Electromyograms (EMG) and Nerve Conduction Studies (NCS)

Electromyograms (EMG) and nerve conduction studies (NCS) are specialized tests designed to assess the following questions:

  1. Are nerves and muscles functioning properly?
  2. Are there any pinched nerves (such as carpal tunnel syndrome) in the arms or legs?
  3. If there are pinched nerves in the neck or back, are they causing any muscle damage in the arms or legs?
  4. Are nerves and muscles communicating properly?

Preparation:

Please bathe the morning of your test but do not apply any lotions to your skin.

You may eat regularly and should take all your prescribed medications beforehand.

Please bring a complete list of your medications to your exam. While there are no medications that prevent testing, some blood thinning medications necessitate different approaches and techniques. Please also let the examiner know if you have pacemaker, which does not prevent testing but may also require modifications to the test.

During The Test:

The nerve conductions (NCS) are usually performed first. In these tests, sensors or electrodes (similar to those used for electrocardiograms (ECG or EKG), are taped to a hand or foot. An external stimulator is applied to the skin at 1-3 points on the arm or leg and used to apply tiny electric shocks to the skin. The system records the response at the hand or foot and how quickly it arrives. Patients describe the feeling as similar to a static shock, a gentle tap by a hammer, or hitting one’s “funny bone”. A few taps at each location are needed to verify accuracy. Depending on each individual situation, this may be performed at multiple nerves (usually 2-4 in a leg or 4-5 in an arm).

Nerve conduction

Electromyography (EMG) is usually performed next. This entails a single needle (thinner than those used to draw blood) being inserted into a muscle to record your muscle’s electrical activity with your arm or leg in certain positions for a few seconds each and then at rest for a few seconds. The activity is shown on a screen and is also heard over a speaker. Most testing requires 5-7 muscles be tested per limb, with shallow muscles in the neck or back sometimes tested as well.

Through this combination of testing the examining physician can answer the questions posed by the exam.

Afterward:

You may resume your normal activities, including eating, driving, and exercising. You may occasionally experience some slight muscle pain (comparable to that experienced after mild exercise) or rare bruising.