Why would a doctor order an EMG?

A doctor will usually order an EMG when someone is showing symptoms of a muscle or nerve disorder. These symptoms may include tingling, numbness, or unexplained weakness in the limbs.
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What is EMG test used to diagnose?

Electromyography (EMG) is a diagnostic procedure to assess the health of muscles and the nerve cells that control them (motor neurons). EMG results can reveal nerve dysfunction, muscle dysfunction or problems with nerve-to-muscle signal transmission.
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Why would someone need an EMG?

An EMG test helps find out if muscles are responding the right way to nerve signals. Nerve conduction studies help diagnose nerve damage or disease. When EMG tests and nerve conduction studies are done together, it helps providers tell if your symptoms are caused by a muscle disorder or a nerve problem.
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What happens if EMG is abnormal?

An abnormal EMG result will present a bizarre pattern, with strange wave shapes. There is electrical activity even while at rest, and the electrical activity (produced by motor neurons) is abnormal during contraction of a muscle. Abnormal results indicate nerve dysfunction, muscle injury, or muscle disorders.
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What diseases does a nerve conduction test show?

Nerve conduction studies and EMGs can diagnose a variety of conditions, including:
  • Amyotrophic lateral sclerosis (ALS) aka: Lou Gehrig's disease.
  • Carpal tunnel syndrome.
  • Charcot-Marie-Tooth (CMT) disease.
  • Chronic inflammatory polyneuropathy and neuropathy.
  • Guillain-Barre syndrome.
  • Herniated disc disease.
  • Muscular dystrophy.
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ALL you want to know about EMG in 10 minutes with Dr. Andrea Furlan MD PhD PM



Why would a doctor order a nerve conduction test?

Nerve conduction studies are done to: Find and evaluate damage to all the nerves that lead away from the brain and spinal cord to the smaller nerves that branch out from them. Help diagnose nerve disorders, such as carpal tunnel syndrome or Guillain-Barré syndrome.
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What are signs of nerve damage?

The signs of nerve damage
  • Numbness or tingling in the hands and feet.
  • Feeling like you're wearing a tight glove or sock.
  • Muscle weakness, especially in your arms or legs.
  • Regularly dropping objects that you're holding.
  • Sharp pains in your hands, arms, legs, or feet.
  • A buzzing sensation that feels like a mild electrical shock.
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Does ALS show up on EMG?

Electromyography: EMG is one of the most important tests used to diagnose ALS. Small electric shocks are sent through your nerves. Your doctor measures how fast they conduct electricity and whether they're damaged. A second part of the test also checks the electrical activity of your muscles.
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Can an EMG detect neuropathy?

The diagnosis of peripheral neuropathy can be supported by electrodiagnostic testing, which includes nerve conduction studies (NCS) and needle electromyography (EMG). This activity reviews some of the causes of peripheral neuropathy and the corresponding electrodiagnostic findings.
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Does MS show up on EMG?

The test can also measure the ability of peripheral nerves to conduct impulses. EMG results are usually normal in multiple sclerosis (MS) patients, as MS doesn't affect the peripheral nervous system.
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How long does it take to get EMG results?

When should I know the results of an electromyography (EMG) test? You can expect to receive the results of the test typically within 24 to 48 hours after testing is completed.
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Does EMG always show nerve damage?

Like any diagnostic procedure or test, EMG is not perfect. A normal result does not mean a patient does not have a deficit in their nerve or muscle. Whether median neuropathy at the wrist or carpal tunnel syndrome are present is the most referred question for EMG.
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How painful is EMG test?

Is an EMG test painful? EMG testing may result in some discomfort, but it is usually well tolerated without any need for pain medication.
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Can nerve damage be repaired?

Sometimes a section of a nerve is cut completely or damaged beyond repair. Your surgeon can remove the damaged section and reconnect healthy nerve ends (nerve repair) or implant a piece of nerve from another part of your body (nerve graft). These procedures can help your nerves regrow.
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What should you not do before an EMG?

If you're able to have an EMG, you should do the following beforehand: Avoid smoking for at least three hours before the procedure. Bathe or take a shower to remove any oils from the skin. Don't apply any lotions or creams after washing.
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Will a nerve conduction test show neuropathy?

Could it still be neuropathy? You can still have polyneuropathy with a normal EMG nerve conduction study. EMG nerve conduction studies can only assess large fiber polyneuropathy. Small fiber cannot be evaluated by EMG nerve conduction study, but it may be assessed by skin biopsy.
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What does EMG not show?

EMG will show damage in muscles innervated by damaged motor axons. EMG will not detect injuries to purely sensory nerves, and NCS may not detect subtle partial injuries, injuries to nerve branches that are not recorded from, or injuries distal to the site of study.
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What does neuropathy feel like in legs?

Signs and symptoms of peripheral neuropathy might include: Gradual onset of numbness, prickling or tingling in your feet or hands, which can spread upward into your legs and arms. Sharp, jabbing, throbbing or burning pain. Extreme sensitivity to touch.
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Will an EMG show a herniated disc?

If you feel pain radiating into your arms or legs, or weakness, tingling, or numbness, an electromyogram (EMG) can reveal whether nerves are being pinched as a result of a herniated disc. An EMG measures the electrical impulses transmitted along nerves, nerve roots, and muscle tissue.
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What does ALS feel like at first?

ALS often begins with muscle twitching and weakness in a limb, or slurred speech. Eventually, ALS affects control of the muscles needed to move, speak, eat and breathe. There is no cure for this fatal disease.
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What was your first ALS symptom?

Initial Symptoms of ALS

Bulbar onset usually affects voice and swallowing first. The majority of ALS patients have limb onset. For these individuals, early symptoms may include dropping things, tripping, fatigue of the arms and legs, slurred speech and muscle cramps and twitches.
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Where do ALS muscle twitches start?

To diagnosis ALS, a physician needs to see signs of progressive muscle weakness. What causes fasciculations? They originate at the very tips of the nerves, called axons, as they come close to being in contact with the muscle.
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What is the most common symptom of nerve damage?

If you have neuropathy, the most commonly described feelings are sensations of numbness, tingling (“pins and needles”), and weakness in the area of the body affected. Other sensations include sharp, lightening-like pain; or a burning, throbbing or stabbing pain.
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What happens if nerve damage goes untreated?

Left untreated, nerve damage may worsen over time. It can sometimes start in the nerves farthest from the brain and spinal cord -- like those in the feet and hands. Then it may move up into the legs and arms.
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What are some common diseases of the nervous system?

Nervous system diseases
  • Alzheimer's disease. Alzheimer's disease affects brain function, memory and behaviour. ...
  • Bell's palsy. ...
  • Cerebral palsy. ...
  • Epilepsy. ...
  • Motor neurone disease (MND) ...
  • Multiple sclerosis (MS) ...
  • Neurofibromatosis. ...
  • Parkinson's disease.
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