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Nerve Conduction Study (NCS) &
Associated Neurological Specialties and Sleep Disorders Center
Electromyography (EMG) is a diagnostic procedure to assess the health of muscles and the nerve cells that control them (motor neurons). Motor neurons transmit electrical signals that cause muscles to contract. An EMG translates these signals into graphs, sounds or numerical values that a specialist interprets.
An EMG uses tiny devices called electrodes to transmit or detect electrical signals. During a needle EMG, a needle electrode inserted directly into a muscle records the electrical activity in that muscle.
A nerve conduction study, another part of an EMG, uses electrodes taped to the skin (surface electrodes) to measure the speed and strength of signals traveling between two or more points.
EMG results can reveal nerve dysfunction, muscle dysfunction or problems with nerve-to-muscle signal transmission.
Why it's done
Your doctor may order an EMG if you have signs or symptoms that may indicate a nerve or muscle disorder. Such symptoms may include:
EMG results are often necessary to help diagnose or rule out a number of conditions such as:
What Are the risks ?
EMG is a low-risk procedure, and complications are rare. There's a small risk of bleeding, infection and nerve injury where a needle electrode is inserted. When muscles along the chest wall are examined with a needle electrode, there's a very small risk that it could cause air to leak into the area between the lungs and chest wall, causing a lung to collapse (pneumothorax).
How you prepare
The Neurologist conducting the EMG will need to know if you have certain medical conditions. Tell the neurologist and other EMG lab personnel if you:
Questions to ask
Take a shower or bath shortly before your exam in order to remove oils from your skin. Don't apply lotions or creams before the exam.
What you can expect?
During your EMG
The neurologist or a technician places surface electrodes at various locations on your skin depending on where you're experiencing symptoms. Or the neurologist may insert needle electrodes at different sites depending on your symptoms.
The electrodes will at times transmit a tiny electrical current that you may feel as a twinge or spasm. The needle electrode may cause discomfort or pain that usually ends shortly after the needle is removed.
If you're concerned about discomfort or pain, you may want to talk to the neurologist about taking a short break during the exam.
During the needle EMG, the neurologist will assess whether there is any spontaneous electrical activity when the muscle is at rest — activity that isn't present in healthy muscle tissue — and the degree of activity when you slightly contract the muscle.
He or she will give you instructions on resting and contracting a muscle at appropriate times. Depending on what muscles and nerves the neurologist is examining, he or she may ask you to change positions during the exam.
What to expect after your EMG?
You may experience some temporary, minor bruising where the needle electrode was inserted into your muscle. This bruising should fade within several days. If it persists, contact your Neurologist.