Treatment FAQ

what is the treatment for an abnormal emg test

by Stephan Marquardt Published 2 years ago Updated 2 years ago
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How long to get EMG results?

How long does an emg take. Before your test, you can do any of your normal activities, including: The test itself can be done in an hour or two, depending on how involved it is. How long will the test take? How long does it take to get the results of an emg? Nerve conduction tests may take from 15 minutes to 1 hour or more.

How early can the EMG detect abnormalities?

Electromyography (EMG) Electromyography (EMG) measures muscle response or electrical activity in response to a nerve’s stimulation of the muscle. The test is used to help detect neuromuscular abnormalities. During the test, one or more small needles (also called electrodes) are inserted through the skin into the muscle.

What causes severe pain after EMG/NVC testing?

You should feel no pain once the test is finished. Often, the nerve conduction test is followed by electromyography (EMG). In this test, needles are placed into a muscle and you are told to contract that muscle. This process can be uncomfortable during the test. You may have muscle soreness after the test at the site of the needles Thais is the reason that you feel pain during/ after EMG/NCV testing.

Why would an EMG be abnormal?

First, the muscle may show electrical activity at rest. On the other hand, the muscle may show abnormal electrical activity during contraction. Abnormal EMG results may indicate muscle damage or a problem with the nerves that control the muscle.

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What happens if my 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.

What diseases show up on EMG?

An EMG can be used to diagnose a wide variety of neuromuscular diseases, motor problems, nerve injuries, or degenerative conditions, such as:Amyotrophic lateral sclerosis (ALS)Carpal tunnel syndrome.Cervical spondylosis.Guillain-Barre syndrome.Lambert-Eaton syndrome.Muscular dystrophy.Myasthenia gravis.More items...

Can EMG cause nerve damage?

EMG is a low-risk procedure, and complications are rare. There's a small risk of bleeding, infection and nerve injury where a needle electrode is inserted.

What does an EMG tell you?

Electromyography (EMG) measures muscle response or electrical activity in response to a nerve's stimulation of the muscle. The test is used to help detect neuromuscular abnormalities.

What are the signs of nerve damage?

The signs of nerve damageNumbness 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.

How does a neurologist check for nerve damage?

By measuring the electrical activity they are able to determine if there is nerve damage, the extent of the damage and potentially the cause of the damage. Frequently the neurologist will recommend common, noninvasive neurological evaluations such as electromyography (EMG) and nerve conduction velocity (NCV) testing.

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.

Can EMG tests be wrong?

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.

Will an EMG show a pinched nerve?

To diagnose Pinched Nerves correctly and develop a list of possible causes, an EMG/NCV (Electromyography/Nerve Conduction Velocity Study) is the most accurate and correct test and is required.

How accurate are EMG tests?

EMG/nerve conduction studies had a 74% agreement with final clinical diagnoses and 100% agreement in neurogenic, neuromuscular junction, and normal categories. Muscle biopsies concurred with final diagnoses in 87%, and 100% in myopathic and normal categories.

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.More items...

What causes nerve damage?

Peripheral nerves can be damaged in several ways: Injury from an accident, a fall or sports, which can stretch, compress, crush or cut nerves. Medical conditions, such as diabetes, Guillain-Barre syndrome and carpal tunnel syndrome.

What is EMG test?

Electromyography (EMG) measures muscle response or electrical activity in response to a nerve’s stimulation of the muscle. The test is used to help detect neuromuscular abnormalities. During the test, one or more small needles (also called electrodes) are inserted through the skin into the muscle. The electrical activity picked up by the electrodes is then displayed on an oscilloscope (a monitor that displays electrical activity in the form of waves). An audio-amplifier is used so the activity can be heard. EMG measures the electrical activity of muscle during rest, slight contraction and forceful contraction. Muscle tissue does not normally produce electrical signals during rest. When an electrode is inserted, a brief period of activity can be seen on the oscilloscope, but after that, no signal should be present.

What is the purpose of an EMG monitor?

An audio-amplifier is used so the activity can be heard. EMG measures the electrical activity of muscle during rest, slight contraction and forceful contraction.

What is nerve conduction study?

NCS is a measurement of the amount and speed of conduction of an electrical impulse through a nerve. NCS can determine nerve damage and destruction, and is often performed at the same time as EMG. Both procedures help to detect the presence, location, ...

What does EMG mean in a muscle?

EMG measures the electrical activity of muscle during rest, slight contraction and forceful contraction. Muscle tissue does not normally produce electrical signals during rest. When an electrode is inserted, a brief period of activity can be seen on the oscilloscope, but after that, no signal should be present.

What happens after an electrode is inserted?

After an electrode has been inserted, you may be asked to contract the muscle, for example, by lifting or bending your leg. The action potential (size and shape of the wave) that this creates on the oscilloscope provides information about the ability of the muscle to respond when the nerves are stimulated.

How to get rid of a pacemaker?

Dress in clothes that permit access to the area to be tested or that are easily removed. Stop using lotions or oils on your skin for a few days before your procedure, or at least stop using them on the day of the exam.

Why do you have to tell your examiner if a muscle test is painful?

If the test is painful you must tell your examiner because this can interfere with the results. You will be asked to relax and then perform slight or full-strength muscle contractions. The electrical activity from your working muscle will be measured and displayed on the oscilloscope.

What is an EMG test?

Electromyography (EMG) is a diagnostic test that measures how well the muscles respond to the electrical signals emitted to specialized nerve cells called motor nerves. A doctor may order an EMG test if a person has symptoms of a muscular or neurological condition, such as numbness or unexplained weakness in the limbs.

Why do we need EMG?

A person may have an EMG to help diagnose a muscular or neurological condition. Motor nerve cells, or neurons, transmit electrical signals from the central nervous system to the muscles. The electrical signals from the nerves trigger muscle contractions. Motor nerves control skeletal muscle activity, such as walking, speaking, and breathing.

What is the device that detects electrical activity of muscles at rest?

The needles detect the electrical activity of muscles at rest and while contracted. The needle electrodes transmit this information to a device called an oscilloscope, which displays electrical signals as waves. Once the test is finished, the neurologist or technician will remove the needle or needles.

Why does an EMG show little electrical activity?

If the muscles are healthy, an EMG test should detect little electrical activity when the muscle is relaxed. A burst of electrical activity, or a “motor unit action potential,” appears when a nerve stimulates a muscle contraction. If an EMG test detects electrical activity in a relaxed muscle, it may be due to: neuropathy.

How long does a nerve test last?

This test usually examines several nerves and muscles and lasts about 1 hour, but it may take longer depending on how many nerves the neurologist wants to test.

What are the symptoms of EMG?

Such symptoms may include: muscle weakness or stiffness. muscle wasting. twitching, cramping, or spasms. loss of fine motor control. difficulty speaking, chewing, or swallowing. persistent pain in the feet, legs, arms, or hands.

What does it mean when an EMG shows electrical activity in a muscle?

If an EMG test detects electrical activity in a relaxed muscle, it may be due to: neuropathy. carpal tunnel syndrome. inflammation of the muscle tissue (myositis) If an EMG test shows sporadic, random activity during a muscle contraction, it may indicate: amyotrophic lateral sclerosis. spinal muscular atrophy.

What are the symptoms of EMG?

Your doctor may perform an EMG if you’re experiencing symptoms that may indicate a muscle or nerve disorder. Some symptoms that may call for an EMG include: 1 tingling 2 numbness 3 muscle weakness 4 muscle pain or cramping 5 paralysis 6 involuntary muscle twitching (or tics)

What is an EMG?

What is electromyography? Electromyography (EMG) is a diagnostic procedure that evaluates the health condition of muscles and the nerve cells that control them. These nerve cells are known as motor neurons. They transmit electrical signals that cause muscles to contract and relax.

What does EMG mean in medical terms?

EMG results can help the doctor diagnose muscle disorders, nerve disorders, and disorders affecting the connection between nerves and muscles. Some doctors may refer to electromyography as an electrodiagnostic exam.

What are the two parts of an EMG?

Your doctor may ask you to move into different positions during the procedure. There are two components to an EMG test: the nerve conduction study and needle EMG. The nerve conduction study is the first part of the procedure.

What does it mean when an EMG shows electrical activity in a muscle?

If your EMG shows any electrical activity in a resting muscle, then you may have: a muscle disorder. a disorder affecting the nerves that connect to the muscle.

How long does EMG pain last?

An EMG is a very low-risk exam. However, you may feel sore in the area that was tested. The soreness may last for a few days and can be relieved with an over-the-counter pain reliever, such as ibuprofen. In rare cases, you may experience tingling, bruising, and swelling at the needle insertion sites.

How long does it take to do an EMG?

The entire procedure should take between 30 and 60 minutes.

What is an EMG test?

What is electromyography? Electromyography (EMG) is a diagnostic test that helps detect neuromuscular abnormalities by measuring electrical activity in the muscles.

What is the purpose of nerve conduction velocity test?

A nerve conduction velocity (NCV) test is often performed at the same time as an EMG. An NCV helps to differentiate a nerve disorder from a muscle disorder.

Can you use lotion on a pacemaker?

Avoid using any creams or lotions on the day of the test. Fasting is usually not required, but, in some cases, patients will be asked to refrain from smoking cigarettes or drinking caffeinated beverages for up to two to three hours before the test. Notify your physician if you have a pace maker.

Why do we do 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.

What is EMG in medical terms?

What are electromyography (EMG) and nerve conduction studies? Electromyography (EMG) and nerve conduction studies are tests that measure the electrical activity of muscles and nerves. Nerves send out electrical signals to make your muscles react in certain ways.

How to do a nerve conduction study?

For a nerve conduction study: You will sit or lie down on a table or bed. Your provider will attach one or more electrodes to a certain nerve or nerves using tape or a paste. The electrodes, called stimulating electrodes, deliver a mild electrical pulse.

Can an electrode be used to record muscle activity?

Then you will be asked to tighten (contract) the muscle slowly and steadily. The electrode may be moved to record activity in different muscles.

Can you do an EMG and a nerve conduction test at the same time?

EMG tests and nerve conduction studies can both help find out if you have a disorder of your muscles, nerves, or both. These tests can be done separate ly, but they are usually done at the same time. Other names: electrodiagnostic study, EMG test, electromyogram, NCS, nerve conduction velocity, NCV.

Why is an EKG abnormal?

Because an EKG measures so many different aspects of the heart’s function, abnormal results can signify several issues. These include: Defects or abnormalities in the heart’s shape and size: An abnormal EKG can signal that one or more aspects of the heart’s walls are larger than another. This can signal that the heart is working harder ...

What does an abnormal EKG mean?

An abnormal EKG can mean many things. Sometimes an EKG abnormality is a normal variation of a heart’s rhythm, which does not affect your health. Other times, an abnormal EKG can signal a medical emergency, such as a myocardial infarction (heart attack) or a dangerous arrhythmia. A doctor or medical professional trained in reading EKGs can interpret ...

What causes an abnormal EKG reading?

If your electrolytes are imbalanced, you may have an abnormal EKG reading. Heart attack or ischemia: During a heart attack, blood flow in the heart is affected and heart tissue can begin to lose oxygen and die. This tissue will not conduct electricity as well, which can cause an abnormal EKG. Ischemia, or lack of blood flow, may also cause an ...

What does an EKG show?

An electrocardiogram (EKG) measures your heart’s electrical activity. This noninvasive test can measure many aspects, from how fast the heart beats to how well its chambers conduct electrical energy. An abnormal EKG can mean many things. Sometimes an EKG abnormality is a normal variation of a heart’s rhythm, which does not affect your health.

How does an EKG machine work?

These are placed on designated areas around the heart and on the arms and legs. The electrodes sense the electrical impulses coming from multiple directions.

How long does it take to do an EKG?

Undergoing an EKG procedure isn’t painful. You don’t have to do anything special to prepare for the test. The test itself typically takes five minutes or less. The EKG machine doesn’t generate electricity.

Can electrolytes be corrected?

People with electrolyte imbalances may require correction with medications or fluids. For example, a person with dehydration may have imbalanced electrolytes that are causing an abnormal EKG. This person may require fluids, electrolyte-containing beverages, or medications to restore electrolytes.

How does an EMG help a doctor?

This helps your doctor know whether the problem is in the muscle itself or in the nerves that control the muscle. Keep in mind that an EMG is one tool in making a diagnosis. A doctor who specializes in neurology or physical medicine will interpret the results in the context of other tests and clinical information.

What does abnormal EMG show?

Abnormal EMG results can show up in two ways. First, the muscle may show electrical activity at rest. On the other hand, the muscle may show abnormal electrical activity during contraction . This shows up as an abnormal action potential pattern with changes in the size or shape of the wave. Abnormal EMG results may indicate muscle damage ...

What is an EMG?

An EMG is a nerve conduction study that evaluates a muscle’s response to the nerve that controls it. It does this by measuring the electrical activity in the muscle at rest, with a slight contraction, and with a forceful contraction. This helps your doctor know whether the problem is in the muscle itself or in the nerves that control the muscle. ...

What information can a doctor get from an EMG?

There are five general categories of information about muscle activity that your doctor can get from an EMG: 1. Activity: Is the muscle turning on and off normally? Normal muscles turn on when necessary and turn off when they don’t need to act. An EMG test will record electrical activity when the muscle turns on.

Does a muscle contract on an EMG?

Normally, a muscle at rest will not show any electrical activity on an EMG recording. When it contracts, it will show electrical activity as a wave line or action potential. The size and shape of the action potential gives your doctor information about the muscle’s ability to respond to the nerve that controls it.

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Why It's Done

  • Your doctor may order an EMG if you have signs or symptoms that may indicate a nerve or muscle disorder. Such symptoms may include: 1. Tingling 2. Numbness 3. Muscle weakness 4. Muscle pain or cramping 5. Certain types of limb pain EMG results are often necessary to help diagnose or rule out a number of conditions such as: 1. Muscle disorders, such as muscular dys…
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Risks

  • EMG is a low-risk procedure, and complications are rare. There's a small risk of bleeding, infection and nerve injury where a needle electrode is inserted. When muscles along the chest wall are examined with a needle electrode, there's a very small risk that it could cause air to leak into the area between the lungs and chest wall, causing a lung to collapse (pneumothorax).
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How You Prepare

  • Food and medications
    When you schedule your EMG, ask if you need to stop taking any prescription or over-the-counter medications before the exam. If you are taking a medication called Mestinon (pyridostigmine), you should specifically ask if this medication should be discontinued for the examination.
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What You Can Expect

  • Before the procedure
    You'll likely be asked to change into a hospital gown for the procedure and lie down on an examination table. To prepare for the study, the neurologist or a technician places surface electrodes at various locations on your skin depending on where you're experiencing symptoms…
  • During the procedure
    When the study is underway, the surface electrodes will at times transmit a tiny electrical current that you may feel as a twinge or spasm. The needle electrode may cause discomfort or pain that usually ends shortly after the needle is removed. During the needle EMG, the neurologist will ass…
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Results

  • The neurologist will interpret the results of your exam and prepare a report. Your primary care doctor, or the doctor who ordered the EMG, will discuss the report with you at a follow-up appointment.
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Clinical Trials

  • Explore Mayo Clinic studiesof tests and procedures to help prevent, detect, treat or manage conditions.
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