Lessons and Tips for a Novice Electrophysiologist

You have been working as a physical therapist for years treating all sorts of conditions, but you are looking to specialize and set yourself apart from others while also expanding your future options. You are seeing the trend in physical therapy reimbursement and are looking for ways to help supplement or offset the decline. The […]

Nerve Facts

nerves

“I never knew how hard it could be to button a shirt without feeling my fingers.” As I work with patients experiencing nerve damage, conversations often turn in this direction. Our bodies are incredibly complex, and yet most of the time they function very well.   It is easy to take this for granted. After […]

What do you Expect with an Ulnar Nerve Injury?

A patient comes to see you with numbness and tingling of the right ring and little fingers. As you are an astute clinician you infer that the patient either has an ulnar nerve injury or a possible C8 cervical radiculopathy, but how do you know exactly where the likely cause of injury is? A careful […]

EMG Solutions’ Residency in Clinical Electrophysiology

Apply Today! EMG Solutions’ Residency in Clinical Electrophysiology is now LIVE! On the APTA’s Residency and Fellowship Physical Therapy Centralized Application Service (RF-PTCAS) Search for EMG Solutions to apply today! EMG Solutions is excited to announce the development of our new residency program in clinical electrophysiology. It is only the second Clinical Electrophysiology residency offered in the United […]

It’s All In The Wrist: A Primer On Ulnar Nerve EMG/NCV Evaluation in Guyon’s Canal

Although carpal tunnel syndrome affecting the median nerve is designated as the most common entrapment mononeuropathy in the upper extremity, another player deserves honorable mention: the ulnar nerve in Guyon’s canal.  EMG/NCV plays an important role in helping identify and localize a compromise of the ulnar nerve at the wrist.  A brief anatomical review of […]

What do you Expect with a Radial Nerve Injury?

A patient comes to see you with wrist drop. As you are an astute clinician you infer that the patient has a radial nerve injury, but how do you know where the likely cause of injury is? A thoughtful and thorough clinical exam should shed some light on the situation. Wrist Drop. Image source: Flickr […]

It Takes Two to Tango: Why EMG and NCS Always Go Together

If you have read many of my articles, you have probably noticed that I like to refer to electrophysiologic testing as “EMG/NCS.”  Although this acronym is much shorter than the tests’ other names (like “electrophysiologic testing”) it is still a bit of a mouthful, and many people prefer to shorten it even further to simply […]

How Well Do You Know Your Nerves?

Evaluating the neuroanatomy of any patient is an important part of the clinical exam that is vital in making an accurate diagnosis. Just because a patient cannot raise their arm above their shoulder does not inherently mean their ailment is a musculoskeletal shoulder issue. There should be a list of possible diagnosis that need to […]

When the EMG Comes back Normal: What Else Could be Going On?

Several weeks ago I published a blog describing the kinds of neurologic disorders revealed by electromyography and nerve conduction studies (EMG/NCS) in patients who are suspected of carpal tunnel syndrome (CTS) on clinical grounds. In most of these patients, EMG/NCS serves to confirm the presence of median nerve pathology and to describe how severe it […]