EMG Follow-up Study: Results?

[Bruhman12]

Hi guys,I have been having a lot of problems for 4 months now, twitching, postural tremors, joint pain, shaky limbs, jerks while sleeping and so on, which i posted about a week or 2 ago. 2 months ago i had a emg study which was a abnormal study and chronic denervation was found on the muscles tested, a follow up emg with more muscle sampling was suggested, 2 days ago i had the follow up emg, i was nervous because of the abnormal study of the first emg, however the neuro that did the curent test 2 days ago told me on the spot it was a clean emg, i was very happy but shocked, did the first person that did my first emg botch the test? is it possible for chronic denervation to disappear? this is what my current emg results readEmg notes: Quantitative EMG of the right deltoid, triceps and vastus lateralis is normal. Semi quantitative emg of the other muscles is carried out as outlined in the muscle chart and is normal. a single fasciculation is noted in the right deltoid muscle.Conclusion: This is a NORMAL study. Specifically, there is no current neurophysiological evidence of motor neuron and/ or their axon disease, no evidence of large fibre polyneuropathy and no evidence of myositisthe diagnosis of CFS is not supported because of the lack of fasciculations and of continuous motor unit activity. Repetitive nerve stimulation is more sensitive for the diangnosis of CFS and can be arranged at a later date if clinically indicated.even tho my first emg was done on the left side and this one was done on my right side with some left arm needle testing as well, would that make a difference? or does this mean i have a clean emg? and cleared of any bad diseases?any advice as to where to go from here with my symptoms?

 

[christinasgirl123]

This is a normal clean EMG. You write about tremors and shakyness and jers, just like I had them. When my EMG was done by a very skilled person he said that i is very hard o do the EMG on a person like me, because it seems that my muscle tension is very high. We really had to work on it to relax the muscles. Otherwise he sad that we would get a wrong-dirty EMG result, because this over-tension can apparently mimic denervation signals. It recetly happened to a friend of mine that his doctors even gave him a WRONG ALS dx due to his EMG because it showed denervation everywhere. In the end , done by the specialists at Berlin charite, it showed that it was a wrong dx, most likely a misinterpretation of the muscle tension. Wrong-positive EMGs are not rare. It is quite impossible to miss the really bad stuff in an EMG, but it happens occasionally that benign signs are misinterpreted. And of course there's always a chance of just having overcome a nerve entrapment syndrome. Anyways, your symptoms totally point away from anything bad and now this is also proved by the EMG. ALS does not suddenly disappear in an EMG.

 

[Bruhman12]

Wow that's interesting christinasgirl123 thanks for sharing. So I should take this clean emg as a win then? Even tho it was different muscles tested ect? If it was anything nasty it would have shown?.. Guess I'm still in shock because of my first experience with emg's. I know my symptoms won't disappear with the clean emg but I can rest that I don't have anything life threatening neurologically?

 

[christinasgirl123]

Well first of all your symptoms are classical BFS. When I described those exact symptoms to the docs in hospital, they told me right away that they definately know this is not ALS, because this is just not what it presents . Same to my friend at charite, he described his sx to the ALS specialists and....welll...see...... one crow does not pick out the other crow's eye as we say here....so they did not exactly say that the other doctors were dumb idiots to take ALS in consideration with this combination of symptoms, but still their choice if words let no doubts about the fact that this was exactly what they though. They even said that they are so fed up with clearing up false ALS dx because of the above mentioned problems. It was their third case of this last year ( and the year was only half through then...) They said it screams BFS. Just lime your case. As your EMG findings a few weeks ago were limited to small muscle groups, it is also possible that it was an entrapped nerve. Anyway, for sure not ALS.