i had a clean emg six months ago along with a complete neuro exam. i went cause i have had random/various twitches on my body for about 4 years. i started getting some hand pain too so i went to the neuro. he said my emg was clean but showed maybe mild carpal tunnel on the nerve conduction test. he also thinks i might have overuse or tendinitis in my hands since i golf and lift weights a lot. it does not stop me from doing anything. my emg was done on my feet, legs, hands, arms, back and neck. i have actually felt better in these past six months too (less twitching). i have high anxiety/stress issues that i notice can bring twitching. i have a couple of questions. i went in for my follow up (six months later) and he said to do another emg either now or in six months as a follow up. is this normal procedure? should i ask for a tongue emg or is the back of the neck a good indicator for bulbar onset? i am so fearful of this disease (als) and getting another test done. would i need another test in six months again? thanks for any input or info. about emgs or als. thanks!