Electroneuromyography (ENMG) in Kharkiv — Precise Diagnostics of Nerve and Muscle Diseases
Electroneuromyography (ENMG) is a comprehensive electrophysiological diagnostic method that combines Nerve Conduction Studies (NCS) and needle Electromyography (EMG). This high-precision examination allows our neurologists to evaluate the functional state of peripheral nerves, neuromuscular junctions, and skeletal muscles, providing critical information for establishing a diagnosis and selecting a treatment strategy for neurological disorders.
[Image of the peripheral nervous system]Key Benefits of ENMG at Brigid Center
Objective Assessment
Quantitative measurement of electrical activity in nerves and muscles, eliminating subjective interpretation of complaints.
High Accuracy
Detection of even minor abnormalities in nerve impulse conduction and muscle function at early stages.
Differential Diagnosis
Clear differentiation between pathologies of the nerves, muscles, and neuromuscular transmission disorders.
Dynamic Monitoring
Objective evaluation of disease progression or the effectiveness of ongoing treatment over time.
Precise Localization
Identification of the exact level of damage: root, plexus, nerve trunk, or terminal branches.
Instant Results
Preliminary specialist conclusions are available to the patient immediately after the procedure.
What is Electroneuromyography (ENMG)?
ENMG is a two-component neurophysiological study that includes:
- Nerve Conduction Study (Stimulation ENMG): Measures the speed of an electrical impulse traveling along peripheral nerves.
- Needle Electromyography (EMG): Records the electrical activity of muscles at rest and during voluntary contraction using a thin electrode.
By combining these methods, neurologists can determine whether symptoms are caused by nerve damage (neuropathy), primary muscle disease (myopathy), or neuromuscular junction disorders.
When is ENMG Recommended?
Common Symptoms Requiring ENMG Evaluation:
- Numbness, tingling, or "pins and needles" in the arms, legs, or other body parts.
- Muscle weakness, especially if it is progressive or asymmetrical.
- Muscle atrophy (noticeable muscle wasting) without an obvious cause.
- Limb pain with neuropathic features (burning, "shooting" pains, electric-like shocks).
- Cramps, fasciculations (involuntary muscle twitches), or myokymia.
- Muscle stiffness or difficulty relaxing muscles after contraction.
- Foot drop or difficulty lifting the front part of the foot.
- Unexplained fatigue in specific muscle groups during normal activities.
Diagnostic Goals:
- Peripheral Neuropathies: Diabetic, alcoholic, toxic, hereditary, or idiopathic.
- Tunnel Syndromes: Carpal tunnel syndrome, ulnar nerve entrapment, tarsal tunnel syndrome.
- Radiculopathies: Compression of nerve roots by herniated discs or spinal canal stenosis.
- Plexopathies: Damage to the brachial or lumbosacral plexus.
- Motor Neuron Diseases: Amyotrophic Lateral Sclerosis (ALS), spinal muscular atrophy.
- Neuromuscular Junction Disorders: Myasthenia gravis, Lambert-Eaton syndrome.
- Muscle Diseases: Muscular dystrophies, myositis, metabolic myopathies.
- Traumatic Injuries: Assessment of the degree and prognosis of nerve recovery after injury.
Therapeutic and Monitoring Applications:
- Treatment Monitoring: Evaluating the response to therapy in inflammatory neuropathies.
- Preoperative Evaluation: Determining baseline nerve function before surgical intervention.
- Postoperative Control: Assessing nerve recovery after decompression or plastic surgery.
- Disability Assessment: Objective documentation of existing neurological impairments.
- Sports Medicine: Diagnosis of occult nerve damage in athletes.
Which Conditions Can ENMG Detect?
Nerve Disorders
- Carpal Tunnel Syndrome (median nerve)
- Ulnar Neuropathy (at the elbow or wrist)
- Radial Nerve Palsy
- Peroneal Neuropathy
- Polyneuropathies of various origins
Spinal Root Problems
- Cervical and Lumbosacral Radiculopathy
- Sciatica (inflammation of the sciatic nerve)
- Consequences of spinal canal stenosis
- Root compression by intervertebral hernia
Neuromuscular Transmission Disorders
- Myasthenia Gravis
- Lambert-Eaton Myasthenic Syndrome
- Botulism
- Congenital myasthenic syndromes
Muscle Diseases
- Muscular Dystrophies
- Inflammatory Myopathies (polymyositis, dermatomyositis)
- Metabolic and hereditary myopathies
- Myotonia and periodic paralyses
- Critical illness myopathy
How is ENMG Performed?
Preparation and Consultation
Neurological examination and medical history review. The physician explains the procedure. The skin is cleaned at electrode placement sites for better contact.
Stimulation Phase (NCS)
Surface electrodes are applied to the skin. Small electrical stimuli are applied to the nerves. The computer records the conduction velocity and response amplitude.
Needle Phase (EMG)
A fine, disposable sterile needle electrode is inserted into the muscles being studied. Muscle activity is recorded at rest, during slight effort, and during maximum effort.
Real-time Analysis
The neurologist analyzes graphs (oscillograms), audio signals, and digital data. If necessary, the study program is expanded to clarify the diagnosis.
Conclusion
The electrodes are removed. Preliminary results are discussed immediately. A detailed written report with interpretation and clinical recommendations is provided.
Modern ENMG Equipment
Our neurophysiology laboratory is equipped with expert-level apparatus:
- Latest Generation Digital Systems: Amplifiers with ultra-low noise levels for perfect accuracy.
- Specialized Techniques: Single-fiber EMG (Jitter analysis) for myasthenia diagnosis.
- Quantitative EMG: Automated analysis of motor unit potential parameters.
- Decrement Test: Repetitive stimulation to assess the reliability of synaptic transmission.
- Reflex Arc Studies: F-waves, H-reflexes, and blink reflex to evaluate central pathways.
Our Expert Team
ENMG is performed by neurologists with a sub-specialization in neurophysiology:
- Professional Training: Certified specialists with years of clinical experience.
- Multidisciplinary Approach: Close collaboration with neurosurgeons, endocrinologists, and rheumatologists.
- Patient Care: The most gentle technique possible and a detailed explanation of all results.
Schedule Your ENMG Study in Kharkiv
Accurate diagnosis is the foundation of successful treatment. ENMG provides objective data that identifies the cause of pain, weakness, or numbness. Our laboratory ensures European standards of diagnostics in a comfortable environment.
Contact us today to schedule your ENMG or to consult regarding the necessity of this study for your case.
Brigid Medical Center — Advanced Neurophysiological Diagnostics in Kharkiv.
Expert Equipment · Experienced Neurologists · Accurate Results · Comprehensive Approach
Online booking is preliminary. We will contact you to clarify details and confirm the appointment.
Your personal data is fully protected and not shared with third parties. Contact information is needed only for feedback and appointment scheduling.