Hello,

I am part of a group practice. Some of the doctors have been sending patient for bilateral studies but the patinet only has symptoms in 1 limb. The way I trained we focused on performing a few NCS or needle sticks to make the diagnosis or rule something out. 

I requested calrification on what they were looking for and was told that patient with chornic pain and pateint with neuropathy should always have bilateral studies beacuse this is what  previous EMG clinic has told them. 

There certanly are cases where you need to study the other limb for referance or determine a more systemic proccess such as neuropathy. However , I have some concerns especilly when sent for Bilateral UE studies and 1 limb has no symptoms.

has anyone else run into this and if so how did you handle it.