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A member asked:
Can a normal neurologist clinical exam pretty much rule out als or should you do emg. ?
3 doctors weighed in across 3 answers
Do EMG.: Although the EMG is very uncomfortable, it is an important part of diagnosis. One cannot rule out ALS without having an EMG. If your doctor, neurologist or physiatrist is recommending it, then get the EMG. There are treatments now for ALS, so proper diagnosis is essential. Best wishes to you.
Answered 8/19/2014
3.8k views
Maybe: If a neurologist suspects ALS, an EMG may help confirm the diagnosis. However, if ALS is not suspected based on history and physical exam, a neurologist may decide an EMG is not indicated. Other tests may be ordered depending the symptoms and physical findings.
Answered 8/19/2014
3.8k views
Should suffice: If your neurological exam proves to be fully normal, and you have appropriate strength and reflexes, would not feel need to do EMG study, as yield would be infinitesimal.
Answered 9/27/2014
3.7k views
Related Questions
A member asked:
Would it be rare to have als with normal reflexes and normal clinical exam ? Doctor said no need for emg as percieved weakness ie tripping at times / hand weakness when lifting things is not clinical and strength test was normal . Chances of early al?
2 doctors weighed in across 2 answers
A member asked:
I've tongue twitches every days since 1.5 month. Normal neuro exam and clean EMG 1 month after the onset. I'm a 28 y-o man. Could it be bulbar ALS ?
2 doctors weighed in across 2 answers
A member asked:
My lf foot feels like it's not there in my shoe it feels weak both legs twitch bad. Still have strenght had a emg/ncv which was neg on feb14 my clinical exam by ALS spec was good as well. Worried als?
2 doctors weighed in across 2 answers
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