AANEM News Express

AANEM News Express

AANEM Releases List of Five Things Physicians and Patients Should Question

The American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) released a list of five tests and procedures that doctors and their patients should question as a part of the Choosing Wisely campaign organized by the American Board of Internal Medicine (ABIM) Foundation. AANEM created the list to help further its goal of ensuring that neuromuscular patients receive only the highest quality care.
The list was officially released on February 10, 2015. Members of AANEM’s Professional Practice Committee and Board of Directors spent two years researching and compiling the list. AANEM's five recommendations are:
  1. Don’t do a needle electromyography (EMG) test for isolated neck or back pain after a motor vehicle accident, as a needle EMG is unlikely to be helpful.
  2. Don’t perform dermatomal somatosensory evoked potentials (SEPs) for a pinched nerve in the neck or back, as they are an unproven diagnostic procedure.
  3. Don’t do a four limb needle EMG/nerve conduction study (NCS) testing for neck and back pain after trauma.
  4. Don’t do nerve conduction studies without also doing a needle EMG for testing for radiculopathy, a pinched nerve in the neck or back.
  5. Don’t do a magnetic resonance imaging (MRI) scan of the spine or brain for patients with only peripheral neuropathy (without signs or symptoms suggesting a brain or spine disorder).
The Choosing Wisely campaign was initiated by the ABIM Foundation in 2011. Over 60 specialty societies have created lists to date. The purpose of the lists is to help trigger conversations between providers and patients to help ensure the patient receives the best possible care.
Find out more about Choosing Wisely and view AANEM’s full list of recommendations with explanations and citations at: choosingwisely.org.
AANEM is considering drafting a second list of recommendations so please send us an email with ideas for new recommendations: policy@aanem.org

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