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Electromyogram: EMG

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Nerve Testing: NCV

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Somatosensory Evoked Potential Study: SSEP

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Do You Have Numbness and Tingling?

Numbness and Tingling in the Thumb, Index Finger, and Middle Finger

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Numbness and Tingling in the Little Finger

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Numbness and tingling in the whole hand or arm

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Numbness and Tingling in the Leg or Foot

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Polyneuropathy

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Numbness and Tingling in the Shin and on top of the Foot

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Numbness and Tingling in the Toes

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Numbness and Tingling in the Toes

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Femoral Neuropathy

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Sciatica

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Do I need an EMG?

If you are questioning whether you need an EMG or not please fill out the following and we will have someone be in contact.

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PHONE

208-317-3956

FAX

208-244-7348

See our Sources

EMGSOLUTIONS.COM
HANDSONEMG.COM
A Guide to Patient Management & Diagnostic Testing Results
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Electromyogram: EMG

EMG stands for Electromyography. It is a diagnostic test that measures the electrical activity produced by muscles. During an EMG, small electrodes are inserted into the muscles being examined, and the electrical signals generated by muscle cells are recorded. This test helps assess the health of muscles and the nerves controlling them. EMG is often performed in conjunction with nerve conduction studies to provide a comprehensive evaluation of the muscular and nervous systems. It is commonly used to diagnose conditions such as muscle disorders, nerve disorders, and neuromuscular junction disorders.

Nerve Testing: NCV

The nerve conduction study is a diagnostic test designed to assess the functionality of muscles and nerves. NCV (Nerve Conduction Velocity) testing is commonly employed in conjunction with an EMG to pinpoint the location and assess the severity of an injury. During the study, a stimulator is utilized to send an electrical impulse, stimulating the nerve, and the resulting response is recorded and analyzed by the diagnostician.

Somatosensory Evoked Potential Study: SSEP

SSEP checks the ability of the spinal nerves and spinal cord to send sensory signals from the body to the brain. This test is often used for generalized disorders of the nervous system like multiple sclerosis.

Read about Carpal Tunnel

Median Nerve

  • Carpal tunnel syndrome is a common condition that occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed in the wrist within a space called the carpal tunnel.
  • Symptoms often are described as numbness and tingling in the thumb, index finger, and middle finger, weakness in the hand dropping things more than usual, and pain or discomfort radiating up the arm. Sometimes the symptoms may worsen at night. Carpal tunnel often happens due to overuse.
  • An early diagnosis and treatment can prevent the condition from progressing. Treatment can include physical therapy to reduce inflammation in the wrist, and in some cases, surgical intervention may be required to relieve pressure on the nerve.

If you feel like this is a problem you have request an EMG here

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Read about Cubital Tunne

Ulnar Nerve

  • Cubital tunnel syndrome is a condition that occurs when the ulnar nerve, which runs along the inner side of the elbow through a passage called the cubital tunnel, becomes compressed or irritated. Cubital tunnel syndrome often happens due to repetitive motions at the elbow, and pressure on the ulnar nerve.
  • Symptoms often include numbness and tingling in the little finger and ring finger.
  • An early diagnosis and treatment can prevent the condition from worsening. Treatment can include physical therapy to reduce inflammation in the elbow and in some cases surgical intervention.

If you feel like this is a problem you have request an EMG here

Request an EMG

Read about Cervical Radiculopathy

  • Cervical radiculopathy is a medical condition characterized by the compression or irritation of the nerve roots in the neck region of the spine.
  • Symptoms often include sharp shooting pain, numbness and tingling, and weakness in the arm or hand.
  • Treatment options may include physical therapy, medication, steroid injections, and surgical interventions.

If you feel like this is a problem you have request an EMG here

Request an EMG

Read about Lumbar Radiculopathy

  • Lumbar radiculopathy is a medical condition characterized by the compression or irritation of the nerve roots in the lower spine.
  • Symptoms often include pain, numbness, and tingling, and weakness is the leg and or foot.
  • Treatment may include physical therapy, medications, steroid injections, and in some cases surgical interventions.

If you feel like this is a problem you have request an EMG here

Request an EMG

Polyneuropathy

  • Polyneuropathy refers to a condition where the peripheral nerves throughout the body are damaged or malfunctioning.
  • Symptoms may include numbness and tingling, weakness in the affected extremities, stabbing, burning or sharp pains, loss of coordination, or fine motor tasks.
  • Treatment may include physical therapy, management of the underlying cause, pain medication, and lifestyle modifications.

Read about Peroneal Nerve Entrapment

  • Fibular nerve impingement most often occurs when the peroneal nerve is compressed at the fibular head.
  • Symptoms may include decreased sensation, numbness, or tingling at the top of the foot or the outer part of the upper or lower leg.
  • can include physical therapy and in some cases surgical interventions.

If you feel like this is a problem you have request an EMG here

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Read about Tarsal Tunnel

Tibial Nerve

  • Tarsal tunnel syndrome is a conduction that occurs when the posterior tibial nerve which runs along the inside of the ankle and foot, becomes compressed or irritated as it passes through a narrow tunnel called the tarsal tunnel.
  • Symptoms may include burning pain in the ankle and sole of the foot, numbness in the toes, and weakness of the foot.
  • Treatment may include physical therapy, orthotic devices, and medications.

If you feel like this is a problem you have request an EMG here

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Read about Spiral Groove and Posterior Interosseus Impingement

Radial Nerve

  • Spiral groove impingement is damage in the spiral groove of the brachioradialis.
  • Posterior interosseous impingement is compression of the radial nerve from repetitive activities.
  • Symptoms may include pain, weakness, numbness, tingling and/ or paresthesia, especially in the middle, index, thumb, back of the hand and/ or arm.
  • Treatment may include physical therapy, management of the underlying cause, pain medication, and lifestyle modifications.

If you feel like this is a problem you have request an EMG here

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Read about Femoral Neuropathy

Femoral Nerve

  • Femoral neuropathy is damage or dysfunction of the femoral nerve. The nerve originates from the hip and travels to the front of the thigh.
  • Symptoms may include but are not limited to pain, weakness, numbness, or tingling in the front and inner areas of the thigh and hip.
  • Treatment may include physical therapy, management of the underlying cause, pain medication, and lifestyle modifications.

If you feel like this is a problem you have request an EMG here

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Read about Sciatica

Sciatic Nerve

  • Pain radiating along the sciatic nerve is usually caused when a herniated disk or bone spur in the spine presses on the nerve. Pain originates in the spine and radiates down the back of the leg. Sciatica typically affects only one side of the body.
  • Symptoms can include numbness, tingling, and weakness in the leg
  • Treatment may include physical therapy, management of the underlying cause, pain medication, and lifestyle modifications.

If you feel like this is a problem you have request an EMG here

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Condition

EMG/NCSMSKUSManagement Referral

Mild Carpal Tunnel Syndr

Median Sensory NCS Abnormal

Median cross area > 0.098cm2

PT, OT, Splints, NSAIDs

PT, OT

Moder. Carpal Tunnel Syndr

Median Sens. & Motor NCS Abn

Median cross area >> 0.098cm2

PT, OT, Splints,Injection

PT, OT, Hand Specialist Ortho

Severe Carpal Tunnel Syndrome

Median Sensory & Motor NCS & EMG Abnormal

Median cross area>>>0.098cm2

Injection, CTS Release

Hand Surgeon,PT, OT post surgery

Mild/Moderate Elbow Ulnar Neuropathy

Ulnar Sensory &/or Motor NCS Abnormal

Ulnar cross area Elbow

>0.053cm2

PT, OT,

Extension Splint, NSAIDs

PT, OT

Severe Elbow Ulnar Neuropathy

Ulnar Sensory &/or Motor NCS & EMG Abnorm

Median cross area Elbow

>>0.053cm2

Injection, Ulnar Release

Otho Surgeon, PT, OT post surgery

Mild / Mod Tibial Neurop.

Tib / Med / Lat Plant. NCS Abn

Tibial at Tarsal Tunnel >0.22cm2

PT, NSAIDs

PT

Severe Tibial N. Tarsal Tunnel

Tibial NCS & EMG Abnormal

Tibial at Tarsal Tun. > >0.22cm2

Injection, Tibial Release

Foot Spec. Orth, PT post surgery

Cervical or Lumbar Radiculopathy

Abnormal EMG, Motor NCS Norm or Abn

Normal peripher nerve unless double crush syn

PT, NSAIDs, MRI, posture, rest, mild exerc.

PT, If unresolved Spine Specialist Epidural/Surgery

Spinal Stenosis

Abnormal EMG, bilaterally; Abn. Motor NCS Adv.

Normal peripher nerve unless double crush syn

PT, NSAIDs, MRI, Epidural, Surgical Release

PT, If unresolved Spine Specialist Surgical Release

Myelopathy

Abnormal EMG, & Abnormal SSEP

Normal peripher nerve unless double crush syn

PT, NSAIDs,

MRI, Surgical Release

Spine Specialist Surgical Release PT post surgery

Diabetic Polyneuropathy Other Polyneur

Abn. Sensory / Motor NCS & posbl Abn EMG

Multi focal Nerve Enlargement

Meds, Vit B6, Exerc., Nutrition, Life Style Modif.

Nutritionist, PT

Myopathy

Abnormal EMG; If Adv. Abn. Motor NCS

N/A or Normal Neuro-MSK

Labs, muscle biopsy

Neurologist, PT after Dx has been established

Plexopathies

Abn. Sens & Mot NCS; Abn Periph. EMG

N/A or Normal Neuro-MSK

MRI (plexus)

Neurologist, PT after Dx has been established

Motor Neuron Disease (ALS)

Abn EMG & Abn Motor Ampl

N/A or Normal Neuro-MSK

MRI

Neurologist, PT after Dx establ.