Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Electromyography, or EMG, involves testing the electrical activity of muscles. Often, EMG testing is performed with another test that measures the conducting function of nerves. This is called a nerve conduction study. Because both tests are often performed at the same office visit and by the same personnel, the risks and procedures generally apply to both tests.
movement involves the action of muscles and nerves and needs an electrical
current. This electrical current is much weaker than the one in household wiring.
In some medical conditions the electrical activity of the muscles or nerves is not normal. Finding and describing these electrical properties in the muscle or nerve
may help the doctor diagnose the patient's condition.
A technique in which electrodes are placed on (not into) the skin overlying a muscle to detect the electrical activity of the muscle.
Surface EMG (SEMG) has some attractive features. Most notably, it does not involve piercing the skin and does not hurt. However, the American Association of Electrodiagnostic Medicine notes that: "There is in fact almost no literature to support the use of SEMG in the clinical diagnosis and management of nerve or muscle disease." Still, the SEMG may prove of value in the future in helping to monitor the progression of disorders of nerves and muscles.