M Toronto Myositis Centreat St. Michael's Hospital
← Tests & procedures Patient guide

EMG and nerve tests.

An EMG checks the electrical activity in your muscles and nerves. It helps your team confirm myositis, see how active it is, and rule out other causes of weakness.

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Plan for about 30 to 60 minutes.

You are awake the whole time, no freezing or sedation is needed, and you can drive yourself home afterward.

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What it is

A test of your muscles and nerves.

An EMG (electromyography) is usually done together with nerve conduction studies, by a neurologist. It has two parts. In the nerve conduction study, small sticky pads are placed on your skin and brief, gentle electrical pulses are sent through them to measure how well your nerves carry signals. In the EMG part, a very thin needle electrode is placed into a few muscles to record their electrical activity, first while the muscle is relaxed and then while you gently tighten it.

What it tells us

Why the test is done.

The test shows whether your weakness is coming from the muscle, the nerve, or both. In myositis, it can reveal a pattern that points to muscle inflammation, help confirm the diagnosis, and give a sense of how active the disease is. It also helps your team choose the best muscle to sample if a biopsy is needed, and it helps rule out other conditions that can look like myositis.

What to expect

The two parts, step by step.

The nerve conduction study
  • Small sticky pads are placed on your skin.
  • You feel brief pulses, a little like quick static shocks.
  • It is surprising more than painful, and each pulse lasts only a moment.
The EMG (needle) part
  • A fine needle electrode is placed into a few muscles.
  • You may feel a small pinch as it goes in, and an ache as the doctor moves it or asks you to tighten the muscle.
  • The needle is thinner than the one used to take blood, and nothing is injected.

Does it hurt, and what about afterward?

Most people find the test uncomfortable rather than painful, and the discomfort is brief. The muscles tested may feel a little sore or bruised for a day or two. You can return to your normal activities right away, including driving.

Getting ready

How to prepare.

Staying safe

Risks.

An EMG is very safe. The most common effects are minor soreness or a small bruise where the needle was placed. Bleeding and infection are rare. Telling the team about any blood thinners lets them take extra care.

After the test, call the clinic if:

Contact us if you notice:

Increasing pain or swelling
Growing pain, swelling, redness, or warmth at a needle site.
Signs of infection
Fever, or fluid or pus at a needle site.
Bleeding or heavy bruising
A lot of bruising, or bleeding that does not settle.

Your results

The neurologist reviews the recordings and sends a report to your Centre team, who will go over what the test means for you at your next visit.

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This guide is for learning, not medical advice. Your team will explain your own test, and every person’s situation is a little different. Always follow the instructions you are given.

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