I spoke with my neurologist today and we discussed the possibility of doing an EMG because of the abnormal muscle movements I am having in a few leg muscles when they are contracted. I have not had any objective clinical findings - normal neurological exam except brisk reflexes but they haven't seemed interested in or concerned about those...it's very strange what my muscles are doing, like they are struggling to maintain the contraction and the muscle looks like it is jumping around.
The neurologist has seen this and says it is not a fasciculation. But it is something. And no one seems to know what it is. So I have an EMG scheduled for Thursday but am very nervous. I am worried about false positives and what that would do to my already sky high health anxiety over this (though I am addressing that with good support now)...and I don't quite understand how, if these movements with contraction show up on the EMG, they can tell the difference between something else (pinched nerve, etc. and ALS)...I cannot imagine that these muscle movements would not show up on an EMG. I need to know what is causing them...and I still have a good amount of twitching.
Any advice on whether to go through with the EMG in my scenario? Prior to these muscle movements with contraction the neurologists had not even brought up the idea of EMG because of no clinical findings, and they were worried about a false positive and the effects that would have on me. It was a different neuro who ordered the EMG very quickly, saying why not just rule out ALS (because he was certain I did not have it...but also didn't know what my muscles were doing)