Electrodiagnostic testing includes a range of specialized tests, including nerve conduction studies (NCS) and needle electromyography (EMG), that are used to evaluate the peripheral nervous system. This test is an extension of the physical examination, to provide sufficient and valuable information to establish a diagnosis of neuromuscular dysfunction of the peripheral nervous system or muscle disease.
The information these tests provide will allow physicians to create a treatment plan that addresses a patient’s specific symptoms.
These tests must only be performed by highly specialized neurologist, with extra training in clinical neurophysiology or neuromuscular disorders. Both, Dr Yono and Dr Kashouty have subspecialty training and are highly qualified to perform these procedures.
Numbness, tingling, pain, muscle wasting or weakness in the body are the most common indications for the study. Typical conditions that require a nerve conduction study are: Spinal disc herniation, carpal tunnel syndrome, ulnar nerve neuropathy, peroneal neuropathy, tarsal tunnel syndrome, polyneuropathy due to diabetes and other metabolic and autoimmune conditions and Guillain-Barré syndrome.
For this test, a series of surface electrodes are placed at different locations along specific peripheral nerves. The nerve is stimulated at one site and recorded at a different site to determine if the nerve is conducting appropriately. Each electrical stimulation is recorded as a waveform on a computer and analyzed by the neurologist.
This portion of the test is used to assess both nerve and muscle functions. A small-diameter concentric needle is placed into a muscle to evaluate insertional activity, resting activity, voluntary recruitment, morphology, and size of motor units, as well as motor unit recruitment.
The needle electrode examination provides valuable information about the electrical characteristics of individual muscle fibers and motor units, as well as the integrity and innervation of muscle fibers. This test can be uncomfortable for the patient.
EMG and nerve conduction studies are routine studies done in our office by our highly trained technician and neurologists. No special preparation is necessary except that patients should avoid using any skin lotions prior to the test.