Neurodiagnostic testing, or electrodiagnostic testing, is a method to evaluate the physiologic function and nerves and muscles. It is used to diagnose peripheral nerve injuries such as carpal tunnel syndrome and spinal nerve injuries causing sciatica or radiculopathy.
Dr. Scott holds the highest level training and board certifications needed to complete these studies and has been doing so for over 20 years. EMG/NCS studies, as they are often called, involve the stimulation of multiple nerves and the measurement of physiologic muscle responses. The tests involve tiny surface electrical stimulations and the placement of wired acupuncture type needles into several muscles to measure muscle activity. The electrical stimulation portion of the test is also known as nerve conduction studies or NCS. These are not really painful but feel like a very small shock that may cause muscles to twitch briefly. Needle electromyography, EMG, does not involve any electricity or stimulations but involves the placement of a very small needle just under the skin into the underlying muscle. The needle is small enough that one may not feel it’s placement in many muscles but in some muscles can cause a sharper cramping sensation that is uncomfortable. For this reason Dr. Scott applies a local anesthetic to the skin prior to placing the needles.
While many people are apprehensive regarding what they’ve heard or may expect regarding these procedures they are really not as uncomfortable as one would guess. Dr. Scott takes his time and does his best to make this experience as comfortable as possible.