What Is A Nerve Conduction Study?
A nerve conduction study (NCS) measures the speed of electrical activity through your nerves. By attaching electrode patches to your skin on specific parts of your body, a doctor can stimulate and measure the electrical impulses of your nerves. An NCS can help determine whether you have a nerve or muscle condition.
What is a nerve conduction test used to diagnose?
An NCS can be used to learn about the electrical activity in your muscles and diagnose or rule out a nerve or muscle condition.
When your nerves and muscles are working properly, the nerves send — and muscles respond to — electrical impulses that tell them to function in a certain way. If your nerves or muscles are not working properly, it may be a sign the electrical signals are not being sent or received accurately.
Conditions we diagnose with nerve conduction studies
NCS can diagnose a variety of nerve and muscle diseases, including:
- Carpal tunnel syndrome.
- Focal nerve injuries.
- Muscle disorders, such as multiple sclerosis and ALS (Lou Gehrig's disease).
- Nerve injuries in the neck and back.
- Neuromuscular diseases.
- Peripheral neuropathies, such as muscular dystrophy.
Why Would I Need A Nerve Conduction Study?
You may need an NCS if you have symptoms of muscle or nerve condition or poor nerve conduction. Symptoms may include numbness, weakness, or tingling.
Who is a candidate for a nerve conduction study?
You may be a candidate for an NCS if you have symptoms of a muscle or nerve condition, such as numbness, weakness, or tingling. Your doctor may order an NCS to diagnose or rule out certain conditions.
Alternatives to a nerve conduction study
Your doctor may order an NCS in addition to or instead of an electromyography study. In some cases, these tests may be performed during the same appointment.
What Are the Risks and Complications of a Nerve Conduction Study?
Nerve conduction studies are safe and complications are rare. However, some people may experience minor discomfort or mild bruising from the electrical pulses delivered by the electrodes.
What Should I Expect From A Nerve Conduction Study?
Before: How to prepare for a nerve conduction study
Before your procedure, you will meet with your care team and have a physical exam. Your care team may order tests, such as:
- Blood or urine tests – Your doctor may order bloodwork and urine studies to make sure you are healthy enough for the procedure and check for signs of illness or infection.
- CT scan – CT scan is a test that creates images of the bones, discs, nerves, and tissues.
- MRI – MRI is a diagnostic procedure that uses a combination of large magnets, radio frequencies, and a computer to produce detailed images of organs and structures within your body.
- X-ray – X-rays can help your doctor learn more about your bones and tissues.
Your doctor will explain the procedure to you and answer your questions.
To prepare for the procedure, you should:
- Have any tests that your doctor recommends. For example, your doctor may request a blood test before the procedure to determine how long it takes your blood to clot.
- Tell your doctor if you are sensitive or allergic to any medications, iodine, latex, tape, or anesthetic agents (local and general).
- Tell your doctor about all medications (prescription and over-the-counter) and herbal or other supplements you are taking.
- Tell your doctor if you have any other health conditions. Your care team may need to take certain precautions during your procedure for your safety.
- Tell your doctor if you have a history of bleeding disorders or if you are taking any blood-thinning medications, aspirin, or other medications that affect blood clotting. You may need to stop some of the medications prior to the procedure.
On the day of your procedure, bring your photo ID and health insurance card(s). Leave valuables such as cash and jewelry at home.
An NCS is an outpatient test, so you will be discharged the same day. Although not required, you may want to arrange for someone to drive you home after you are discharged.
How long does a nerve conduction study take?
An NCS can take 15 minutes to an hour or more, depending on the number of nerves that need to be tested. The exam for each nerve only takes a few minutes.
During your nerve conduction study
When you arrive at the hospital, you will meet with your care team for final preparations.
You will be awake for the test and asked to sit or lie down.
Your doctor will:
- Stick small electrodes to your skin above your nerves that will be tested.
- Send small electrical pulses to your nerves through the electrodes. The pulses may cause a tingling sensation.
- Measure the time it takes for your nerve to respond to the electrical pulse and record the data.
- Repeat the process for the next nerve until all nerves have been tested.
After your procedure, your doctor will make sure your condition is stable and you are feeling well.
How painful is an NCS?
It is normal to feel some tingling or discomfort from the electrical pulses, but you should not feel any pain.
Recovery after a nerve conduction study
After completing your test, you will be monitored for a few minutes. You may feel some minor discomfort where your nerves were tested.
Your doctor will let you know when it is safe to go home. Although not required, you may want to arrange for someone to drive you home from the hospital after you are discharged.
You should be able to return to your normal activities, diet, and medication schedule immediately unless your doctor tells you otherwise.
Before you go home, your doctor will tell you:
- How to watch for signs of complications.
- What medications you need to take.
- When to call your doctor or 911 if you have certain symptoms.
When to call your doctor about problems
You should let your doctor know if you have:
- A fever of more than 100.0°F.
- Pain, redness, or increased swelling at your treatment site.
- Severe pain or tenderness that does not respond to medication.
Why Choose UPMC for Your Nerve Conduction Study?
UPMC experts use the least invasive, most effective approach to diagnose and treat all muscle and nerve disorders. From diagnosis through treatment and recovery, our team uses advanced devices and techniques — promoting safer procedures, improved outcomes, and enhanced quality of life.
By UPMC Editorial Staff. Last reviewed on 2025-06-26.