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Electromyography and Nerve Conduction
Tests are ordered to learn more about the health of peripheral
nerves. These tests can establish if a nerve is pinched, and
give a numeric value to how severely it is pinched and often
where it is pinched. The test can last anywhere from a half an
hour to an hour. The quality of the results is quite dependent
on the skill of the person administering the test.
During the Nerve Conduction portion
of the test, electrodes much like EKG patches are placed along
the known course of the nerve. The nerve is stimulated with a
tiny electrical current at one point. The nerve must then transmit
the signal along its course, and an electrode placed further
down the arm or leg captures the signal as it passes it. A healthy
nerve will transmit the signal faster and stronger than a sick
nerve.
The EMG portion of the test measures
the electrical activity in muscles. Muscles normally receive
constant electrical signals from healthy nerves, and in return
"broadcast" their own healthy electrical signals. During
the EMG portion of the test, the doctor places acupuncture like
needles into the muscles to record the electrical signal from
the various muscles in the arm or leg. If a muscle doesn't receive
adequate signals from a sick nerve, it broadcasts signals, which
show the muscle is confused.
From the Nerve Conduction Test and
the EMG's, the doctor can correlate which nerves are pinched
and the seriousness of the condition. This information can
then be used to help formulate further treatment plans.
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