Raymond Fiorini, MD

 

Board Certified in Physical Medicine & Rehabilitation

 
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Electrodiagnostics


Nerve conduction and electromyographic(EMG) studies are two of the electrodiagnostics that we perform.

  • Nerve Conductions Studies:
    • In nerve conduction studies, an electrical signal is sent along a nerve to see how the nerve is functioning or if it is being 'pinched' at any particular place.
    • This electric signal feels like an electric shock, but not a painful sensation. It tends to catch people off guard but does not hurt them.
    • This study is used for making certain diagnoses such as: carpal tunnel syndrome; cubital tunnel syndrome; peripheral polyneuropathy; peroneal neuropathy; and many others.


How To Prepare For Your Electrodiagnostic Study:

  • Do Not Apply Creams, Lotions, Or Powders to your skin on the day of your examination.
  • If testing the upper extremities or neck, try to wear a looser fitting shirt; short-sleeved is preferred.
  • If testing the lower extremities or lower back, bring a pair of comfortable shorts.
  • Take all your medications as you normally would on the day of your examination.
  • Don't worry about the examination. Most people find this examination much easier than they were expecting.

Electromyographic (EMG) Study:

  • EMG studies are typically performed with the nerve conduction study. A small pin is inserted into various muscles to see if a nerve problem is causing a problem with the muscle that it goes to. It can sometimes identify diseases that affect muscle fibers as well.
  • The pin sounds painful but most people don't find this to be the case. It is small and about the size of an accupuncture needle.
  • Some diagnoses that EMG testing can be helpful include:
    • Nerve axonopathy associated with an entrapment
    • Cervical or lumbosacral radiculopathy
    • Some myopathies (muscle diseases)
    • Anterior Horn Cell Diseases (Lou Gehrig's Disease/ALS and Polio)