Hello everyone,
I have been reading this forum for about a month now and i would like some opinions.
I am a 32 year old male and I am currently thinking I might have ALS and cannot get it out of my head. It started with occasional muscle numbness and tingling with both hands and weakness in my legs and some fasiculations. When i try to work out my muscles get sore after and take a longer time for me to recover. Sometimes when i take a deep breathe my right shoulder blade or the right side of my neck hurts. after 2 weeks of onset I went to a neurologist on March 10th. They did an ncv of my hands and elbow and found what they diagnosed as motor nerver conductions studies reveal mild moderate prolongation of right left median distal motor latenceys(at the wrists), F wave studies of bilateral median and ulnar nerves are within normal limits, sensory nerve conduction studies reveal mild right median conductiion velocity slowing.. They did a needle EMG of my hands my right tricep and my c7 and c8 left and right paraspinal. Needle electromypgrahpy of the arms and cervical paraspinal musculature is normal. No evidence of ulnar neuropathy or lower cervical radiculopathy.
Evidence supports Carpal tunnel Syndrome.
The Neurologist team also did an emg on my legs which stated that all f wave latencies were within normal limits, evalutation of left peroneal motor the left tibial motor and left sural sensory nevers were unremarkable. All examined muscles showed no evidence of electronic instability(they did a total of 8 leg muscles). there is no evidence for lumbosacral radiculpathy or motor neuronpathy.
My concern is that I have continued weakness in my legs and fasicualtions throughout my body 3 weeks later. Could the EMG have missed something? was the EMG thorough enough? lately i feel my throat tightning ,my face has been twitching as well occasionaly and I have had some difficulty swallowing. Three days ago I was talking to a friend and when I turned I felt a pull in my neck muscle,a pain in the back of my neck and it jerked my jaw down for a quick second; the next morning Iwoke up with a very bad headache and now Iam congested. I have went to two other neuromusular specialists in NYC and both have done physical examinations and have said my strength is fine and they see no sign of ALS.
I also had an MRI of my cervical spine which ruled out MS
The symptoms i have feel like they are getting worse would the EMG i had show early signs of ALS or Bulbar onset? Do you think they tested enough parts of the body to diagnos properly. I noticed they did not test the shoulders at all which is a part that is bothering me as well.
Can anyone give advice?
should i get another EMG?
Thank you for the insight.
I have been reading this forum for about a month now and i would like some opinions.
I am a 32 year old male and I am currently thinking I might have ALS and cannot get it out of my head. It started with occasional muscle numbness and tingling with both hands and weakness in my legs and some fasiculations. When i try to work out my muscles get sore after and take a longer time for me to recover. Sometimes when i take a deep breathe my right shoulder blade or the right side of my neck hurts. after 2 weeks of onset I went to a neurologist on March 10th. They did an ncv of my hands and elbow and found what they diagnosed as motor nerver conductions studies reveal mild moderate prolongation of right left median distal motor latenceys(at the wrists), F wave studies of bilateral median and ulnar nerves are within normal limits, sensory nerve conduction studies reveal mild right median conductiion velocity slowing.. They did a needle EMG of my hands my right tricep and my c7 and c8 left and right paraspinal. Needle electromypgrahpy of the arms and cervical paraspinal musculature is normal. No evidence of ulnar neuropathy or lower cervical radiculopathy.
Evidence supports Carpal tunnel Syndrome.
The Neurologist team also did an emg on my legs which stated that all f wave latencies were within normal limits, evalutation of left peroneal motor the left tibial motor and left sural sensory nevers were unremarkable. All examined muscles showed no evidence of electronic instability(they did a total of 8 leg muscles). there is no evidence for lumbosacral radiculpathy or motor neuronpathy.
My concern is that I have continued weakness in my legs and fasicualtions throughout my body 3 weeks later. Could the EMG have missed something? was the EMG thorough enough? lately i feel my throat tightning ,my face has been twitching as well occasionaly and I have had some difficulty swallowing. Three days ago I was talking to a friend and when I turned I felt a pull in my neck muscle,a pain in the back of my neck and it jerked my jaw down for a quick second; the next morning Iwoke up with a very bad headache and now Iam congested. I have went to two other neuromusular specialists in NYC and both have done physical examinations and have said my strength is fine and they see no sign of ALS.
I also had an MRI of my cervical spine which ruled out MS
The symptoms i have feel like they are getting worse would the EMG i had show early signs of ALS or Bulbar onset? Do you think they tested enough parts of the body to diagnos properly. I noticed they did not test the shoulders at all which is a part that is bothering me as well.
Can anyone give advice?
should i get another EMG?
Thank you for the insight.