Nerve Conduction Studies and Electromyography (EMG)

Nerve conduction studies and electromyography (EMG) are specialised tests used to assess how well your nerves and muscles are working. They help diagnose a range of neurological, muscular, and nerve-related conditions such as carpal tunnel syndrome and peripheral neuropathy.

At a glance

  • Consultation required
  • Doctor referral only
  • Paediatric Patients Aged 12-18 Seen
  • Health insurance
  • Self-Pay Available

What are nerve conduction studies and electromyography (EMG)? 

Nerve conduction studies measure how efficiently electrical signals travel along your nerves. Tiny impulses are delivered to your nerves through the skin to record how fast and how well they respond.

Electromyography (EMG) measures the electrical activity in your muscles. By inserting a very fine needle into selected muscles, the test records electrical signals when the muscle is at rest and during movement.

Together, these tests give your specialist a clear and detailed picture of how your nerves and muscles are working together. They help determine whether your symptoms are caused by a nerve or muscle disorder, pinpoint where the problem lies, and assess how severe it is.

Your consultant may recommend nerve conduction studies or an EMG if you’re experiencing:

  • numbness, tingling, or burning sensations in your hands or feet

  • weakness in your arms, legs, or face

  • muscle wasting, twitching, or cramps

  • persistent pain, especially if linked to a nerve pathway

  • difficulty with movement or coordination

Common conditions that these tests help to identify include:

  • carpal tunnel syndrome or ulnar nerve entrapment

  • peripheral neuropathy (nerve damage due to diabetes or other causes)

  • radiculopathy (nerve root compression in the spine)

  • myopathy (muscle disease)

  • motor neurone disease (MND)

  • Guillain-Barré syndrome or other inflammatory neuropathies

  • myasthenia gravis

  • muscular dystrophy

  • Charcot-Marie-Tooth disease (CMT)

  • amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease

  • benign / cramp-fasciculation syndrome

At Welbeck, consultants in our Neurology centre are experts in diagnosing and treating a wide range of nerve and muscle conditions. All consultations, testing, and treatment take place within our state-of-the-art facilities, allowing us to deliver accurate diagnostics and advanced, personalised care.

Paediatrics 

We offer appointments to paediatric patients aged 12 to 18. For full information on our paediatrics service, please visit our main Paediatrics page.

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Your tests will be carried out in our state-of-the-art facilities by one of our experienced consultant clinical neurophysiologists. At your initial consultation, they’ll ask you some questions about your medical history and symptoms, and explain what to expect from testing. 

On the day of the test, you’ll be shown to one of our testing suites and asked to roll up your sleeves or trousers, so that the skin on your arms and legs can be accessed. You'll be asked to sit or lie down, depending on the area being tested. 

Nerve conduction studies

To begin, your consultant will apply electrodes to the surface of your skin. They’ll then stimulate your nerves, usually in your arms or legs, with small electric pulses, and the responses are recorded. 

Electromyography (EMG)

Your consultant will insert a fine electrode needle into the muscle being investigated before asking you to move the muscle or relax it. The muscle activity is recorded by the needle. 

Although some patients find nerve conduction and EMG a little uncomfortable, they shouldn't cause too much pain. Any discomfort will generally disappear within minutes once the procedures are stopped. If you find any procedure too unpleasant, let your consultant know and they’ll do all they can to help you feel more comfortable.

The tests may take anywhere from 15 to 45 minutes, depending on the investigation required, with most tests being completed within half an hour.

Following the investigations, your recordings are analysed, and a report with any conclusions will be sent to your referring consultant to be discussed in a follow-up appointment.

Nerve conduction studies are completely non-invasive and carry virtually no risk of side effects. If you have an implanted medical device, such as a pacemaker or cardiac defibrillator, your consultant will take extra precautions to ensure the test is performed safely. When these steps are followed, the risk of interference is extremely low, and no malfunctions have been reported.

The EMG test may cause slight discomfort or a small bruise where the needle is inserted, but this settles quickly. If you take blood-thinning medication such as warfarin or rivaroxaban, please let your consultant know in advance — the risk of any bleeding or complication remains very small.

On the day of your tests, it’s helpful to wear loose-fitting clothes, as your consultant will typically need to get access up to your elbow or up to your knee. Occasionally, further EMG examination may include shoulder or hip muscles.

Please avoid wearing any skin creams or oils as these interfere with the application of skin electrodes. If tests are being performed on your face, you may also be asked to remove makeup, as this can interfere with the investigation.

You can return to normal activities straight after your test. There’s no need to rest or avoid work, driving, or exercise.

If you’ve had an EMG, you may notice slight tenderness or bruising in the muscles that were tested. This will fade within a few hours to a day. Over-the-counter pain relief such as paracetamol or ibuprofen can help if needed.

Your consultant will review your results and discuss the findings with you in detail. You’ll receive a written report and, where necessary, advice on next steps, such as imaging, physiotherapy, medication, or referral to another specialist.

Please contact our Neurology centre for pricing.

At Welbeck, our neurophysiologists are experts in their field and are dedicated to providing world-class care to every patient.

With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.  

All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.

To book nerve conduction studies and EMG, you must be referred by either your GP or a neurologist following a consultation with them. Self-referrals are not accepted for this test.

If you would like to schedule a consultation with a neurologist, please get in touch to make an appointment. Your health is important to us, so we strive to offer same-day appointments whenever possible.

Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.

Our locations

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London

1 Welbeck Street
Marylebone
London
W1G 0AR

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Frequently asked questions

Yes, you can bring someone with you to your tests. At Welbeck, we can also provide a chaperone service. Please let our team know before your appointment if you’d like a chaperone, and we can arrange this for you.

Yes. Both nerve conduction studies and EMG can be safely performed in children when needed. At Welbeck, we can see paediatric patients from age 12 to 18. Our specialists adapt the procedure to ensure it’s as quick and gentle as possible. Local anaesthetic or distraction techniques may be used for comfort, and a parent or carer is welcome to stay in the room throughout.

Yes, nerve and muscle function may change as your condition improves or progresses. If your consultant wants to monitor recovery or track treatment response, they may recommend repeating the test after a few months. This helps to assess how well your nerves and muscles are healing or responding to therapy.

Yes, nerve conduction studies and EMG are generally safe during pregnancy. The electrical impulses used in nerve conduction studies are very small and localised, and the EMG needle test only measures the muscle’s own electrical activity. If you’re pregnant or think you might be, let your consultant know before the test. They'll decide whether to proceed or delay testing until after your baby is born.

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