The presence of an imaging lesion in addition to EMG evidence of altered nerve function may suggest significant nerve root compromise.
And even in the times when your pain is persistent and your test results are normal, there are many things that we as pain medicine physicians can do to provide a patient with significant pain relief. An EMG referral is typically considered when the symptoms and signs of radiculopathy need to be correlated with the results of imaging tests. How does it the patient describe the pain? Is it sharp? Is it dull? Is it aching? A good pain physician will be able to take that information, start thinking about how to best treat that patient. Then it's becomes who's the pain physician and the patient to actually extract a very good history as it relates to the pain. Or two, we don't have the adequate testing available to assess a pain. And it may be because it takes time for the test result to change. Their EMG may be normal, but yet they actually have pain. Because there are scenarios when patients, they have absolutely normal testing.
And actually, that's the beginning of the time when a person should actually see a pain specialist. The most common EMG diagnosis with pain as a referral symptom was median neuropathy at the wrist (45.7), which was also the most frequent diagnosis for referrals. They've seen their primary care physician and they're starting to wonder as to whether or not this pain is all in their head, whether they're crazy. Pain was listed as the only symptom for 63 EMG referrals in this group 26 (41.2) referrals resulted in a normal diagnosis (P 0.16 when compared to patients with no pain). Amyotrophic lateral sclerosisALS, or Lou Gehrig’s diseaseis a progressive neuromuscular disease. — - Question: What If All The Tests Are Normal But I Still Have Pain?Īnswer: There are times when patients will present where all the tests are normal.
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