#035

[@MrRljohnson77]

Thank you for providing this video. I am a Veteran Service Officer and work with veterans daily who are asking for a rating due to nerve damage. This is a great help to show what type of test they should use to show the level of damage.

[@DrAndreaFurlan]

Thanks Rick! Please share with people who might need to learn these things.

[@KiwikimNZ]

Thank you so much for the great explanation ! I am due to have my nerve conduction study done next week. This video really helped me to understand the test as I am one of those people who is so inquisitive and I need to understand how and why things work!! Thank you so much

[@DrAndreaFurlan]

Glad it helped!

[@judithmartin1970]

How was the test Kiwi? im having one done in a month

[@josweet3715]

@@judithmartin1970did you have one done & how was it?

[@gb7251]

Thank you for providing the information and insight that I desired to know prior to my appointment today. Turns out, I had both of my full arms done, and my neck. It wasn’t anything to fear whatsoever, even though it was uncomfortable a few times - but nothing too crazy or near worthy of tears or fear. One thing that no one has spoken of in the video comments on any of these videos is the soreness that comes quickly afterward! LOL! Just hydrate, take some Aleve, and relax… I am so grateful for this technology that can help diagnose my issues and help me, and others, to heal!!!

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔

[@floreennair3202]

I have a test tomorrow and you made me feel more comfortable. Thanks for all the details ❤😊

[@josweet3715]

@@floreennair3202how was your test?

[@paintilludrop]

Had mine done today. I watch many videos, yours was best. I follow you for all info.. I have chemo neuropathy. It was painful often but never really bother by needle. Today told I also had carpet tunnel onleft non dormant hand. Good info as I noticed numbness. Was told wear a brace at night. Easy fix for now. As a artist..very important tocorrect.

[@DrAndreaFurlan]

Thank you. Please share this video with your friends.

[@shalonjones1258]

I had one done today, it didn't hurt at all!! I was relaxed and comfortable. It was over pretty fast.

[@DrAndreaFurlan]

Thank you for sharing.

[@alkapatel3097]

Was EMG? CAN you give me which doctor you went?

[@pamelaperkins2507]

Thank you! That's very comforting! I am getting this procedure tomorrow!

[@animalcloudA0X]

UPDATE: 1st, need to say that this video covers everything one needs to know. It is well done. 2nd, had my NCS & EMG yesterday. Tolerated the nerve CS well like how the doctor describes here. The EMG was more of a challenge. At some points I never felt needle go in. A few times once the needle was in, it became mildly painful. The last needle after insertion was extremely painful and I yelled (this was in lower right leg). End of update. Have an EMG and nerve conduction study tomorrow and I have been freaking out. When I first heard of this test I thought I'd never get one of these. I'll hopefully remember to post my update tomorrow.

[@DrAndreaFurlan]

Thank you very much for posting the update!

[@animalcloudA0X]

@@DrAndreaFurlan My pleasure.

[@rockberry123]

Did you ever get your results? How was the pain after the test?

[@rosedolch8637]

Wondering how you are doing now 2 yrs later??

[@karenstoppel7727]

I hope this comment will help others! I just had a nerve conduction test done this afternoon. NOT what I expected at all, IT WAS FAR WORSE! The arms and legs were tolerable, but I had to have the "sitckies" on my nose and the ground on my forehead. The probe was on my face in front of my right ear. The PAIN was UNBEARABLE! IT BROUGHT ME TO TEARS! AS DID THE STIMULATION OF THE TRAPAZIOD MUSCLE! Had I known how painful these 2 areas would be, i would have made arrangements for super strength pain killers in advance! 2 1/2 hours I still have a screaming headache and my left arm feels like a lead weight! ASK YOUR NEUROLIGIST IN ADVANCE WHAT AREAS O THE BODY ARE BEING TESTED, AND ASK FOR PAIN MANAGEMENT IN ADVANCE!

[@DrAndreaFurlan]

Thanks for sharing Karen. Have you seen my website already? www.doctorandreafurlan.com/ I hope you like it.

[@clairekelliest]

@@DrAndreaFurlan not an acceptable reply.

[@avonnorma]

OMG! Now I’m scare, I’m going to have this done tomorrow. 😢 Praying it don’t cause me a hart attack.

[@pamelaperkins2507]

After reading this, I am very apprehensive! I hope it's not as bad as this person stated!

[@sirrednaed1]

Thanks for the great explanation for the EMG test. I have one scheduled in about 3 weeks and this lets me know what to expect!

[@DrAndreaFurlan]

Glad it was helpful!

[@josweet3715]

How was it?

[@anafinau8075]

I had a nerve conduction study done yesterday and I have severe carpool tunnel syndrome in both hands 😞. Thank you for sharing this

[@aleksandramajewska4440]

Bardzo dziękuję za szczegółowe wyjaśnienie badania EMG, które będę miała za 2 tygodnie.Teraz wiem co mnie czeka.Pozdrawiam.

[@michaelg.9351]

I had an EMG done by a neurologist and I was practically jumping off the table with pain. The doctor said I was overly sensitive to pain. A month later I had another EMG done by a second neurologist and I had no pain at all. I wish I had told the first neurologist to stop the procedure. Eventually he did stop after one final jolt of electricity.

[@DrAndreaFurlan]

Sorry to hear that Michael.

[@Dreengirl]

That scares me... I'm supposed to go for one June 6th.

[@mrst4946]

​@@DrAndreaFurlan hey Dr Andrea, I have previously been diagnosed with severe carpal tunnel plus diabetic neuropathy. I'm a type 1 diabetic. I have had an EMG two years ago. I never had the needle test just the electrode test with stickers and wires. So at the time the technicians were very shocked (excuse the pun) I felt nothing as they turned the level of shock up and up to very high levels. Eventually it triggered my carpal tunnel pain with pins and needle sensation at the highest level of shock the machine could go. What does this mean? In my test they attached electrodes and asked me to let them know if I felt anything the test took forever as they increased and I felt nothing... Shortly after I was pregnant and was unable to access the operation for my carpal tunnel syndrome. I now have been referred for another EMG and have severe pain from carpal tunnel the majority of the time day and night. My grip has become weak I drop things frequently and there's signs my muscle in my palm have wastage. I appreciate your video and wonder if you recommend steroid injections for carpal tunnel syndrome (I've had 3 of these already over past yrs) or the decompression operation? I'm nervous to have another nerve study after last time where although not painful it was not a comfortable sensation when the electrodes were turned to their highest. Why do the technicians turn the electro waves higher and higher until the patient can feel something?

[@marystevens6723]

I had the EMG and the nerve conduction study and I wanted to scream and because she was jabbing the needle repeatedly and now that I know how the test is supposed to be done I’m not going back to that doctor.

[@Kathy-bk6cg]

That's probably something that will happen to me 😢

[@anisazada5824]

Thank you very much. I learned a lot about emg and now I am mentally prepared. Thanks again

[@DrAndreaFurlan]

Hi Anisa, I'm glad I could help

[@samkitchen2970]

Thanks a lot doctor I am going today for the test, pls wish me all the best

[@DrAndreaFurlan]

All the best

[@williamlewis8741]

thanks very much for the information. i'll have an emg in march 2022. numbness and cramping in fingers. you've explain the procedure quite well.

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔

[@teams3345]

Thanks so much for the video. I go tomorrow for an EMG. I pray for a good outcome.

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔

[@palandromarco5761]

In the last two years I have often done both emg / eng and sensory motor conduction tests. My CPK levels were at 72000 .. the incompetent Italian doctors didn't know what to do. Now I'm waiting for genetic testing for glycogenoses and fatty acid oxidation deficiency diseases. Congratulations on your chronic pain videos and specialist exams, they are very interesting.

[@bre1263]

Would be fair to hear the Italian's side of the story....I come in peace

[@rosedolch8637]

I hope you were able to get help for the carpel tunnel sir.

[@Salma-oq6oz]

Thank you so much Doctor; for both this video and the video on cervical spine radiculopathy. When you’re not able to use your hands. Life feels like it’s on hold and you feel handicapped because you are unable to do anything. Anything at all. This gives me hope so thank you for making these videos.

[@dajavufitness2675]

Great great video!!! I have my EMG in a week. I had no clue what it was until now. Thanks 🙏🏽

[@DrAndreaFurlan]

Glad it was helpful!

[@judithmartin1970]

how was it?

[@TK.000]

Had mine done today and I was worried for nothing. No pain at all.

[@DrAndreaFurlan]

I am glad to hear that.

[@kamaaljamac3737]

THANKS MY BEST PREFERRED DR. ANDREA FURLAN

[@DrAndreaFurlan]

You are so kind Kammal

[@zoogarocha71]

Hello!! very interesting video, I'm going to have an EMG test tomorrow, I have 4 herniated disks, 2 on my neck, 1 on my upper back & one on my lower back, the neck ones have been very painful lately, and as a result, they are messing with my arms, shoulders, blade shoulders by sending the signal to my arms, elbows & fingers, you know that tingles, numbness, burning sensation. It makes me feel very miserable,

[@victoriabaker1555]

Ty for this video. I have to have one tomorrow. I have bulging disc and annular tear in my l5 and s 1 plus sciatica. I have anxiety and you have calmed me way down. Ty

[@DrAndreaFurlan]

All the best tomorrow, Victoria.

[@myyyybbbb]

Doc, military veteran who crushed my hand. Middle finger A2 pulley was rupto, grafted my wrist to repair the A2 pulley twice. All three nerves in my arms were affected, entrapment surgery on all three 12 years ago. Large dose of Gabappentin to alleviate nerve pain, I don't use my right hand much, especially when flexion outward is involved. My first two EMG tests were horribly painful. I am bone to bone in my knee, Synvisc injections without lidocaine. I don't consider myself a whim or overly sensitive patient. Today's EMG test wasn't pleasant but unlike previous exams the "needle" inserted only measured my nerves. Last EMG test electrical current was sent down the needles. Horrible, pee your shorts painful. I tried researching why today'd test didn't include that horrible painful portion. I "failed" the radial nerve portion, not a surprise as flexing out has remained difficult since my crush injury. I tried researching the different EMG tests. Your vlog explained the process and reason for the tests better than most. I didn't enjoy the process but was very thankful to not have the horrible portion repeated. Can you explain the differnt tests and maybe a reason for them? Should another VA physician schedule another EMG test I will not stress so much. It wasn't bad but I do hope to not have it again...

[@sunnynights68]

Thank you this is very informative. I might add one more tip to people who run cold like I do, make sure your hands are super warm. It took them forever and a day to warm up my hands so they can perform the test. To me, it felt like snapping rubber bands. It didn’t hurt it just felt weird.

[@DrAndreaFurlan]

Thank you for this comment. Have you seen my website yet? All of my videos are organized by topics and you can download all handouts, worksheets and booklets that I made. You will need to sign up for a membership to access all of my materials. It is FREE to become a member. Check it out: www.doctorandreafurlan.com And please remember that I do not give individual medical advice via email, social media or website. My channel and my website are for educational purposes only. For any individual medical advice, please talk to your doctor.

[@marygracedungo4700]

Thank you ma'am I had an appointment for EMG NCV test, no one told me what kind of preparation should I do. This teaching video is really helpful.

[@DrAndreaFurlan]

I'm happy I could help.

[@johnprimeau6703]

Excellent video - clear explanation of the procedure.

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔 And please remember, I do not give individual medical advice via social media or email.

[@siriusmac]

Wow amazing information and explained very well. Thank you! I have this scheduled in about 2 weeks.

[@DrAndreaFurlan]

Glad it was helpful!

[@Piemanrudy]

Well thought out and prepared video that explains a good overall view of the process. My podiatrist recommended that I do this test, but she did not explain the nuts and bolts very well. Thanks for taking the time to put this together.

[@DrAndreaFurlan]

Thanks for sharing!

[@PhyllisLaursen]

@@DrAndreaFurlan

[@PhyllisLaursen]

My

[@jenhunt2314]

I am a high risk patient due to a genetic sudden cardiac death syndrome and a mitochondrial disease (MELAS). I have an ICD and am curious to know if any precautions need to be taken for those with implantable devices? I am new to the MELAS diagnosis and am having to see if nerve damage has occurred as a result. I can handle pain and discomfort (frequent flier of docs and hospitals). I mainly want to make sure they check everything possible to make sure my nerve conductions are good. MELAS is neurodegenerative/neuromuscular and a recent mri shows scattered white brain matter tissue changes, I’ve had stroke like events and extreme pain so I know neuro changes are happening. Knowledge is power and I appreciate your educational video. Thank you.

[@rosalindcheeks6235]

Thank you for this video yes i had this test and it found my problem and you broke down to me how thank you again and yes it was very uncomfortable but ive been suffering for around 3 years since my fall they are working still on me

[@DrAndreaFurlan]

I'm glad I could help.

[@ayokamiller-aganyemi673]

Hello, What was the result from you test?

[@ashleighskillen1228]

I had mine done jerked bit on my left foot but ok thanked the guy that done it. Glad ro get it out way now to warm up as cooled down cold now hopefully good results nothing broken is good x

[@DrAndreaFurlan]

Good to hear

[@deborahakahopeclark9244]

You explain this so well, thank you. I am having an EMG next month, have chronic daily migraines. My Neuro feels something might be going on with my neck, causing tension headaches that go into migraines. Thank you

[@DrAndreaFurlan]

Glad it was helpful!

[@sugarice8]

Thank you for your video. This helped ease my fears after reading horror stories online. I had the EMG/NCS today. No discomfort whatsoever. I use a tens unit frequently so the NCS felt like that. EMG barely felt the needle. I have herniated discs in low back , severe bilateral leg pain, and numbness in my foot/toes. My symptoms usually start when I’m standing/sitting to long (>20-30 min). When I lay down the symptoms seem to lessen. I feel that my pain is more severe from my low back to the knees. My question is why did they do the testing below the knees and on the feet? Instead of my upper thighs? Also, I don’t recall them asking me to contract my muscles during the EMG?

[@DrAndreaFurlan]

Thank you for sharing.

[@susanfisher8876]

I'm due for my legs to be done and I'm very nervous. Had it done for the carpal tunnel in my hand, never again....so painful. Scared to do my legs.

[@ritumodi9265]

Thanku so much for sharing this video it's very much helps us

[@ritumodi9265]

​@@DrAndreaFurlan hellojankrit

[@TheKrystinaAvery]

What was your diagnosis? Did this test help treatment plans? I’m dealing with the same issues. Waiting to schedule this test. Thank you

[@catmom1322]

Post radiation therapy following breast cancer knocked out several of my axillary nerves. I did not find the EMG particularly painful, but just as I thought we were done, he shoved a needle into my thenar eminence. Now that hurt! The EMG basically validated what we already knew: the nerves to my infraspinatus & supraspinatus nerves were not at all being innervate; I still cannot abduct my arm. It's been a while, & now I have pain in that arm constantly & in addition to not being able to abduct, I periodically get muscle spasms in that arm. I was warned about the chemotherapy, but was not at all for nerve damage from radiation.

[@phyliciahepburn6921]

How are you feeling now 2 years later post treatment

[@jaiyinjing]

WOW! What great information, and so effectively communicated. Many thanks!

[@DrAndreaFurlan]

Glad it was helpful!

[@ruthmurphy7351]

Excellent information. Thank you! I had an EMG years ago and forgot what it's like but don't remember pain. Now I am having occasional tingling, weakness, and unsteadiness in my legs and many times I feel like I might fall. It's as if my legs aren't moving fast enough. I'm having trouble balancing on one leg even to put my socks on while standing. All this occurred after I stacked a cord of wood. I'm debating on if I should see a doctor or continue taking Motrin and rest my back. Ice seems to help so maybe I'll continue with it for a while longer.

[@getahunmolla3058]

thank you for your explanation about nerve conduction test and the EMG exam for nerve conduction study.

[@DrAndreaFurlan]

I’m glad to help.

[@tinaahl4597]

I had 2 EMGs, the first one showed nerve root involvement, but the Dr.attempted, and neurologist, told me it was carpal tunnel syndrome. I failed to ask, because I didn't know better, if the EMG showed any signs that my "carpal tunel syndrome" might be caused by my neck. I asked my Dr. Later, as recommend by a different specialist, " does the E.M.G. show that these nerve issues are stemming from my neck. He dance around that answer, so after the 3rd time, in a raised voice I said, "yes or no, does the EMG show that I have nerve problems stemming from my neck". He said yes. I had neck surgery 25 years ago. Same problems again! I decided to ask the neurologist who did my last E.M.G. if she noticed any nerve problems stemming from my neck. She said yes, but diagnosed me with carpal tunnel syndrome. Because Dr.s lye and carpal tunnel is a cheap surgery, I asked the neurologist if it was possible to distinguish nerve roots stemming from the neck vs carpal tunnel syndrome or any other nerve damage above the hand. She said no. It is all subjective based on a series of specific questions, reflex checks, etc. I found this video useful, because I didn't know that an EMG will only pick up on major nerves, but in addition I would like to add that they will also pick pick up on damages to nerve roots ( in the neck).

[@Babykayyy89]

I go for my nerve test tomorrow, and honestly I'm scared and nervous... My hand specialist says I have carpal tunnel.. even when I wear my wrist brace my hand and wrist still hurt... Praying tomorrow ain't as bad

[@joymckenziewendt4013]

I’m having my EMG tomorrow and I’m not looking forward to the needle & flex the muscle part of the test. I had no idea that this was a part of the test!!!! I was worried about getting zapped only!!! So now, my fears of being zapped are alleviated but now I’m dreading needles!!! I already want to say NO to the test!!!

[@5salh]

VERY GOOD DOTCTOR EXPLAIN AS A TEATCHER .MAKE EVERY THING IS SIMPLE.YOU MAKE SICK PEPOLIE FEEL HEATHY WITH YOUR WAY AND YOUR SMILE

[@sharonmooney4601]

Thank you for explaining everything I had questions about, you did an excellent job.

[@DrAndreaFurlan]

Glad it was helpful

[@ozelladavidson6767]

Thank youuuuu!! I'm encouraged! Helped with my fears

[@DrAndreaFurlan]

You are so welcome

[@AFrick-f3m]

I had a nerve conduction done for carpal tunnel syndrome. They put several electrode needles in the thin skin on top of my hand. When they applied the current the pain was so intense I could barely finish the test.

[@wendygines9586]

I'm going to have a nerve conduction study I have had calf pain for 6m I wonder if it is a pinched nerve

[@yoginimate0867]

Hello Dr...Please make video for pain in both elbows ,typically to pointed bone in the elbow.

[@DrAndreaFurlan]

Great suggestion for a future video. I'll do one for elbow pain.

[@dr.vigneshkumarphdphysioth6585]

Good explanation with absolute clarity of difference between emg & nerve conduction study ..dr

[@DrAndreaFurlan]

Thanks and welcome

[@CutiePie232]

My ncv made things so much worse please help me

[@awildarodriguez4491]

Extremely thorough, helpful and informative. Thank you Doctor for explaining it in a way that is easily understandable for patients.

[@Blues1576]

Dr did not cover neck it's not conclusive evidence and Dr is misleading all we need to know . Recently I put 3 Doctors to the test for nerve conduction test they said yes . HOW WRONG THEY ARE . Tunnel vision and not up to date .

[@DrAndreaFurlan]

Thank you for your comment.

[@Blues1576]

@@DrAndreaFurlan Don't agree . Need to inform about the Neck area that nerve conduction test are not reliable. Care Medical in the United States technology far more advanced.

[@sandra-ho2zf]

Awesome explanation-

[@tabassumbhatti8070]

Thanks doctor it is a Very informative video explained by you. I am suffering from nerve damage . My NCS has been conducted in ICD Lahore Pakistan. It was normal.

[@keric123]

Thank you! One question if you’re able to answer. When they do an EMG/NCS and if they do determine I have peripheral neuropathy will the test’s definitely determine the cause when there are multiple issues that could be causing it; i.e.: diabetes AND medication AND neck problems?

[@DrAndreaFurlan]

Hi, the test cannot determine the cause.

[@keric123]

@@DrAndreaFurlan Ok, thank you.

[@emmadunalvy4971]

What is best for nerve damage mri scan or something else I have osteoarthritis and stenosis disease and have pain constantly mri said nothing wrong but fluid in my spinal cord up and down back cannot eat sleep insomnia cry every day with pain wat other test can help me

[@DrAndreaFurlan]

Please talk to your doctor about this.

[@d.fattyadams1313]

I hope if you are reading this that you are completely well, no pain and all health issues resolved.

[@vipinr7931]

Hello,Thanks for the excellent explanation...Do you have any online consultation method?

[@DrAndreaFurlan]

I only do online consults if the patient is in Ontario, Canada. I'm glad you like this video. I have enabled "Super Thanks" in all of my videos.

[@ndxtesting6861]

Very informative video and educational for new patients.

[@DrAndreaFurlan]

Thank you for watching. Consider subscribing to my channel. I have a lot of videos about chronic pain in my channel kzbin.info and don't forget to turn on the notifications 🔔

[@brendalester1979]

Thank you. Your information was most informative to anyone have been referred to a Neurologist. Can or Should a patient take these test if they have a hip replacement?

[@DrAndreaFurlan]

Hi Brenda, the decision to do EMG or not depends on the suspect that there are some nerve damage, nerve impairment, nerve injury. If a patient had hip replacement and there is suspect of nerve injury, then this test might be indicated. Please ask your doctor for more details.

[@zanettat1]

Had NCS and EMG today on both arms. I am hopeful the test provides clarity as to what going on.

[@josweet3715]

How was the test?

[@ggpaula6476]

You are awesome your explanation is so easy to understand. Thank you

[@seohlengtay6011]

Hi is EMG or the nerve test the best way to check for carpal tunnel syndrome ?

[@DrAndreaFurlan]

I have another video about carpal tunnel syndrome. Yes, EMG with nerve conduction study is the best test.

[@richardsimms251]

Excellent talk. Thank you

[@2012cmontano]

I don't have the appointment yet, but my doctor ordered the emg test, because I had not ankle strength, feeling numbness on my left side foot until the little toe. Also I had 2 surgeries already on same foot, arthrodesis surgery and ligaments repair

[@2012cmontano]

Also I had this mri results: : 1. Small posterior disc protrusion L5-S1 with mass effect upon the right greater than left S1 nerve root and right greater than left lateral recess narrowing and foraminal narrowing. 2. Mild degenerative disc disease and diffuse facet joint degeneration is otherwise appreciated throughout the lumbar spine.

[@jacobhillanbrand7988]

Great explanation of the test.

[@DrAndreaFurlan]

Glad you liked it!

[@elementalsfourheaven3401]

Wish i had you had my doctor you are wonderful! And love your Portuguese accent;)

[@DrAndreaFurlan]

Thank you! 😃

[@chayjay6800]

Thank you for this video. Would you please explain what would cause hyperactive reaction in the nerve conducting test?

[@DrAndreaFurlan]

Hi Chay, what do you mean by hyperactive reaction?

[@chayjay6800]

@@DrAndreaFurlan Hello Dr. Furlan, you explained that a slow response of the nerve to the electrical current could mean MS or diabetes. So I'm wondering what a hyper reflex response to the test would indicate. For example, what would speeds of less than 50 m/s mean or be caused by?

[@nomzamozondo4960]

What should be taken to repair myelin sheath? Seems like no one knows.

[@MakeMoneyOnlinePorcupine]

Read the wahl’s protocol by Dr Wahl

[@georgetterx]

Had mine yesterday. Both the electric shocks and needle part weren’t bad at all, I was extremely nervous and have a fear of doctors and needles but I promise it was like acupuncture thin u could barely feel and the shocks were mild. Granted I scheduled it purposefully for one week after my period so my tolerance would be higher but still it’s not at all like how the other comments are saying

[@journeytolifebyjez]

I did this test just awhile ago..so I'm here 😊

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔

[@sandydunning2478]

This is wonderful!! Thank you so much for this informative video. Very nice!

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔

[@dewam1599]

Great! Thanks Andrea. From the Netherlands.

[@laughingmute608]

What kind of diagnosis/treatments can come from these tests? For axample a spine lamina surgery is denied but then you are told to get an EMG/NCS. I guess I don't understand the purpose of this test when you already know you have an extruded disc with severe radiculopathy.

[@DrAndreaFurlan]

That is a good topic for a future video. The answer is very complex.

[@laughingmute608]

@@DrAndreaFurlan What about having say physical Therapy or any other activity before hand? Or should one come to an EMG/NCS completely fresh and rested?

[@Crisgrl55]

They can’t fix the damage

[@kirstymacfarlane1620]

I had cauda equina 22 years ago and it left me with nerve damage to my right side, buttocks to toes, due to late and misdiagnosis. I was told I had a uti. I was diagnosed with spinal stenosis 10 years ago, it was first discovered in 2004, 3 years after my emergency surgery. Would it be worth mentioning these tests to a consultant? I have an appointment to see one about getting another mri done because I have new numbness, pain and tingling. I've also completely lost the feeling on the outside of my right foot but I think these tests might be more accurate and beneficial. I would appreciate your feedback, thanks

[@RoBDeeZL42]

If a muscle is not activating because of a nerve impingement, what does the EMG show or say? Can it tell where along the body the nerve is compressed? thank you

[@DrAndreaFurlan]

Yes, that is one of the uses of EMG.

[@RoBDeeZL42]

@@DrAndreaFurlan Thank you for responding to a question on an older video

[@abusadiatblessing4213]

Thank you so much. This is informative.

[@DrAndreaFurlan]

Glad it was helpful!

[@Feenix102]

Cool. Ive had a nerve conduction study (with EMG) in the past, and I have another one today. I have spastic paraparesis in my legs, along with cavovarus deformities in my feet (primarily the left). Honestly, I found the process quite relaxing - similar to what I would think acupuncture with electricity is like. Fascinating description, I really like your analogy. :o)

[@DrAndreaFurlan]

Thanks for sharing!

[@ludmilagornitsky6089]

THANK YOU for explaining

[@DrAndreaFurlan]

Hi Ludmila, you are welcome.

[@teams3345]

I went today and the nerve and muscle test took less than 30 minutes. One technician and the other the Neurologist. Still waiting until my Nurse Practitioner gives me a diagnosis. I go for a MRI next Wednesday. That will be it I hope. I thought the EMG was too quick between the two test.

[@DrAndreaFurlan]

If the test is only for one member, then the two parts (NCS and EMG) may take around 30 minutes.

[@T.e.s.s-v.s]

Mine was absolutely awfull. Electrical shocks felt like I was getting electrocuted. The doctor had problems with the machine and was very frustrated and in a bad mood. He kept zapping me in each point 10 times really hard. The needle was thick and the doctor pushed it in really hard and deep. He was constantly stirring it when it was in my muscle. I have been through alot in my life. But this test was a really traumatic experience. Before I got the tests my symptoms where all gone. But I decided to go through with it since I already had the appointment. After the tests everything is 100x than before. Pins and needles in legs, feet, arms and hands even in places I never had them before. How can I get back to the state i was in before the EMG. It ruined my life

[@lakkadbagga]

Hope you are doing better now!

[@AiHeartYou]

How do you feel now? I hope you are feeling better

[@marcialitt4431]

Oof I'm sorry

[@radar5464]

She only covered slow nerve conduction Velocity related to the mylein. No Response on a nerve conduction study, which is a result i had, is apparently related to damage to axons.

[@amandamedina2296]

Hello, I had this test done a few days ago at the VA and I am in so much pain. I’d like to think I handle pain well considering I had my last baby all natural. However, when doing the NCS it was extremely painful to me, not tear break down however, it felt like my legs were being put through a wall socket everytime he would zap me (the doc/resident). I can just remember the pain from as a kid putting a knife in a wall socket- it hurt! My question is this… during my test, when I layed down on my stomach, he put the nerve stickers on the back of my legs. He continued to zap me 7 different times and each time the waves were getting more intense. What does this mean? Currently waiting on my doctor to give me my results. Since having the test done, my legs from knees down hurt so bad!

[@robertmclaughlin515]

Thank you again another great presentation

[@DrAndreaFurlan]

Thank you for watching. Consider subscribing to my channel. I have a lot of videos about chronic pain in my channel kzbin.info

[@OliveJusticeMemories]

Thank you Dr Andrea. This is extremely clear and helpful. My only concern about having the tests is the needle electrode. Unfortunately I had an immediate and extreme reaction to a diabetes monitor with tiny filament placed in my arm. We certainly were not expecting that! I will tell the doctor about that before that part of the test. Fingers crossed it is not a problem.

[@DrAndreaFurlan]

Thanks for sharing Christine.

[@mrst4946]

​@Dr. Andrea Furlan hey Dr Andrea, I have previously been diagnosed with severe carpal tunnel plus diabetic neuropathy. I'm a type 1 diabetic. I have had an EMG two years ago. I never had the needle test just the electrode test with stickers and wires. So at the time the technicians were very shocked (excuse the pun) I felt nothing as they turned the level of shock up and up to very high levels. Eventually it triggered my carpal tunnel pain with pins and needle sensation at the highest level of shock the machine could go. What does this mean? In my test they attached electrodes and asked me to let them know if I felt anything the test took forever as they increased and I felt nothing... Shortly after I was pregnant and was unable to access the operation for my carpal tunnel syndrome. I now have been referred for another EMG and have severe pain from carpal tunnel the majority of the time day and night. My grip has become weak I drop things frequently and there's signs my muscle in my palm have wastage. I appreciate your video and wonder if you recommend steroid injections for carpal tunnel syndrome (I've had 3 of these already over past yrs) or the decompression operation? I'm nervous to have another nerve study after last time where although not painful it was not a comfortable sensation when the electrodes were turned to their highest. Why do the technicians turn the electro waves higher and higher until the patient can feel something?

[@DrAndreaFurlan]

Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. I don't give individual medical advice via social media or by email. This channel is for educational purposes only. Please talk to your doctor. Have you seen my website yet? Check it out www.doctorandreafurlan.com

[@shellstoke2969]

Im due one of these tests,ive put it off once already,I cant even use a TENS machine on the lowest setting,ive become sensitive to pain,Also i see it mentioned about blood thinners, I am on them lifelong,Apixaban

[@penny544]

What kind of treatment do they do if they find you have a problem, is my question?

[@DrAndreaFurlan]

Hi Penny, it really depends on the type of problem.

[@dsmith1581]

I had a Nerve Conduction Study Friday. I have a herniated disk at L4-L5 with leg weakness , knee pain and numbness in my two toes in my right foot. It wasn’t bad at all. I didn’t understand why the technician said they were only doing my foot and not my knee and that would be a separate test. I thought it was for lower extremities. Can you please explain why they only tested the nerves in my foot and not the nerves above my knees? Thank you kindly!

[@DrAndreaFurlan]

Please ask your doctor

[@neverforsaken]

Should I have this done on an arm where sentinel nodes were removed? I have been told to avoid BP cuffs and blood draws on that arm. Thank you

[@DrAndreaFurlan]

Please ask your doctor about that.

[@charlynnmullin38]

Had this done when I was being tested for nerve damage due to polio.

[@zamboanga1]

My doctor suggested i get a nerve conduction test to determine the source of the pain i feel in my left glute. There appear to be many possibilities. I want to be clear about the capabilities of this test. Will this test be able to differentiate between (1) referred pain from a disk bulge...sciatia (2) piriformis syndrome (3) nerve damage (4) bursitis (5) SI Joint problem (6) labral tear at hip joint?

[@DrAndreaFurlan]

This test is useful to detect if there is an injury or disease to the peripheral nerves.

[@cricketkibaateindaily]

Thanks Doctor..useful information

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔

[@ovion357ben7]

Merci beaucoup pour ces explications . Vidéo très instructive 😍😘

[@scottdivers7981]

Is there bias standards in testing i.e Medicaid vs Regular insurance. I have seen a difference in my treatment in the past 20 yrs. Because my payment method has gone down to Medicaid

[@DrAndreaFurlan]

Hi Scott. I don't work in the United States, so I don't know the answer.

[@scottdivers7981]

@@DrAndreaFurlan Thanks.. I know the answer. I like your channel and talking with you. I am always looking for other options. I have just found out that I have severe Radiculopathy. I need Cervical surgery, Then maybe lumbar surgery after. I am in bad shape. Pills don't do much.

[@tjsmite]

I have screws in my wrist can I take an EMG?????

[@avomarkarian6187]

I have a question my dad fell 7 years ago and he had neck injury slight Spinal cord his neck bone compressed the spinal cord after the surgery and Physo therapy he is back 60% normal but walks unbalanced and he has a weak hand and leg one side is weak he feels his hands and legs & numbness what do you recommend

[@marquitabortiz4718]

OMG! I remember when my Physiatrist did mine. He Caine he needed a helmet!! I almost kicked him in the head!! It was sooo painful! I NEVER wish you repeat it!! I know that what I was experiencing was real !! I told him I was soooo sorry he laughed about Him needing a helmet part!! He now knew how hurt I was! He said... you REALLY haveHealth medical issues we need to wrk on ( w/)... he was soo professional and stated I don’t believe you hadn’t gotten EMGs earlier! He was spot on!! M

[@DrAndreaFurlan]

Thank you for watching. Consider subscribing to my channel. I have a lot of videos about chronic pain.

[@gfg890]

I suffered severe pain during my tests. I didn't need the test to confirm my nerve damage, I know my nerves have been damaged but I often wondered if the doctors were just checking to make sure or that they didn't necessarily believe me! Anyway, does extreme pain during the test represent or confirm damage?

[@DrAndreaFurlan]

Hi Gary, pain during the exam is not used to confirm or refute the diagnosis.

[@gfg890]

@@DrAndreaFurlan I went through many a painful process on the back of a headfirst fall from 34ft. One of the most painful was getting my jaws unwired but I'd say that the nerve conduction tests were even more painful than that.

[@larryc1964]

If my comprehensive nerve conduction study checking for peripheral neuropathy due to pins and needles in soles of feet comes back completely normal, what else could be the cause for this irritating tingling in the feet when I put pressure on the feet when standing? Nobody can tell me what the cause of symptoms are! I’m type 2 diabetic but they tell me no neuropathy. Very confused! ( sensory exam has been done and is normal)

[@DrAndreaFurlan]

Hi Larry, please ask your doctor. I don't have all the details about your situation to provide any medical insight.

[@larryc1964]

@@DrAndreaFurlan ok thanks for this great info. Unfortunately my GP is literally at a loss to explain my condition. I am currently accepting the TMS Mind Body approach theorized by Dr John Sarno which describes how stress and emotions can be at play with individuals experiencing pain and bizarre numerous other symptoms in the physical body. Certain personality types have experienced symptoms to which no structural or countless other tests yield no reason for the pain or symptoms ( I also am experiencing moderate to severe hip and groin pain that actually alternates fro each side and moves around on a daily basis- disabled from it) So the only conclusion one can draw is that my condition is of a psychological source. Apparently, changing the mindset and practicing indifference to the symptoms and going about your life regardless send the message to the brain that you are safe and it no longer needs to inflict symptoms. Many have recovered from Tension Myoneural Syndrome through some TMS coaching and rewiring neuro pathways.

[@icetivity7414]

Congrats! They way you explain made me to press the like and follow buttons! I just finished a road cycling tour of Romania(amateur - 2500 km, 20 consecutive days) and in my left hand i still feel theese numbness, tingling in the first 3 fingers, cause i just use more my left hand and it was more connected to the handlebar of my bike and just put more pressure on my left back hand...I had 20 consecutive days of cycling but the sensation was starting after the half of the tour..let's say 10-12 days. Should I be worry?🙏

[@indrasisdutta3869]

Does spinal cord stenosis effects on demylnating motor polyradiculopathy.beacuse I have both at same time my hands and leg become weak.i can't switch on lights

[@DrAndreaFurlan]

Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. I don't give individual medical advice via social media or by email. This channel is for educational purposes only. Please talk to your doctor.

[@tjsmite]

I do not like needles can my doctor bypass the EMG

[@mamiconrazon]

It hurt bad when my doctor put the needle in a few spots does that indicate anything?

[@DrAndreaFurlan]

Hi Christina, pain to needle insertion does not mean anything. Our brain can feel pain differently, it depends on how much attention we are paying to it, if we are distracted, if our muscles are more relaxed, and many other factors can influence how much pain we feel.

[@jadutch7361]

I am enjoying your new Book ” 8 steps …” Thx for the link🧐😊

[@DrAndreaFurlan]

This is great to hear. I hope you will be willing to write an online review after you read it. Please go to the store where you purchased it and write a review there.