EMG and NCV Studies

EMG and NCV studies evaluate nerve and muscle function when symptoms include numbness, tingling, burning, or weakness.

EMG and NCV Studies

What are EMG and NCV studies?

Electromyography, called EMG, and nerve conduction velocity testing, called NCV, evaluate how nerves and muscles are working. They may be recommended when symptoms such as numbness, tingling, burning, weakness, or radiating pain suggest a possible nerve or muscle problem.

These tests provide different information from an X-ray or MRI. Results are interpreted together with your symptoms and examination. An abnormal or normal result does not establish every possible diagnosis by itself.

Why might testing be recommended?

EMG and NCV studies may help evaluate peripheral neuropathy, a pinched or injured nerve, tarsal tunnel syndrome, unexplained muscle weakness, or symptoms that may be coming from another part of the leg or back. The specific nerves and muscles tested depend on the clinical question.

What happens during NCV testing?

Small electrodes are placed on the skin. Brief electrical pulses stimulate selected nerves while the equipment measures how the signal travels. You may feel a quick tapping or tingling sensation. The intensity and number of measurements vary with the area being tested.

What happens during EMG testing?

A thin needle electrode is placed into selected muscles to record electrical activity at rest and during gentle movement. This can cause brief discomfort, and a tested muscle may feel sore afterward. Tell the clinician if you need a pause at any time.

How should I prepare?

  • Wear loose clothing that allows access to the leg and foot
  • Do not apply lotion, oil, or cream to the skin on the day of testing
  • Bring a medication list and relevant test reports
  • Tell the clinician about blood thinners, bleeding conditions, a pacemaker, or another implanted electrical device

Do not stop a prescribed medicine unless the clinician who manages it tells you to do so.

What can I expect after testing?

Most people can leave after the study. Temporary muscle soreness or a small bruise may occur after the needle portion. The clinician will explain when results are available and how they affect the next step in care.

Frequently asked questions

How long does testing take?

Timing varies with the number of nerves and muscles that need to be evaluated. The office can provide an estimate when your study is scheduled.

Will EMG and NCV testing identify the exact cause of my symptoms?

The tests can provide useful evidence about nerve and muscle function, but results must be considered with the examination and other possible causes.

Will I need another test?

That depends on the findings. Imaging, laboratory testing, circulation testing, or follow-up evaluation may be recommended when it would answer a separate clinical question.

Related care

Learn more about neuropathy and burning feet, foot, ankle, and leg pain, and circulation testing.

Schedule an evaluation

EMG and NCV studies are scheduled after a clinician determines that testing is appropriate. Signature Foot and Ankle provides care in Boynton Beach and Loxahatchee. Call 561 203 9285 or request an appointment online.

What patients are saying

More treatment options