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Description

  • Electromyoneurography (EMG/NCV) combines nerve conduction studies and needle electromyography.1 Patients are referred with a diagnostic hypothesis to be tested.
  • Nerve conduction studies assess large myelinated fibers, and needle EMG evaluates type I muscle fibers. Conditions affecting small fibers (e.g., neuropathic pain) or type II fibers (e.g., steroid myopathy) typically yield normal results, limiting the utility of EMG/NCV for their evaluation.1,2,3
  • Moreover, many patients are referred for EMG/NCV testing for nonspecific symptoms such as pain or numbness, often without objective neurological deficits.
  • This study was conducted to determine the concordance of the EMG referral with the provider’s specialty and the final EMG diagnosis as the gold standard.

Publication Date

5-2025

Keywords

Electromyoneurography, electromyography, neuropathic pain

Disciplines

Neurology

Comments

The Embark Capstone Colloquium at the Oakland University William Beaumont School of Medicine, Rochester Hills, MI, May, 2025.

A Retrospective Pilot Study Assessing the Concordance Between Referral Diagnoses, Referring physician Specialty, and EMG/NCV Results

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