Explaining EMG Test Significance

Can someone explain the significance of the part of the EMG test where they stick you with a needle and then have you exert muscular force so as to contract the stuck muscle? What do the derived readings tell the conductor of the test? What are the criteria for normal results? Thanks for any insight that can be given!
 
It's very easy to push with full force with your calf—you do it every day when you walk. Your calves enable you to go up on your tiptoes, so it's "easy" to make them work hard. Your tibialis anterior raises your foot towards your shin, which isn't terribly difficult. As a result, you (like most people) don't ever exercise it that hard. The problem is that the neuro probably didn't see much recruitment initially, only because you weren't pushing hard enough. If you push harder, you recruit more fibers. The fact that you can do it means that the muscle is fine.

Your neuro might have also seen something a bit unusual in your TA. This is nothing to worry about. In my case, my neuro saw a complex repetitive discharge (CRD) on my right TA, and told me that it could be a sign of chronic (old) denervation or muscle damage, or it might just be an odd reading. She proceeded to sample a muscle higher up on the same nerve root, found nothing wrong, and decided that the single unusual reading was an anomaly. The same might well have happened to you. I used to get very painful shin splints; I can imagine that this might cause (or result from) minor damage in the tibialis anterior.

How did a sore TA make you walk funny? Was it the shin pain, or was it inability to ilft your foot towards your shin? Did you have foot drop in those two days? If it's just soreness, I wouldn't worry about it. Even if it's foot drop, it's unlikely to be serious if it went away.
 
Bandersnatch_F, yes, I was walking funny due to "foot drop," or more like just kind of pushing my foot forward along the ground as much as possible rather than lifting it with the forward sweep of a step. Also, I had pain at every needle-stuck point for that couple days as well as more buzzing and low-level cramping than usual around the stuck points. That flare up was due to the needles and I wasn't worried about it too much. My tibialis anterior muscles are pretty well developed from bicycling with toe clips (with which you pull up the peddles, working the tibialis anteriors), and I don't see why the left should have been much harder to get the "Good" reading on than the right. But things are lookin good, I can't complain, and at this rate, I may not be able to live up to my name. :D)
 
During my EMG my doctor had to ask me to push very hard during one of the tests. I guess I wasnt showing proper recriutment but I'm sure it was because the needle was very close to a nerve and was hurting like he*ll to push - he had to ask me to do it again and push harder.

No worries.

JEff
 

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