NEURO-DIAGNOSTIC
CENTER
Electromyogram (EMG)
Electromyogram (EMG) and Nerve
Conduction Studies (NCS) An EMG is the recording of the
electrical activity of the muscle. It assesses function of
the muscle and the nerves that innervate the muscle. The EMG
assists in the evaluation of nerve and muscle diseases and
disorders. Patients with complaints of generalized or
specific pain, numbness, tingling, or weakness often undergo
EMG testing. A physician inserts a very fine needle
electrode into individual muscles, one at a time. The muscle
activity forms patterns of waves that are analyzed on an
instrument screen that is also attached to a loud speaker
for sound interpretation. The procedure is not completely
painless; however, it should be tolerable. The number of
muscles tested depends on the nature of the problem being
assessed.
The NCS is a recording of electrical
activity during stimulation of a nerve. It reveals how
easily and quickly a nerve functions and evaluates the
integrity of motor and sensory nerves. Patients with
complaints of generalized or specific pain, numbness,
tingling, or weakness often undergo NCS testing along with
EMG testing. A specialized instrument delivers brief
electrical pulses to activate nerves and records the
electrical responses, which are then measured and analyzed.
The number of nerves tested depends on the extent of the
problem needing evaluation. The electrical pulses feel like
tingling sensations and may cause muscles to twitch, but
only during the time the pulses are active. A neurologist
specializing in EMG and NCS prepares a report and
interpretation of the EMG and NCS recordings.
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