Nelsen came to United States of America to play for Greensboro College in North Carolina in 1997. After spending two years at Greensboro and leading the team to the NCAA Division III Final Four, Nelsen moved to Stanford University, where he played his final two years of college soccer. At Stanford, Nelsen was voted team MVP in his first year, and named an NSCAA All-American in his senior year, while playing as a defensive midfielder.
Nelsen was drafted 4th overall in the 2001 MLS SuperDraft by D.C. United, with whom he has spent four years in Major League Soccer. After emerging as a starter in 2002, Nelsen was named team captain in 2003, replacing Marco Etcheverry in that role, as well as winning the team's Defender of the Year Award and being named to the league's Best XI. He was named to the Best XI again in 2004. In four years in MLS, Nelsen has scored seven goals and added five assists.
Nelsen has also been a vital player for the New Zealand national team. He was signed by Blackburn after the 2004 MLS season.
Blackburn defender RyanNelsen has been charged with improper conduct by the FA after accusing referee Mark Halsey of having a nice track record of dismissing Blackburn players.
Nelsen remarked at how it was the same referee that had dismissed Zurab Khizanishvili earlier in the season.
New Zealand international Nelsen, a 28-year-old who joined the club from DC United last January, has until January 17 to respond to the FA charge.