Concierge neurophysiology · London
Private EMG in London, performed by a consultant neurophysiologist.
A neurophysiologist-performed electrical study of nerve and muscle — combined with nerve conduction studies at the same visit and reported before you leave.
Why patients choose us
- 01
The right study, not the quickest
We match the muscles and nerves studied to the clinical question — not a template.
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Performed by a consultant
A consultant clinical neurophysiologist performs and reports the study — not a technician alone.
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Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What private EMG costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
A single-nerve EMG: £350–£650; EMG with nerve conduction studies £600–£1,100.
| Scan type | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Single-nerve EMG | £350–£650 | 30–45 min | Same visit |
| Multi-nerve EMG (limb) | £500–£900 | 45–60 min | Same visit |
| EMG + nerve conduction studies | £600–£1,100 | 60–90 min | Same visit |
| Full four-limb EMG | £900–£1,500 | Half-day | Same visit |
| Facial / cranial nerve EMG | £500–£950 | 45 min | Same visit |
| Follow-up EMG | £250–£500 | 30 min | Same visit |
Prices vary by clinic, how many nerves and muscles are studied, and whether a follow-up study is likely. We come back with a firm quote within one working day.
The problem
An EMG is only as good as the clinician performing it.
Needle EMG is a live study — the person holding the needle interprets the trace as it happens and decides which muscle to sample next. That is why it belongs in the hands of a consultant clinical neurophysiologist.
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Numbness or weakness?
We match nerve conduction studies and needle EMG to the pattern you describe.
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Told you might have carpal tunnel?
EMG confirms the diagnosis and grades severity before you consider surgery.
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Want a consultant to perform it?
We route to clinics where a consultant neurophysiologist does the study — not a technician alone.
The journey
From enquiry to report — what happens, in order.
One consultant from first message to explained result — the impression is usually given at the end of the appointment.
Phase 1 · Before your study
Concierge, off-stage for you
Phase 2 · On the day
45–90 minutes at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Symptoms, timeline, referral or insurer if you have them.
- 02
Before
We come back with a recommendation
Within one working day: which study, which neurophysiologist, indicative price. If EMG is not the right step, we say so.
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Before
We arrange the appointment
Often same or next day, including evenings and Saturdays. Insurer pre-authorisation handled.
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On the day
Arrival and preparation
No fasting. Wear loose clothing. Tell the team about blood-thinners, pacemakers or skin infection.
- 05
On the day
The study
Nerve conduction studies first (surface electrodes and small electrical pulses), then fine needle electrodes into selected muscles. Typically 45–90 minutes.
- 06
On the day
Straight home
No recovery time. Mild bruising possible. Drive, eat and work as normal.
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After
Report and next steps
Consultant neurophysiologist report the same visit in most cases, and onward neurology referral arranged if abnormal.
Typical end-to-end: 1–3 days. Urgent cases: same day.
What it shows
What EMG is asked to answer.
The commonest neurophysiology questions — from numb hands to weakness with no obvious cause.
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Carpal tunnel syndrome
Confirms median nerve compression at the wrist and grades severity.
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Radiculopathy (nerve root)
Distinguishes a pinched nerve root from a peripheral nerve problem.
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Ulnar neuropathy
Localises ulnar nerve injury at the elbow or wrist.
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Motor neurone disease (early)
Detects early motor neurone changes when clinical signs are subtle.
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Myopathy
Identifies primary muscle disease and differentiates it from nerve disease.
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Peripheral neuropathy
Characterises the pattern — axonal or demyelinating, focal or generalised.
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Foot-drop
Pinpoints whether it is the common peroneal nerve, sciatic nerve or a root.
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Red flag: rapidly progressive weakness
Urgent neurology referral — do not wait for an outpatient EMG slot.
EMG studies
Not all EMG studies are the same.
What each option on your referral is actually for.
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Single-nerve EMG
Focused study of one nerve territory — e.g. suspected carpal tunnel.
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Multi-nerve EMG (limb)
A whole limb studied when the pattern is unclear or spread out.
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EMG + NCS combined
Needle EMG together with nerve conduction studies at the same visit.
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Full four-limb EMG
All four limbs studied when a generalised process is suspected.
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Facial / cranial nerve EMG
For Bell’s palsy, facial nerve injury and hemifacial spasm.
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Post-injury EMG (nerve repair)
Assesses recovery after a nerve laceration or surgical repair.
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Diabetic neuropathy work-up
Confirms and characterises the neuropathy pattern in diabetes.
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ICU / weakness EMG
For critical-illness weakness and unexplained neuromuscular failure.
Our vetted London network
A small panel of clinics, we picked them.
Consultant clinical neurophysiologists across central London. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinic in our network.
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Consultant clinical neurophysiologists (ABCN or equivalent)
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Combined EMG + nerve conduction studies in one visit
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Same-day report typical
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Onward neurology pathway if abnormal
Safety and eligibility
Safe, minor and well tolerated.
Needle EMG uses very fine electrodes, and nerve conduction studies deliver small electrical pulses through the skin. The practical points are anticoagulants, active infection and implanted devices.
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Fine needle electrodes are used
Very fine electrodes are inserted into selected muscles. Brief discomfort — most patients tolerate it well.
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Mild bruising possible
Small bruises at needle sites can occur and settle within a few days.
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Blood-thinning medication
If it is safe to pause your anticoagulant, we may recommend it — always check with your prescriber first.
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Active skin infection over the muscle
Needle EMG is not safe through infected skin. We will reschedule or choose a different site.
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Pacemakers and implanted devices
Declare any pacemaker or spinal-cord stimulator — the study is adapted safely around it.
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Interpretation with the clinical history
EMG findings only make sense alongside your symptoms and examination.
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A single abnormal muscle is not a diagnosis
Patterns across nerves and muscles matter more than one isolated finding.
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Repeat studies sometimes needed
Some conditions declare themselves only after weeks — a second study may be advised.
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Nerve conduction studies at the same visit
NCS is usually done together with EMG — one appointment, one report.
Reading your report
A neurophysiology report can look technical. It isn’t.
Every EMG report keeps to the same four parts — the impression at the bottom is the one to read first.
A quiet reminder
A normal EMG makes serious nerve or muscle disease much less likely — but symptoms still deserve a neurology opinion.
If you would like us to talk you through the report before your follow-up, just ask.
- 01 Header
Your details and the presentation
Your details, the clinical presentation and the question the study was asked to answer.
- 02 Technique
Nerves and muscles studied
Which nerves were tested with NCS and which muscles sampled with needle EMG.
- 03 Findings
Amplitude, latency, spontaneous activity
Nerve conduction amplitudes and latencies, plus needle EMG findings — including any spontaneous activity at rest.
- 04 Impression
The conclusion: read this first
Read this first — normal, focal neuropathy, radiculopathy, myopathy or a motor neurone disease consideration.
Recognised by major UK insurers
Cover depends on your policy and clinic; we confirm with your insurer before booking.
Frequently asked
Everything we get asked about EMG.
Quick answers on pain, cost, referrals, pacemakers, blood-thinners and results.
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What is an EMG?
Electromyography is an electrical study of nerve and muscle. Fine needle electrodes record the electrical activity of selected muscles at rest and during gentle contraction, usually alongside nerve conduction studies.
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Does an EMG hurt?
There is brief discomfort as the fine needles are inserted, and small electrical pulses during nerve conduction studies feel like a tap or a mild shock. Most patients describe it as uncomfortable rather than painful, and no anaesthetic is needed.
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What is the difference between EMG and nerve conduction studies?
Nerve conduction studies measure how well a nerve carries an electrical signal, using surface electrodes. Needle EMG samples the electrical activity of the muscle itself. They answer different questions and are almost always done together.
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How much does a private EMG cost in London?
A single-nerve EMG is typically £350–£650, and £600–£1,100 for EMG combined with nerve conduction studies at the same visit. We confirm a firm figure within one working day.
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Do I need a referral?
Most neurophysiology clinics prefer a referral, and we can arrange a fast-track private neurologist if you do not already have one. Tell us what is going on and we take it from there.
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Is it safe with a pacemaker?
Yes, when the study is planned properly. Tell us about any pacemaker, defibrillator or spinal-cord stimulator so the neurophysiologist can adapt the technique safely.
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What about blood-thinners?
Needle EMG can be done on most anticoagulants, but if it is safe for you to pause them for a short window we may recommend it. Always confirm with your prescriber first — do not stop on our advice alone.
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How quickly will I get results?
In most cases the consultant neurophysiologist gives you the impression at the end of the appointment, and the written report follows the same day or the next working day.
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My EMG was normal — what does that mean?
A normal study makes a significant nerve or muscle disorder less likely, but it does not rule out every diagnosis. Symptoms with a normal EMG still deserve a neurology opinion.
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When should I see a GP urgently?
Rapidly progressive weakness, weakness affecting breathing or swallowing, a sudden foot-drop or hand weakness after trauma — do not wait for an outpatient EMG. Contact your GP or A&E the same day.