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Preparing for an EEG or EMG: What to Avoid, What to Bring, and What the Results Mean

Sandeep Dhanyamraju
Medically reviewed by Chaitanya Bonda
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Sandeep Dhanyamraju
Medically reviewed by Chaitanya Bonda

Many people experience specific medical problems accompanied by various symptoms. Researching diagnostic procedures helps identify the underlying condition and reduces anxiety. Today, EEG and EMG examinations are becoming increasingly common. However, many people don’t know what to expect or how to properly prepare. Understanding how to prepare for an EEG helps ensure the most accurate results. The EEG procedure evaluates the electrical activity of the brain. EMG and nerve conduction studies analyze how muscles and nerves function.

Many patients feel anxious about the unknown. Proper preparation means actively participating in your diagnosis. Following medical recommendations helps obtain reliable data. At reputable clinics, patients can receive quality care to improve their health. Preparing for EEG and EMG is the first step toward successful diagnosis. Knowing how to prepare for these EEG and EMG tests reduces patient stress. The procedures become safe, predictable, and as effective as possible.

How to Prepare for an EEG or EMG Appointment

Reputable neurology clinics help conduct accurate examinations. Proper preparation begins well before you enter the office. Following the EEG test instructions carefully is essential. This helps avoid repeat testing and inaccurate results. It’s important to understand that EEG and EMG preparations share some similarities and differences. EEG requires a clean scalp, free of cosmetics or hair products. EMG and nerve conduction study preparation focuses more on the skin and muscle condition. Here are clear guidelines you should know:

  • For an EEG, hair should be clean, dry, and free of hairspray, gels, and oils.
  • Continue taking your regular medications unless your doctor specifically tells you to stop.
  • For EMG, ensure your skin is clean without creams or lotions.
  • Wear comfortable clothing that allows easy access to your arms and legs.
  • Better signal quality leads to more accurate interpretation.
  • Clean signals allow proper assessment of nerve and muscle function.

Before an EEG, you’ll typically be asked to get a good night’s sleep. In some cases, your doctor may ask you to limit your sleep instead. Sleep deprivation can reveal certain brain activity patterns that might not appear otherwise. This is particularly useful when doctors suspect seizure disorders that occur primarily during specific sleep stages. 

What to Avoid Before an EEG or EMG Test

Certain habits and small details can significantly affect examination results. That’s why knowing what to avoid before EMG and EEG is crucial for test accuracy. Many patients underestimate the impact of caffeine, cosmetics, or changes in sleep patterns. These factors can distort results and complicate diagnosis. Hair products and skin lotions create a barrier that impairs electrode contact. The electrodes need direct skin contact to pick up the subtle electrical signals your brain, nerves, and muscles produce. Even a thin layer of moisturizer can act as an insulator, weakening the signal. You should also avoid overexertion or staying awake without your doctor’s specific instructions. Here’s what you need to know:

  • Before EMG, avoid oils and lotions, as they can interfere with electrode contact.
  • Before an EEG, avoid caffeine, as it affects brain activity patterns.
  • Ignoring preparation guidelines reduces the quality of the recording.
  • Drinking alcohol the night before EMG can affect nerve conduction.
  • Remove metal jewelry before nerve conduction studies, as it can interfere with testing.
  • Signal quality directly affects how doctors explain your EEG results.
  • Unclear data can complicate EMG diagnosis.

Caffeine in energy drinks and strong tea changes nervous system activity. This can complicate EEG interpretation and create misleading results. For EMG, avoid strenuous physical activity the day before your test. Fatigued muscles exhibit altered electrical activity, which can affect test accuracy. Your muscles need to be in their normal resting state for the test to measure their electrical responses accurately.

What to Bring to Your EEG or EMG Appointment

How-to-Prepare

Being well-prepared saves time and ensures accurate testing. For successful EEG and EMG procedures, bring all necessary documents and medical information. Allow time to complete paperwork comfortably before your appointment. This approach reduces stress and helps you focus during the procedure. Patients who come prepared rarely need repeat examinations. EEG and EMG results explained become much more accurate with proper preparation. Complete documentation helps doctors work efficiently. Here’s what you need to bring:

  • Your doctor’s referral and any specific testing instructions.
  • A complete list of all medications with dosages.
  • Information about your sleep patterns and recent symptoms for the EEG.
  • Previous EEG or EMG results for comparison, if available.
  • Details about previous injuries or surgeries affecting the tested area.
  • Your medical history, especially regarding neurological conditions.

Having your complete medication list is particularly important because certain drugs can affect test results. Seizure medications, muscle relaxants, and sedatives all influence electrical activity in your nervous system. Your doctor needs to know exactly what you’re taking to interpret results correctly. If you’ve had similar tests before, bringing those results allows your doctor to track changes over time. This comparison can reveal whether your condition is improving, worsening, or staying stable.

What Happens During EEG and EMG Testing

Before these examinations, most patients feel nervous because they don’t know what to expect. In reality, EEG and EMG are safe, controlled, and highly effective diagnostic methods. When you understand the process, anxiety decreases and confidence increases. That’s why doctors always emphasize patient comfort during procedures. EEG causes no physical sensations beyond possibly feeling cool gel on your scalp. EMG may cause brief discomfort during electrode insertion. Neither test damages tissue nor causes long-term side effects. Here’s how EEG and EMG proceed step by step:

  • During an EEG test instructions, small electrodes are placed on your head. They measure brain electrical activity without transmitting any current.
  • You’ll sit or lie down with your eyes closed. You may be asked to breathe deeply or look at flashing lights.
  • During EMG, thin needle electrodes are inserted into muscles. Surface electrodes may also be placed on your skin to record muscle activity.
  • Small electrical pulses stimulate nerves to measure the speed of signal transmission.
  • Remaining calm and relaxed ensures the best recording quality.
  • Avoid applying creams or lotions before EMG to ensure accurate electrode contact.
  • Clear signals help doctors properly assess nerve and muscle conditions.

EEG typically takes 20 to 40 minutes, which is quite manageable. EMG can last from 30 minutes to an hour, depending on how many areas need testing. These tests don’t deliver electrical shocks and are completely safe. EEG doesn’t apply any electricity at all, and EMG uses minimal, safe impulses. When you understand what to expect, the studies feel easy. The examination proceeds calmly and comfortably.

EEG Results Explained: What Your Brain Activity Can Show

Many patients expect simple, straightforward answers from test results. However, explaining EEG results is a complex process requiring medical expertise and clinical context. The recording itself is a diagnostic tool, not a definitive diagnosis. EEG reflects the electrical signals the brain transmits between neurons. These signals have varying frequencies, patterns, and symmetry. A normal EEG doesn’t always mean there are no problems. Temporary changes can occur due to fatigue, lack of sleep, or medications. EEG helps detect seizure activity and sleep disorders. The test reveals the effects of head injuries, infections, or other brain conditions. It’s also used to assess overall brain function. Doctors look for specific patterns that indicate different conditions. For example, spike-and-wave patterns often suggest epilepsy, while diffuse slowing might indicate encephalopathy or metabolic problems. The location and timing of abnormal activity provide clues about which brain regions are affected. EEG explained results are just one part of the complete clinical picture. Here’s what an EEG can show:

  • Normal wave patterns indicate healthy brain function.
  • Following preparation instructions ensures clear, accurate results.
  • Proper preparation minimizes interference and background noise.
  • EEG is part of a comprehensive neurological examination.
  • Combined with other tests, it helps assess both the central and peripheral nervous systems.

EMG Results Meaning: Understanding Nerve and Muscle Findings

EMG results meaning always evaluated alongside your symptoms and medical history. After testing, many patients try to interpret the technical report themselves. A neurologist’s interpretation is essential for understanding nerve conduction studies. Proper analysis helps determine exactly where problems occur and their significance. EMG results reveal nerve damage, compressed nerve roots, muscle diseases, and neuromuscular transmission disorders. The meaning always depends on the clinical context. 

Doctors use EMG to inform treatment decisions. The test can distinguish between problems originating in the muscle itself versus issues with the nerves that control those muscles. This distinction is critical for choosing the right treatment approach. For instance, carpal tunnel syndrome shows specific patterns of nerve slowing at the wrist, while muscular dystrophy produces different characteristic changes in muscle electrical activity. Patients should wait for their doctor’s interpretation rather than drawing their own conclusions. Here’s what EMG results typically evaluate:

  • The test measures nerve signal speed and strength.
  • Preparation quality directly affects measurement accuracy.
  • Clean skin without lotions ensures precise readings.
  • Creams and cosmetics can distort the data.
  • EMG combined with nerve conduction studies provides a complete picture.
  • Following instructions is essential for a comprehensive neurological assessment.
  • Proper preparation affects the quality of your entire examination.
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Edward Medina profile picture
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!
Daneisha Johnson profile picture
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.
Jean Cooper profile picture
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.
Linda M profile picture
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!
Leslie Durham profile picture
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommended
Monica Del Bosque profile picture
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!

I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.
Ron Buckholz profile picture
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!
Steve Nabavi profile picture
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.
Katie Lewis profile picture
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!
Joshua Martinez profile picture
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.
Isabel Ivy profile picture
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.
Leslie Luce profile picture
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.
robert Parker profile picture
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.
MaryAnn Hornbaker profile picture
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.
Roger Arguello profile picture
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time. The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.
Margaret Rowland profile picture
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.
Susan Miller profile picture
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care. Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!
Windalyn C profile picture
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able to help me as much as they have here. Thanks!
Katie Kordel profile picture
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years. She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.
Ellie Natsis profile picture
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!
Matt Morris profile picture
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).
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