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  • I want to share something with you. I have a big concern that I want to share with You! About 6 months my fascicularia feet. At first it was on the right calf, then shifted to the left, and today appeared right reed. Of the things I found on the Internet right I was scared and it has been a month of sleep ever take me. Went on a few neurology, drank what do pills but nothing helps. Already my personal doctor even I prescribe antidepressants.
    I've been dropping things though. More than normal. Always been a cluts. But seems more so. It's scarying me. And the dang twitching is EVERYWHERE! But I'll let u know after my testing
    Well I'm having some pain in my arms and my hands, and my feet definitely ache... However my left hand looks like it's atrophied a little. I had a neuro exam and that was normal. I'm nervous for this emg and mri... I guess the pain is more so a really bad ache...
    Does your neurologist suspect als?
    Hey, I was trying to respond to you in my post but people are being kinda mean... It's really hard to ask for any help when people are just like "go away". I was going to see if pain was amongst your symptoms... I am experiencing some pain.
    How's your clinical exam, reflexes etc? Every neuro I've seen didn't think I had ALS based on my clinical exam, despite abnormal EMG and atrophy... So I'm trying to trust that. Not easy though, when my body is displaying all these symptoms. BUT maybe my atrophy has always been there, and maybe yours has too? I broke my thumb and wrist as a child, one doctor believed that to be a possible cause. Where exactly is your atrophy, is it the thenar? One neuro said that a 'split hand' atrophy, so on both sides of the hand, is a lot more indicative of ALS than any other random atrophy. I found that reassuring.
    Best of luck for your appointment, I'm sure you will be fine. You're so young, it would be very very unlikely. Hope it goes well!
    Hey, sorry about the late reply, I only just saw your message.
    Still no diagnosis... I had a shoulder MRI which didn't show anything. I haven't had a c-spine MRI yet, but thank you for mentioning it, I will try and get that done, hopefully it will show something to explain all this! What did your EMG show? I had 2+ MUPs on the side of my hand which were believed to be a sign of chronic denervation. My atrophy however is in the other hand. It still really freaks me out too, so I do understand your concern. To add to everything, I now have terrible weakness in my legs, especially the right. Any news on your symptoms and diagnosis? All the best to you.
    Yes, reinnervation can occur after denervation. Reinnervation changes the size of the muscle unit, which shows up on EMG as an enlarged muscle unit and is interpreted as old damage.
    Those are all signs of chronic denervation.
    ALS is a disease of widespread, acute & chronic denervation. Your denervation does not appear to be widespread and I don't see any report of acute (current) denervation, so I'd have to say the EMG points away from ALS. Yay!
    Caught your post on the "foot drop" thread. Dr. Glass was my "third" opinion guy and is consider by some to be a rock star in the field of ALS. I have gone back to the ALS Center for three medical trials since Dr. Glass's confirming diagnosis and am very impressed with Dr. Glass, Dr. Fournier, and the entire notable staff. Good Luck ! !
    part 2

    My guess is that may be what happened on the first EMG. There was no acute (current) denervation and the neuro did not tell you about the old (chronic) denervation because he was not worried about it, or it might have been so slight he didn't consider it to be important.

    Since you had a clean EMG 2 months ago, I would say you are clean and you shouldn't worry about some old injury.

    Understand that there are a number of different EMG machines and they report their results in different ways. Some are very numerically precise and some are more a recollection of what the neuro saw. It's always a good idea to get a copy of the results--the numbers as well as the summary--but it is not always possible. But the important thing is to trust his interpretation of the results. And, no, chronic (old) denervation is not an indication of ALS... more likely an old sports injury.
    Chronic denervation is "old" denervation. The nerve was injured and lost its connection to its muscle. When that happens, the muscle creates a chemical to make it attractive to other nerves and, ideally, another nerve connects to it and provides the impulses the muscle need to work. If the muscle does not get connected to a new nerve, the muscle will atrophy as it is getting no "nourishment". Pretty much everybody has some old "chronic" denervation and some neuros don't seem to pay a lot of attention to it; after all it is not indicative of a current problem, but a reflection of a problem you had, possibly years ago. The body healed itself as best it could and there is (usually) nothing the neuro can do now.
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