Changes in intracellular sodium have been associated with a number of different diseases. Consequently, various methods have been used to quantify the level of intracellular sodium concentrations. Traditional methods like flame photometry and ion-selective electrodes are destructive or invasive, thereby potentially altering the intracellular sodium levels. There has been an increasing interest in evaluating the method of ²³Na nuclear magnetic resonance in recent years, since this method allows for non-invasive continuous monitoring of intracellular sodium in cell suspensions and tissues. A phenomenological approach to basic theory, review of methodology, applications to the in vitro study of cellular sodium metabolism, and difficulties of interpretation of this analytical modality is presented.