EMG Report: Understanding Results

SonicSonic20

Well-known member
I am wondering if I have tarsel tunnel. My EMG report states that "The superficial peroneal sensory response was somewhat low compared to the sural", however he states that "this was probably technical." Now, I have said here before, I have no idea what that means (I get the fact that it may have been "technical") but I don't know what the other stuff means.
Also, everything on my EMG was normal except the "Abductor Hallucis" was inconclusive and has a 1+ under fasciculation.
I guess my question is: If I have tarsel tunnel, could he tell from this EMG? I told him how my toes feel crippled, I have pain in them and in my ankle. I also have had a cramp in my left calf for almost a year. I have read that tarsel tunnel can cause cramping in the calf. I wonder why he never mentioned tarsel tunnel. He did state I have Carpel Tunnel.
I know a few of you mentioned you have tarsel tunnel.....to those of you, do any of the medical terms used above sound related?
Who could take care of this for me? I have read about surgery, which I would maybe consider to get rid of this foot/calf pain? I've been told NOT to see a foot doctor. Any input would be greatly appreciated. Thanks.
Amy
 
I have tarsel tunnel too. Emg can pick it up but not always. The docs do similar test like they do for carpal tunnel to diagnose as well. So far have been working with a PT who is an orthopedic specialist. One foot is responding nicely but the other is giving me fits.
Yes, it can cause cramps in the calf, pain under the foot across the ankle and my arches and side of foot will twitch if I really spend too much time on my feet. I have orthotics in my shoes to keep my feet from pronating but sometimes I think they irritate more than they help.
Have thought about going to see a podiatrist but it sounds like some have not gotten results with this.
 
All the walking I do I think Ishould get checked for it. When I sit for a while my feet hurt, needles on arches, pain, cramping, numbness, burning. Morning are worse for the first half hour. When first get out of bed in the morning I barely stand on them the pain so bad. I had an emg on my lower exemities but not the feet. Any input or similar symptoms.
 
I'm seeing a podiatrist today to talk about the tarsal tunnel in my feet, especially the left one which seems to have pins and needles, pain and lots of twitches almost 24/7 again.
I'll ask lots of questions and let you all know what I find out.
 
I went to see a podiatrist last Thursday and he said I have tarsal tunnel even if the emg was normal. He xray my feet and that was fine. He did an exam and found the tinels sign on both of my inner ankles. It is a similar test that they do for carpal tunnel to elicit symptoms.

Asked him about the twitches in my arches and calves. Said that if nerves are irritated then muscles will twitch. Asked about pain in my calves and ankles and whole foot sometimes. Also asked about the pins and needles and electric jolts to my toes. Stated those were all s/s of tarsel tunnel.

For me tx will include custom orthotics to support my arches so I do not pronate so much. Right now I just have some off the shelf ones in my shoes and they only correct my stance about 50%. They will also continue taping my feet which really helps with the pain. Next might come a cortisone shot and finally if things gets worse surgery but that is a last resort. All in all I didn't find out anything I didn't already know and my feet still hurt.
 

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