Definition | Reasons for Test | Possible Complications
| What to Expect | Call Your Doctor
DefinitionElectromyography (EMG) measures and records the electrical activity of a muscle. The test can record a muscle's electrical activity at rest or during a muscle contraction.
An EMG is often done with
nerve conduction studies. These studies can analyze the electrical activity in your nerves.
Reasons for Test
EMG is most often done to:
- Aid in diagnosing the source of pain, cramping, or weakness in the muscles and nerves
- Differentiate between true muscle weakness and limitations due to pain
- Determine if muscles are working properly
- Distinguish between muscle and nerve disorders
Possible Complications
There are no major complications associated with this test. What to Expect
Make sure you talk to your doctor about the medicines you are taking. You may be asked to adjust certain medicines up to a week before the test, such as:
-
Anti-inflammatory drugs, such as
aspirin
-
Blood thinners, such as
clopidogrel
(Plavix),
warfarin
(Coumadin), or
ticlopidine
(Ticlid)
On the day before and day of the test:
-
If you have
myasthenia gravis, ask if you should take any medicine before the test.
- If directed to, avoid cigarettes, coffee, tea, and soft drinks for 2-3 hours before the test.
- Take a bath or shower before the test.
- On the day before, do not use lotion or oil.
- Wear comfortable clothing, but expect to change into a hospital gown.
- Tell your doctor if you have a pacemaker or other implanted device.
A small needle electrode will be inserted into a muscle at rest. You will be asked to rest or contract the muscle. The electrical activity picked up by the needle will produce a waveform. The waveform will be recorded and analyzed. The test is repeated on different muscles and limbs. You will be able to leave once the test is done. Once you are home: - Resume any medicines you stopped before the test.
- Resume normal activities as tolerated.
You may have some pain when the needle electrodes are inserted. The insertion feels like an injection into the muscle. After the test, you may have muscle aches and discomfort for several days. Warm compresses and pain medicine may help. The doctor doing the EMG may discuss the results with you. A report will also be sent to your regular doctor. Your doctor will discuss treatment options based on the tests and other factors. Call Your DoctorAfter the test, call your doctor if any of the following occur: - Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge around the needle sites
Electromyography (EMG). Mayo Clinic.com website. Available at:
http://www.mayoclinic.com/health/emg/MY00107. Updated August 2010. Accessed November 12, 2010.
What to expect during your EMG test. American Association of Neuromuscular & Electrodiagnostic Medicine website. Available at:
http://www.aanem.org/Education/Patient-Resources/Learn-About-an-EMG.aspx. Updated March 2005. Accessed June 5, 2008.
Young RR, Hutton JT, Homan RV.
Gait and movement disorders. American Academy of Neurology website. Available at:
http://www.aan.com/. Accessed June 5, 2008. Last reviewed [Under Medical Review] by Lawrence Frisch, MD, MPH Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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