Could the Conclusion be Correct With EMG

[PrestonAxford]

Good Morning,

I am a 37yr old male with a lovely wife and two young kids. I have been reading these forums to help me understand my symptoms. I am very very anxious and tend to have a large amount of health anxiety.

I have have bilateral twitches in the calves and the legs for a period of time. I because aware of them a long time ago about a year but went down a rabbit hole of as of recent just from Googling my symptoms. since being on google I have recently developed pre cramp feeling not real cramp and some tightness in my legs. I do get Radom twitches all over my body from time to time but the legs are pretty active all the time. I went to my PCP and she did the strength test for me and everything was fine. I was able to stand on one foot and my toes as well. She gave me some anxiety meds and told I have BFS. I pushed and asked for an EMG and was referred to Neurology for the EMG.

At the EMG- the neurology did the NCS and asked I I had low back pain and I did say that it comes and goes but flares up from time to time. She commented that the NCS has almost not amplitude on the tibular motor nerves. The EMG part came back with high amplitude and long duration with reduced recruitment on both legs. She said that this was directly connected to specific L4 and S1 nerves. She didnt notate any weakness or atrophy at all.

Im not looking for any diagnosis but just some opinion on this EMG as I know alot of people have alot more knowledge on these. Does the conclusion from the Neurologist make sense to you guys after seeing this EMG.

I appreciate it all in advance.

Also reflexes are normal

 

[Nikki J]

Yes it makes sense and specifically I agree this does not look like ALS/MND

 

[PrestonAxford]

Is there something specific that stands out in the results other than the summary in it not being ALS?

 

[Nikki J]

It does not show the pattern on emg that als has. See all those normals on the left side? No sign of acute denervation. ALS has wide spread acute and chronic denervation. You do not

 

[PrestonAxford]

Hello all,

I wanted to follow up on the case anyone lands on this thread with similar Emg findings.

I received my MRI and just followed up with my doc.

The mri did confirm multiple bilateral findings which affect the nerve root that directly correlate to the emg. My doc has given me PT and was happy the two correlated together.

I thank you for your time with answer my questions.

I will continue to send happy thoughts your ways.

I have included my mri findings below.

FINDINGS:
Redemonstrated is slight grade I retrolisthesis of L5 on S1 measuring 2 to 3 mm, stable. No abnormal vertebral body height loss is seen. The vertebral body bone marrow signal intensity appears normal. The conus medullaris terminates at L1-2 and demonstrates normal signal and morphology.

Multilevel degenerative disc disease is noted with disc desiccation and posterior disc bulges. Multilevel facet arthrosis is present.

L1-2: Radiographically unremarkable.

L2-3: Radiographically unremarkable.

L3-4, L4-5: Mild broad-based disc bulge and moderate ligamentum flavum/facet hypertrophy, contributing to mild bilateral neuroforaminal stenosis. There is no significant central canal stenosis.

L5-S1: There is diffuse disc desiccation and grade I retrolisthesis with a broad-based posterior disc bulge causing no significant central canal stenosis. There is moderate bilateral facet arthrosis and ligamentum flavum hypertrophy. There is no significant neural foraminal stenosis.


IMPRESSION:
1. There is grade I retrolisthesis at L5-S1. Multilevel degenerative disc disease and facet arthrosis as described above. No significant central canal stenosis is seen


2. Multilevel facet/ligmental flavum hypertrophy is seen contributing to mild multilevel neuroforaminal stenosis as detailed above.