Your EMG Results: Reassurance for Neurology Concerns - Neurology

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Regarding the previous question, please have the doctor respond briefly. Thank you?


Hello, doctor.
I am a college student who was previously worried about ALS.
After completing the electromyography (EMG), the doctor told me that my nerves are normal and not to overthink or worry.
(They did six needle insertions in total: one needle each in the left leg and both hands, with both proximal and distal sites being examined carefully.) I remember when the doctor was working on my left leg, the nurse asked him a question, and he replied, "This is nothing; I recall there was one needle that was up something something three frames" (while other areas had two frames).
Although the doctor kept saying "Hmm, very good, very good" during the procedure, and he mentioned to the medical technician that this indicates a good condition (he did not examine the ribs or other areas, stating that would only increase risks), I am now doubting myself again.
However, I think since all my muscles are twitching, it should be detectable, right? Can I feel reassured? (After the examination, the doctor told me I didn't need to schedule a follow-up, but I still went back to ask him the same question, and his implication was probably to stop worrying since my results were normal.)

Dàxuéshēng, 20~29 year old female. Ask Date: 2021/05/16

Dr. Hong Weibin reply Neurology


Hello: Based on your symptoms and examination, it does not appear to be amyotrophic lateral sclerosis (ALS), so there is no need to worry excessively.

Reply Date: 2021/05/16

More Info


It's understandable to feel anxious after undergoing an electromyography (EMG) test, especially when there are concerns about conditions like amyotrophic lateral sclerosis (ALS) or other neuromuscular disorders. However, based on the information you've provided, it seems that your EMG results were reassuring, indicating that your nerves are functioning normally.

EMG is a diagnostic procedure used to assess the health of muscles and the nerve cells that control them. It measures the electrical activity in muscles at rest and during contraction. A normal EMG result typically means that there are no signs of nerve damage or muscle disease. The fact that your doctor expressed confidence in your results and mentioned that everything looked good is a positive sign. The specific mention of "up" in relation to one of the needles could refer to a specific finding that was considered normal or indicative of healthy muscle function.

It's also important to note that muscle twitching, or fasciculations, can occur for a variety of benign reasons, such as stress, fatigue, or even caffeine intake. These twitches do not necessarily indicate a serious underlying condition, especially if they are not accompanied by other symptoms such as weakness, atrophy, or significant changes in muscle tone.

Your doctor’s reassurance that you do not need to return for further appointments suggests that they are confident in your results and do not believe there is a need for further investigation at this time. This is a strong indicator that your symptoms may not be related to a serious neuromuscular disorder.

If you are still experiencing muscle twitching or other symptoms that concern you, it might be helpful to keep a symptom diary. Note when the twitching occurs, any associated activities, and other symptoms you may experience. This information can be useful for your healthcare provider if you decide to seek further evaluation in the future.

In terms of managing anxiety related to health concerns, consider engaging in stress-reducing activities such as exercise, meditation, or talking to a mental health professional. It's common for individuals to feel anxious about their health, especially when they are experiencing unexplained symptoms. Seeking support from friends, family, or a counselor can also be beneficial.

In summary, based on your EMG results and your doctor's feedback, it seems that there is no immediate cause for concern regarding your neuromuscular health. However, if your symptoms persist or worsen, do not hesitate to reach out to your healthcare provider for further evaluation. It's always better to address any lingering concerns with a professional who can provide personalized advice and support.

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