Acropolis Neurology Clinic is the best center for NCS EMG tests in Mumbai and Thane not only in terms of the advanced machines used at the center but also the quality of man power, expertise and operational standards maintained at the center.
Acropolis Neurology Clinic is the only the center in Mumbai and Thane to use the latest 4 channel variant of the Natus Ultra Pro Max machine for NCS EMG tests in Western India, which is currently the best NCS EMG machine in the world.
Acropolis Neurology Clinic follows strict quality control measures and employs only trained and certified technicians with several years of experience for performance of nerve conduction studies.
At Acropolis Neurology Clinic Dr Nikhil Jadhav a neurologist with several years of experience at the prestigious All India Institute of Medical Sciences performs EMG after a detailed clinical neurological examination and is actively involved in planning and interpretation of Nerve Conduction Studies.
All NCS and EMG studies at Acropolis Neurology Clinic are conducted as per the ACNS (American Clinical Neurophysiological Society) guidelines and standards.
Nerve conduction studies (NCS) are a type of diagnostic test commonly used to assess the function and health of nerves in the peripheral nervous system. These studies are often performed by neurologists. Nerve conduction studies help diagnose and evaluate various neurological conditions and injuries affecting the peripheral nerves.
Here is an overview of how nerve conduction studies work and their purposes:
Electrodes Placement:
Small electrodes are placed on the skin overlying specific nerves. These electrodes record the electrical signals generated by the nerves.
Stimulation of Nerves:
Nerves are stimulated with a mild electrical impulse at one point along their course. This electrical impulse travels along the nerve, generating a response.
Recording the Response:
The electrodes record the electrical response generated by the nerve as it conducts the impulse. This response is known as the action potential.
Measurement of Nerve Conduction Velocity:
The time it takes for the electrical impulse to travel between the stimulation and recording sites is measured. This information helps determine the nerve conduction velocity, which can be compared to established normal values.
Diagnosis of Nerve Disorders:
Nerve conduction studies are used to diagnose various nerve disorders, including peripheral neuropathy, carpal tunnel syndrome, and radiculopathy.
Localization of Nerve Injuries:
These studies can help localize the site of nerve injuries or compression, assisting healthcare professionals in identifying the specific area affecting nerve function.
Assessment of Nerve Function:
Nerve conduction studies provide information about the overall health and function of nerves, including the severity of nerve damage.
Differentiation between Nerve and Muscle Disorders:
NCS help differentiate between nerve disorders and muscle disorders. Abnormalities in nerve conduction suggest a primary nerve problem.
Monitoring Disease Progression:
For certain conditions, repeated nerve conduction studies over time can help monitor the progression of the disease and the effectiveness of treatments.
Preoperative Assessment:
Before certain surgeries, such as carpal tunnel release, nerve conduction studies may be performed to assess the severity of nerve compression and guide treatment decisions.
Part of Comprehensive Evaluation:
NCS are often part of a comprehensive neurological evaluation, which may include other tests like electromyography (EMG) to assess muscle function.
Often called by its misnomer NCV (Nerve Conduction Velocity), there are several types of protocols for NCS and EMG studies, a particular protocol has to be tailored, tactfully applied and interpreted only after a detailed clinical evaluation. These studies can assist not only in localization but also in evaluation of distribution, duration, pathogenesis and prognostication of neuromuscular conditions. For example a well-planned NCS/EMG study can help identify a surgically correctable focal compressive radiculopathy or neuropathy in a diabetic patient who would have otherwise been labelled as having distal symmetric peripheral neuropathy.
Nerve conduction studies play a valuable role in the diagnosis and management of neurological conditions affecting the peripheral nerves. The results of these studies, when interpreted alongside clinical findings, help healthcare professionals formulate accurate diagnoses and treatment plans for their patients.
Electromyography (EMG) is a diagnostic test that measures the electrical activity of muscles and the nerves controlling them. It is often used in conjunction with nerve conduction studies (NCS) as part of a comprehensive assessment of the peripheral nervous system. Electromyography provides valuable information about the health and functioning of muscles and the nerves that supply them.
Needle Electrode Insertion:
A thin, sterile needle electrode is inserted into the muscle being examined. Multiple electrodes may be used for different muscles.
Recording Muscle Activity:
The needle electrodes record the electrical activity within the muscle both at rest and during contraction.
Analysis of Electrical Signals:
The electrical signals, known as electromyograms, are displayed on a screen and recorded for analysis. These signals provide information about the muscle's response to nerve stimulation.
Assessment of Muscle and Nerve Function:
EMG helps assess the health and functioning of muscles and the nerves controlling them.
Diagnosis of Neuromuscular Disorders:
It is used to diagnose a variety of neuromuscular disorders, including muscle disorders (myopathies), nerve disorders (neuropathies), and diseases affecting the neuromuscular junction.
Localization of Nerve Injuries:
EMG can help pinpoint the location of nerve injuries or compressions, aiding in the diagnosis and localization of conditions like carpal tunnel syndrome or radiculopathy.
Evaluation of Motor Neuron Diseases:
Motor neuron diseases, such as amyotrophic lateral sclerosis (ALS), can be assessed using EMG to observe the pattern of muscle denervation.
Assessment of Spasticity and Movement Disorders:
EMG is sometimes used to evaluate conditions associated with muscle spasticity and movement disorders.
Preoperative Assessment:
Before certain surgical procedures, particularly those involving nerve or muscle, EMG may be used to assess the baseline function of the muscles and nerves.
Monitoring Disease Progression:
Repeated EMG studies over time can help monitor the progression of neuromuscular disorders and the effectiveness of treatments.
Electromyography is a valuable tool in the diagnosis and management of neuromuscular disorders, providing crucial information to healthcare professionals to guide treatment decisions and interventions. The results of EMG, along with clinical findings and other diagnostic tests, contribute to a comprehensive understanding of the patient's neurological health.