Returning from Orthopedic Appointment

usysparawl

Well-known member
I am home from my back doctor, an orthopedic surgeon.

Of course, the twitches stopped the second I sat up on his table, despite the fact I had them in the waiting room. But I showed him where they occur and explained everything.

I told him about my fears of ALS. He said "everybody gets little twitches" and it is common with disc problems. He gave me a quick neuro exam (to calm my fears) which included walking on toes and heels, tested my reflexes, and even measured my calves for atrophy. All was normal. He said ALS would present with all sorts of other things including weakness, and no need to worry or even see a neurologist at this point in time. I asked him again and he said NO ALS, FORGET ABOUT IT.

Then he did some x-rays of my lower back and discovered I have a narrowing space between L4 and L5. He said this wasn't in addition to my previous herniated disc (15 years ago) but the result of . . . and feels my disc problem is irritating the sciatic nerve that runs down that leg and is making it twitch.

He said as long as it doesn't get any worse or there is any pain, no need to worry. If the twitches don't stop in 3 weeks, I am to come back and he will schedule an MRI -- for reasons other than ALS.

Then he gave me a prescription for some valium. Oh, and when I mentioned the "buzzing," he said he has never heard anyone complain of that in his 30 years of practice. He was smiling at this point.

This man is a close friend of my family, so I am certain he would have been concerned if anything was wrong with my neuro exam or reflexes. He also told me my dad had developed "drop foot" from his disc problems.

I am going to keep my neurologist appointment (in three weeks) for now, and see what happens or how I am feeling by then. Maybe it will have stopped, or maybe I will need some extra reassurance -- who knows. But I do feel better knowing my reflexes were normal. I think you just gotta believe them when they say they can tell something is seriously wrong as soon as they lay eyes on you.

Peg
 
Peg:

Great news.

It feels good to know that trained medical professionals with years of experience believe we are fine, isn't it. :)
Have a good day.
 
Speg,

Sounds similiar to my neuro visit. Did basic exam, said absolutely no evidence of ALS. Said twitches meant nothing and that their was a syndrome called BFS. I also told him I had sciatica problems recently that went to both legs and the impression seemed he was worried about that. Said if it did not clear up or if I wanted, I could call his office and get an MRI done to check it out.

I am holding on to his visit and trusting what he said is true. Most of my twitches have died down also. When I mentioned the buzzing he did not say anything, but my Chiro said that can definately be related to a pinched nerve as well as the twitches.

Glad you got a good report!
 
I've been twitching for 2 1/2 years and still have 24/7 twitches in my arches and often in my calves. I also have degenerative disc disease, many of us do as we age. I have sciatica also. My doctor (spine and back specialist) said that the twitching can be a result of an irratated nerve. We did the MRI route and there was nothing significant, meaning no intervention needed. I've learned to live with it. He said that the irratated nerves can cause the twitching and wasn't alarmed with my symptoms.
Just thought I'd share my story too.
Sue
 
So glad your visit went well :D) Mine did, too.

My GP did a neuro exam and saw absolutely no reason to refer me on. He said that nothing is 100% in life, and even though there are EXTREMELY rare cases of twitching presenting in ALS (followed closely by other major signs and symptoms) that MOST ALL cases present with noticeable weakness and wasting of muscle, that is the nature of ALS. He even offered to have me come in every two weeks for a while, if it would put my anxiety behind me, and check my reflexes, etc. He even knew about BFS!

I may take him up on the periodic check ups for while----my doc is kinda cute ;)
 
Sue,

Your story sounds identical to mine! Of course, it doesn't explain the random eye twitch, neck or arm twitch . . . but who cares. Disc damage can indeed irritate nerves. If if we both have DDD, then that is okay with me . . . not fun, but it sure beats ALS. Have you had any surgeries to date?

GinniferLynne,

My DR. told me that ALS presents with "all sorts of other things" and 99% of the time, these people cannot walk on their toes and heels. It's a dead give away. I say we forget about the extremely rare cases and move on. But go a couple more times (hey, if he is cute) . . . mine isn't cute, but he gave me valium. :)

Peg
 

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