive Pulmonary Disease	16
Diabetes	31
Atrial Fibrillation	18
Dementia	23
Cancer	9

Education & Training

She completed residency at Montefiore Medical Center. She is certified by the Board Certification: Physical medicine and rehabilitation and has a state license in Minnesota.

Residency: Montefiore Medical Center

Board Certification: Board Certification: Physical medicine and rehabilitation

Licensed In: Minnesota

Affiliations & Hospitals

Dr. Margarita Manahan McGuire, MD is associated with these hospitals and organizations:

Allina Health

Ratings & Reviews

Dr. Margarita Manahan McGuire, MD has an exceptional overall rating with an average of 4.7 out of 5 stars based on 39 ratings. We collect ratings and reviews of Dr. Margarita Manahan McGuire, MD from all over the web to help you find the right in Saint Paul, MN.

4.7

Overall Rating

(39 Ratings)

Leave a Review

General Payments

These charts describe general payments received by Dr. Margarita Manahan McGuire, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boston Scientific Corporation	$65 GENERAL DBS $65
Allergan Inc.	$40 BOTOX $40
Ipsen Biopharmaceuticals, Inc	$39 Dysport 300 U-1 $39
Merz North America, Inc.	$33 Xeomin $33
Medtronic USA, Inc.	$15 SYNCHROMED $15

**Types of Payments**
Food and Beverage	$192

Biography

Dr. Margarita McGuire's specialty is physiatry (physical medicine & rehabilitation). She is rated highly by her patients. Clinical interests for Dr. McGuire include spinal cord injury, prosthetics, and orthotics. Dr. McGuire's residency was performed at the University of Pittsburgh Medical Center (UPMC) and Montefiore Medical Center. Dr. McGuire is professionally affiliated with Allina Health.