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michelleG

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So I went to a ALS specialist yesterday who did a repeat EMG on me. He found large MUPs in one muscle in my left foot, and large MUPs in my right anterior tibialis and my right extensor digitorum brevis. The Extensor digitorum brevis also showed signs of increased amplitude and reduced recruitment. I have had all of those muscles tested before and none of them had been abnormal, except for one foot muscle. The specialist said he was 100% positive it was not ALS, and that many people have large MUPs in their feet and ankle depending on where the muscle is stuck and who is reading the results. He also tested my jaw jerk and told me that it was 1+, which was in the normal ranger, however, I have been told before that it was absent. Does anyone find these results concerning?
 
Those results are not concerning in the least. Congratulations! It's now time to put your ALS fears away.
 
Thank you Wright. I greatly appreciate the reassurance. Why would it not alarm a neurologist though that 6 months ago, when I had an EMG, I only had large MUPs in one foot muscle, and now they are present in two muscles on my right and one on my left? Thanks again for your help.
 
. . . because you don't have any active denervation (PSW's and/or fibs). You irritated/damaged a nerve in your lower leg (a common occurrence) and then the healing process took place. Whatever caused it is obviously not an active process, because if it were, then you'd have active denervation and you don't. It's as simple as that. Now please relax.
 
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