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Schenectady, NY
A 45-year-old female asked:

can a normal neurologist clinical exam pretty much rule out als or should you do emg. ?

3 doctor answers3 doctors weighed in
Dr. Chan Hwang
Physical Medicine and Rehabilitation 27 years experience
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.
Dr. Andrea Brand
Specializes in Family Medicine
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.
Dr. Bennett Machanic
Neurology 52 years experience
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.

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Last updated Sep 27, 2014

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