Neurmuscular & Electrodiagnostic (EMG) Clinic

For diseases of nerves and muscles.

Electrodiagnostic medicine is the study of the diseases of nerves and muscles.  If you have been referred to our clinic, your doctor has recommended an EMG test to see if your muscles and nerves are working right.  The results of the tests will help your doctor decide what is wrong and how it can be treated.

Doctors who do EMGs go to four years of medical school and then have three or four more years of training in a residency program.  Most work as neurologists or physical medicine and rehabilitation doctors.  Medical training helps the doctor decide which tests to perform based on your symptoms.  It teaches doctors what can go wrong with the human body and how to tell the difference between these problems.  The American Association of Neuromuscular & Electrodiagnostic Medicine’s policy is that an appropriately trained doctor should do all needle EMG testing.  A trained assistant or technologist under a doctor’s supervision can do nerve conduction studies.

We apply the following evaluation techniques:  Nerve Conduction Studies, Electromyography, Single Fiber EMG, Nerve Hyperexcitability Testing for Cramp-Fasciculation Syndromes, Ischemic Forearm Exercise Testing, Muscle, Nerve, and Skin Biopsies and Diagnostic Injections.

We specialize in the diagnosis and management of:

  • Median Neuropathy (eg. Carpal Tunnel Syndrome)
  • Ulnar Neuropathy
  • Peroneal Neuropathy
  • Entrapment Neuropathy
  • Polyneuropathy
  • Plexopathy
  • Cervical and Lumbosacral Radiculopathy
  • Myopathy
  • Inclusion Body Myositis
  • Dermatomyositis/Polymyositis
  • Metabolic Myopathy
  • Motor Neuron Disease (eg. Amyotrophic
  • Lateral Sclerosis)
  • Myasthenia Gravis
  • Muscular Dystrophy
  • Mitochondrial Disease

We offer comprehensive management in:

  • Immunomodulation and Disease-Modifying Treatments
  • Pharmacologic management for neuropathic pain
  • Rehabilitation management for neuromuscular conditions.
  • Carpal Tunnel Steroid Injections
  • Ultrasound guided joint injections
  • EMG guided Botox injections 

Best practices by:

Daryl Perry, MD, FRCPC, CSCN

Dr. Perry completed his specialty training in Physical Medicine and Rehabilitation at the University of Manitoba in 2006, followed by completing a fellowship in neuromuscular and electrodiagnostic medicine at Harvard Medical School.  During his fellowship he also received specialized training in nerve and muscle biopsies.  Dr. Perry is certified in EMG by the Canadian Society of Clinical Neurophysiologists.  He is an assistant professor at the University of Manitoba and Chief Medical Officer of Riverview Health Centre. 

Davyd Hooper, MD, FRCPC, Dip. CSCN, Dip. ABEM

Dr. Hooper completed is specialty training in Physical Medicine and Rehabilitation at the University of Manitoba in 2007, and joined the Clinic in July 2008 upon completion of his fellowship in neuromuscular and electrodiagnostic medicine at McMaster University.
 
He concurrently specialized in diagnostic nerve ultrasound and muscle biopsies during his fellowship.  He is dually certified in EMG by the Canadian Society of Clinical Neurophysiologists and the American Board of Electrodiagnostic Medicine.  He is an assistant professor at the University of Manitoba and is the Director of the Physical Medicine and Rehabilitation Residency Program.  His research interests include the use of Ultrasound for the diagnosis of nerve and muscle diseases, as well as carpal tunnel syndrome management. 

Sepideh Pooyania, MD,FRCPC,CSCN

Dr. Pooyania completed her specialty training in Physical Medicine and Rehabilitation at the University of Manitoba in 2009.  She is certified in Electrodiagnostic Medicine by the Canadian Society of Clinical Neurophysiologists. Dr. Pooyania is the Service Chief for Stroke Rehabilitation at Riverview Health Centre and is an assistant professor at the University of Manitoba. 

Jennifer Salter, MSc,MD,FRCPC,CSCN

Dr. Salter completed medical school and a Master of Science in Human Biodynamics at McMaster University.  She completed her specialty training in Physical Medicine and Rehabilitation at the University of Manitoba in 2012.  Dr. Salter is certified in Electrodiagnostic Medicine by the Canadian Society of Clinical Neurophysiologists.  She is an assistant professor with the University of Manitoba, Undergraduate Program Director for Physical Medicine and Rehabilitation for the University of Manitoba Medical School and Service Chief for the Acquired Brain Injury Program at Riverview Health Centre. 

Resources

Your Questions

How long will my EMG tests take?

The tests usually take 20 to 90 minutes.  You can do any of your normal activities, like eating, driving, and exercising before the tests.  There are no lasting side effects.  You can also do your normal activities after the tests.

How should I prepare for my EMG tests?

Tell the EMG doctor if you are taking aspirin, blood thinners (like Coumadin), have a pacemaker, or have hemophilia.  Take a bath or a shower to remove oil from your skin.  Do not use body lotion on the day of the test.  If you have myasthenia gravis, ask your EMG doctor if you should take any medications before the test.

How will I be informed of my EMG test results?

The EMG doctor will discuss your test results with you or send them to your regular doctor.  After the exam, check with the doctor who sent you to the lab for the next step in your care.

What are some of the tests performed in the EMG clinic?

Needle EMGs: For this part of the test, a small, thin needle is put in several muscles to see if there are any problems.  A new needle is used for each patient and it is thrown away after the test.  There may be a small amount of pain when the needle is put in.  The doctor tests only the muscles necessary to decide what is wrong.  During the EMG test, the doctor will be able to hear and see how your muscles and nerves are working by the way electrical signals travel from the needle to the EMG machine.  The doctor then uses his medical knowledge to figure out what could be causing your problem.

Nerve Conduction Studies: These show how well the body’s signals are traveling to a nerve.  This is done by applying small electrical shocks to the nerve and recording how the nerve works.  These shocks cause a quick, mild, tingling feeling.  The doctor may test several nerves.

Where is the EMG Clinic located?

The EMG Clinic is located on the main floor of the Day Hospital.

Click on the following map to enlarge and print.

Why am I being sent to the EMG lab for tests?

You are being sent to the electromyography (EMG) lab because you have numbness, tingling, pain, weakness or muscle cramping.  Some of the tests that the EMG doctor may use to diagnose your symptoms are nerve conduction studies (NCSs), or needle EMG.  The EMG doctor will examine you to decide which tests to do.

Key Contact

For more information contact us at:

Neuromuscular & Electrodiagnostic Clinic at (204) 478-6399