EMG prep - ok to pre-med w/Tylenol or stronger?

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Contentprof
Regular Member


Date Joined May 2014
Total Posts : 412
   Posted 8/2/2014 12:43 AM (GMT -6)   
I have an EMG & nerve conduction study on Monday. Hoping it'll help with diagnosis, even by ruling out things.
Various posts say it hurts a lot (aka torture!). So I was wondering if any of you have taken anything (Tylenol? Something stronger like Tylenol with codeine) in advance of the test so it's not so uncomfortable. Or whether that interferes with the test and may mess up the results?
Dr's office said take your usual meds that morning which for me are now prednisone (for inflammation from lupus symptoms caused by anti-TNFs) and Xanax for anxiety. Seems like adding Tylenol wouldn't be bad...
Would welcome any advice since I'm worrying about it.
55 yrs old. Ulcerative Colitis >10 yrs. For flares failed prednisone, cortenemas, mesalamines (hives, fever), 6mp (fever), Uceris. Remicade (began 12/13), severe flare vanished. Update 6/30/14: severe joint pains (migrating); prednisone 40 mg; stopped remicade. Dx so far Anti-TNF adverse reactions; what else? positive ANA, high anti-dsDNA, positive P-ANCA. No Dx or next steps yet.

acquiesce
Regular Member


Date Joined Jan 2014
Total Posts : 360
   Posted 8/2/2014 5:47 AM (GMT -6)   
Hi Contentprof, I'm not gonna lie it does hurt but it doesn't last that long. I didn't take anything extra before I went for my EMG. I'm not sure if it's a good idea or not. I did bring a friend though which I would recommend as the pain did linger a bit and she drove home for me.

I would suggest bringing a topical pain reliever. Something like voltaren emulgel, tiger baum or A535 (something like a deep heat/cooling menthol type rub. I think if you were to bring that and rub it into the sites that hurt after the procedure is done it may help more immediately than taking a pain reliever after. Different people have different experiences, you may not find it as painful as some. It hurt when I had it done but I survived ;) I would get it done again if I had to. Reluctantly perhaps, but I would do it lol.

Good luck! It's an excellent and informative test, very much worth any short term discomfort. I hope it isn't too bad for you. Let us know how it goes!

Contentprof
Regular Member


Date Joined May 2014
Total Posts : 412
   Posted 8/4/2014 12:14 AM (GMT -6)   
Thanks for letting me know your experience.
Fingers crossed it won't be so bad. Trying to think positively!
55 yrs old. Ulcerative Colitis >10 yrs. For flares failed prednisone, cortenemas, mesalamines (hives, fever), 6mp (fever), Uceris. Remicade (began 12/13), severe flare vanished. Update 6/30/14: severe joint pains (migrating); prednisone 40 mg; stopped remicade. Dx so far Anti-TNF adverse reactions; what else? positive ANA, high anti-dsDNA, positive P-ANCA. No Dx or next steps yet.

Contentprof
Regular Member


Date Joined May 2014
Total Posts : 412
   Posted 8/16/2014 1:36 AM (GMT -6)   
It was uncomfortable but tolerable. Nerve conduction part was easy. Little zaps - like big bites. Needles inserted into muscles were worst part. They moved them around. Was sore for a few days.
Fortunately tests didn't last too long. Result was informative - sensory and motor polyneuropathy. So glad I did it. Thanks for all your support!
55 yrs old. UC >10 yrs after proctitus. For flares failed prednisone, cortenemas, mesalamines (hives, fever), 6mp (fever), Uceris. Remicade (began 12/13) & severe flare vanished. Update 6/14: severe joint pains (migrating); prednisone 40 mg; stopped remicade. Dx: Adverse reaction to Anti-TNFs, inc lupus symptoms, peripheral neuropathy; + ANA, + p-ANCA, high anti-dsDNA titers. Next meds for UC?

acquiesce
Regular Member


Date Joined Jan 2014
Total Posts : 360
   Posted 8/16/2014 4:54 AM (GMT -6)   
I'm glad you got through it, good for you! When they move that needle around it is the worst part for sure, not fun at all. Especially for me was the one in my right hand. Oh did that smart for a few hours afterwards. But we did it and it is worth it, a very informative test. :)

Thanks for the update!
Be who you are and say what you feel because those who mind don't matter and those who matter don't mind - Dr. Seuss
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