Peripheral Sensory Nerve Conduction Issues

[BandersnatchF]

Abnormal sensory and motor nerve conduction in the arm and hand are likely to be carpal or ulnar tunnel. A/L/S doesn't affect the sensory nerves, and doesn't affect nerve conduction in the peripheral nerves. If you have nerve conduction issues in the peripheral sensory nerves, that points away from a central nervous system problem.

The "bunch of noises" test was the EMG, and the neuro said it sounded great. You're fine, with the possible exception of mild carpal tunnel.

 

[sammy123]

You did get good news. ALS produces all kinds of weird things on EMG, including fibrillations, abnormal recruitment, positive sharp waves, and a normal nerve conduction speed until very late in the disease. None of the bad things were found on your test. Fasiculations can show up, but I have noticed that they do not try hard to get them, since they really don't tell them anything. Under pressure form me, they did eventually get my fascics to show up, but it wasn't easy, and I was going off like popcorn at the time. In fact, that's what they sound like in the EMG. Anyhow, if it was ALS that was affecting your leg, it would absolutely show up on your EMG. That's great news for you, please relax and have a good time this weekend.

 

[sammy123]

P.S. Joanna: I have had two EMGs and I did not think they hurt much, with the exception of the needle the stuck in my tongue from below. That one stung a bit. They don't always do that area though, the person who did my second one did about every muscle they could find. The needle is very slim.

 

[ForksHighKman1]

Joanna,
its was nearly painless, the needles are super tiny, nothing like giving blood. I barely felt the needles at all and the electrical stimulation is just a sensation, not painful like getting electrocuted (I have had a few shocks in my life). My hand is slightly sore today is all.

What was weird was he got the abnormal (slow) sensory/motor reading on my pinkie side of my hand which isn't even the finger that is numb from the previous neck injury (my index finger). He said I must have done something to it (the nerves) in the accident but since I didn't have any symptoms like numbness not to worry about it.

Thanks for all that posted,

I do remember reading that by the time you have widespread fasciculations then it is very easy for them to detect problems on EMG, and since they tested my most twitchy appendage I am going to assume I just have a stiff left ankle and stop worrying obsessively about it.

thanks again,
K-man