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EMG's work on the same principle as an electrical wire and voltage transmission/measurement. Two probes are inserted, one at the top of the arm or the upper end of the nerve, the other one near the wrist before it goes past the wrist bone and into the pinky.

The upper probe is usually the transmission probe, the other the receiving. Since a specific, measurable amount of voltage is used, the voltage drop between probes can be measured and compared with established norms. Depending on the voltage drop between the probes, it will show how much actual nerve damage there is, or isn't. The reason no nerve damage is showing on the test is that there isn't enough voltage drop suggesting any real damage. If it were damaged, the drop would be measurable and comparable to established parameters. While it may have been slight, it obviously wasn't bad enough to be measurable.

Keep in mind that just because you have ulnar nerve pain doesn't mean it's damaged - in fact, if you have pain it means it's working well and something is compressing it elsewhere. For "elsewhere" I'd consider whether or not you've had any neck injuries, as arm nerves originate in the cervical spinal area. My own ulnar nerve constantly hurts due to injuries at the elbow, and major spinal damage in the neck which left permanent nerve damage.

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Q: What would cause ulnar nerve damage not to show up on an EMG?
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