To be referred to our service, you would typically show signs or symptoms of nerve or muscle problems consisting of numbness, tingling, pain, weakness, or some combination of these. Such symptoms can have many causes, and it is the role of EMG and NCS to find evidence of muscle or nerve damage and to provide a diagnosis to the physician who referred you here, so that appropriate treatment can be given.
The most common diagnosis is a single “pinched nerve”, for example at the wrist (Carpal Tunnel Syndrome) or perhaps in the neck or lower back. We also often test people who have more widespread symptoms due to a problem with the nerves in general – quite common in diabetes, for example. Sometimes we are testing people for rarer conditions such as ALS or genetic disorders of the muscles and/or nerves. The reasons to come to the EMG lab are vast and varied and by no means limited to those we have listed here. Often our EMG test results show nothing abnormal, or the test results may point to a diagnosis quite different from that suggested by the physician who sent you, so EMG might spare you unnecessary or inappropriate treatments.
Aside from providing this primary service to the public, our clinic plays a key role in training Residents: These are doctors studying to become Neurologists or Physiatrists (Physical Medicine and Rehabilitation). We also introduce University of Ottawa students to EMG, we provide facilities to consult research in the field (through the Neuromuscular Centre at the Civic Campus and through the Rehabilitation Centre), and we participate in regional and national EMG teaching and review courses.
The Neurology EMG lab is staffed by 9 physicians (6 neurologists, 2 physiatrists and 1 plastic surgeon) and 5 full or part time registered EMG technologists and is administered by physician administrative assistants and reception/booking clerks.
An EMG test is usually done in two parts. First is the Nerve Conduction Study (NCS), done by an experienced technologist who applies recording electrodes to the skin near a specific muscle or nerve, then applies an electrical stimulus to the skin at one or more sites along the course of the nerve. An electrician might use a similar procedure when testing an electric circuit – putting a signal in one end of the wire and measuring what comes out the other end. The EMG machine shows the electrical response of the nerve or muscle on a computer monitor, giving an immediate indication of the health of that nerve.
The second part of the test, if judged necessary, is needle Electromyography (EMG). This part is often done by the physician and does not involve electric stimulation. Instead, an electrode resembling an acupuncture pin is inserted into muscle tissue where it acts as an antenna for recording electrical activity. Nerve and muscle diseases alter the pattern of electrical activity in muscles.
Eat normally and take your usual medications unless directed to do otherwise (If you are being tested for a possible Neuromuscular Junction disorder such as Myasthenia Gravis and have been prescribed a medication called Mestinon, you will be told to not take your dose(s) on the day of your test). Very few medications will affect the tests, but you should tell the EMG physician if you are taking aspirin or blood thinners (eg. Coumadin©), or if you have a form of hemophilia, because these might promote bleeding during the needle EMG study. If you are booked to see a physician for consultation in the EMG Lab, please bring a list of your medications and dosages.
If your symptoms are in your legs and you prefer not to wear one of our hospital gowns please bring a pair of shorts to change into. It is also recommended that you wear a short-sleeved shirt. Electrical stimulation and recording are improved if the skin is as clean as possible so it is best to not to use oily lotions prior to your visit. Lotions act as an excellent insulator and will interfere with the tests and prolong your discomfort. Out of consideration for hospital staff and other patients who may have sensitivities, please do not use perfume, cologne, after-shave or other fragrances on the day of your test.
There are two separate EMG labs at the Ottawa Hospital. One is administered by the Rehabilitation Centre, but the patients are seen in Module Q at the General Campus and the physicians are all Physiatrists. The other is administered by Ambulatory Care and Neurology and there are two labs; the Neuromuscular Centre at the Civic Campus and Module Q at the General Campus. The Module Q location for the Neurology EMG lab will be closed later in 2020 and moved to the Civic Campus in the Neuromuscular Centre.
Rehabilitation Centre EMG Lab
Telephone: 613-737-7350, extension 75591
Neuromuscular Centre EMG Lab, Civic Campus
Module Q Neurology EMG Lab, General Campus
Last updated on: April 21st, 2020