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Electromyography (EMG) - Nerve Test

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  • Introduction
  • Diagnosis

Introduction

Electromyography (EMG) is an electrodiagnostic test that measures the nerve impulses in muscles during contraction.  Nerves throughout the body exchange information with the brain through nerve impulses. Healthy muscles need nerve input to perform movements.  Doctors use EMG to identify muscle function as related to nerve input. EMGs help doctors diagnose neuromuscular disease, neurological disorders, muscle disease, and nerve abnormalities associated with pain or numbness.  

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Diagnosis

EMGs are usually outpatient electrodiagnostic procedures.  EMGs can take place at a doctor's office or in a hospital.  The nerve test typically lasts 30 to 60 minutes.
 
To begin, your doctor will place fine needle electrodes through the skin and into the muscles that a nerve controls.  The electrodes transmit information about the nerve/muscle electrical activity.  A computer records nerve impulses while the muscle is at rest and during muscle movement. 
 
The examiner may reposition the electrodes throughout the test. More than one muscle is typically tested.  Your doctor will share the results with you.
 
An EMG may be uncomfortable during the test.  Your muscles may remain a bit sore following the procedure. 
 
It is common for an EMG and another type of nerve test, nerve conduction velocity (NCV), to take place at the same time. The NVC usually precedes the EMG.
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This information is intended for educational and informational purposes only. It should not be used in place of an individual consultation or examination or replace the advice of your health care professional and should not be relied upon to determine diagnosis or course of treatment.

The iHealthSpot patient education library was written collaboratively by the iHealthSpot editorial team which includes Senior Medical Authors Dr. Mary Car-Blanchard, OTD/OTR/L and Valerie K. Clark, and the following editorial advisors: Steve Meadows, MD, Ernie F. Soto, DDS, Ronald J. Glatzer, MD, Jonathan Rosenberg, MD, Christopher M. Nolte, MD, David Applebaum, MD, Jonathan M. Tarrash, MD, and Paula Soto, RN/BSN. This content complies with the HONcode standard for trustworthy health information. The library commenced development on September 1, 2005 with the latest update/addition on February 16, 2022. For information on iHealthSpot’s other services including medical website design, visit www.iHealthSpot.com.

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Columbia Orthopaedic Group in mid-Missouri provides treatment for all types of orthopedic injuries and pain of the foot, ankle, hand, wrist, hip, knee, neck, back, shoulder, and elbow. Staffed by 27 specialty trained Missouri orthopedic surgery specialists, we specialize in arthroscopy, sports medicine, cervical spine injury, lumbar spine injury, joint replacement, joint resurfacing, pediatric orthopaedics and spine deformities, trauma/ fracture care, physical medicine and rehabilitation. Our Columbia orthopedic surgeons offer onsite services including radiology testing, x-ray, CT Scan, Open MRI, fluoroscopy, Outpatient Surgical Center, platelet rich plasma therapy (PRP), autologous conditioned plasma therapy, (ACP) and Durable Medical Equipment (DME).

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