For Referring Doctors
Nerve conduction studies & EMG in Sydney — same-day reports, rapid access, direct neurologist discussion if needed.
Call (02) 9388 0615Service Overview
Dr Ron Granot is a consultant neurologist (FRACP) trained at Prince of Wales Hospital. The Bondi Junction rooms perform nerve conduction studies (NCS) and needle electromyography (EMG) across the full range of indications — focal compressive neuropathies, peripheral neuropathy, radiculopathy, plexopathy, motor neurone disease workup, inflammatory neuropathies and post-traumatic nerve injury.
Common Indications
Upper limb
Carpal tunnel syndrome, cubital tunnel syndrome, ulnar neuropathy at the wrist (Guyon's), radial neuropathy, brachial plexopathy, thoracic outlet syndrome, cervical radiculopathy.
Lower limb
Tarsal tunnel syndrome, peroneal neuropathy / foot drop, lumbosacral radiculopathy (S1, L5), femoral and lateral femoral cutaneous neuropathy (meralgia paraesthetica).
Generalised neuropathy
Diabetic, alcoholic, B12, autoimmune, chemotherapy-induced, and idiopathic peripheral neuropathy. Length-dependent vs non-length-dependent patterns.
Inflammatory neuropathy
Guillain-Barré syndrome (GBS), chronic inflammatory demyelinating polyneuropathy (CIDP), multifocal motor neuropathy. Urgent — please call.
Motor neurone disease workup
Needle EMG of bulbar, cervical, thoracic, and lumbosacral regions. El Escorial / Awaji-supportive electrodiagnosis. Same-day discussion of findings with patient and referrer.
Post-traumatic nerve injury
Nerve transection, traction injury, post-surgical nerve damage. Sequential studies to monitor reinnervation and guide surgical timing.
Neuromuscular junction disorders
Suspected myasthenia gravis or Lambert-Eaton myasthenic syndrome. Repetitive nerve stimulation (rep stim) ± single-fibre EMG. Please flag urgency on the referral.
Suspected myopathy
Proximal weakness, elevated CK, statin-related symptoms. Needle EMG ± quantitative EMG (qEMG) to characterise motor unit morphology and direct further workup including muscle biopsy.
Referral Letter Template
Address to Dr Ron Granot, Consultant Neurologist, Suite 301, 251 Oxford Street, Bondi Junction NSW 2022. Email or fax accepted. Minimum information that helps us schedule and triage:
Fax: (02) 9389 2228 | Email: reception@eastneurology.com.au | HealthLink EDI on request
Additional Specialised Studies
Beyond routine NCS and needle EMG, the following specialised studies are available — performed in the same visit when indicated.
Repetitive Nerve Stimulation
Rep stim for suspected neuromuscular junction disorders — myasthenia gravis, Lambert-Eaton myasthenic syndrome. Low-frequency (3 Hz) stimulation looking for decrement; high-frequency or post-exercise facilitation where Lambert-Eaton is suspected. Typically performed in proximal muscles (deltoid, trapezius, facial muscles) where clinically weak.
Quantitative EMG
qEMG in conjunction with routine needle EMG when precise characterisation of motor unit morphology is needed — typically for suspected myopathy (small short polyphasic motor units), to quantify chronic neurogenic change, or where standard EMG findings are borderline.
Single-Fibre EMG
SF-EMG (jitter studies) is the most sensitive electrodiagnostic test for myasthenia gravis. Considered when clinical suspicion remains high but repetitive nerve stimulation is normal. Please discuss with Dr Granot directly to plan.
NCS, MRI or Both? — A Practical Guide
| Clinical scenario | Investigation | Rationale |
|---|---|---|
| Nocturnal hand paraesthesiae, thumb-to-ring finger | NCS first | Carpal tunnel syndrome — NCS confirms and grades severity; MRI rarely needed. |
| Hand/arm pain following neck pain or radiating from neck | MRI cervical spine + NCS | Distinguishes cervical radiculopathy from compressive peripheral neuropathy. NCS rules out concurrent CTS. |
| Bilateral foot burning, glove-and-stocking | NCS first (+ bloods) | Peripheral neuropathy workup. MRI not first-line. |
| Acute foot drop | NCS/EMG urgently | Distinguishes peroneal palsy at fibular head from L5 radiculopathy. Often guides whether to image lumbar spine. |
| Suspected motor neurone disease | NCS/EMG (multi-region) | El Escorial / Awaji electrodiagnosis. MRI brain/cord adds value to exclude mimics. |
| Rapidly progressive weakness over days | NCS/EMG urgently | Suspected GBS or other inflammatory neuropathy. Phone Dr Granot directly. |
What Your Patient Will Experience
Brief clinical assessment
Dr Granot reviews the referral, examines the patient and confirms the clinical question — including any updates since the referral was written.
Nerve conduction studies
Surface electrodes record sensory and motor responses to brief, mild electrical pulses. Well tolerated. Typical duration 20–40 minutes depending on the number of nerves studied.
Needle EMG if indicated
Concentric needle electrode samples selected muscles for fibrillations, fasciculations, motor unit morphology and recruitment. Adds 10–25 minutes depending on muscles sampled.
Same-day discussion and report
Preliminary findings explained to the patient. Formal written report sent to the referring doctor the same day. Direct phone discussion available for complex or urgent cases.
Frequently Asked Questions
Refer a Patient
Same-day reports • 1–2 week routine wait • Direct neurologist line for urgent cases
Call (02) 9388 0615