Emg results, please help!

[Tb12]

Hi guys, i am a 28 year old male. I have been having all over body twitches, weakness, muscle fatigue for over a month now, I have seen 2 neurologist's both said they were not concerned and they were happy with the physical exams they gave me, however one neuro requested a emg and my go recently got the results but my neuro has gone on holidays for over a month, I am really concerned. My emg report states the following:

Coaxial needle sampling: the following muscles were sampled using concentric electrodes on the left side,tibialis, anterior, medial gastroc, vastus medialis, first DI, exterior muscles of the forearm and biceps. There was no abnormal insertion activity, there was no spontaneous activity, the interference pattern was not completely normal. This was a patchy process, both distally and proximally and there was some large amplitude units seen.

Comment: this is mildly abnormal study, distal motor latency, amplitude and cap, motor conduction and sensory conduction are normal where tested. Muscle sampling was not completely normal. There were no signs of irritability, spontaneous activity but the ability to recruit motor units was reduced in a patchy fashion and there were definite large amplitude units seen suggestive of some mild chronic denervation.

Can someone please shed some light on this result? Ant info would be greatly appreciated. I can't get into a neuro anytime soon, really worried.

I would like to note I have buldging discs in my lumbar spine as well as spinal stenosis and degenerative disc disease.. Not sure if that can be connected. Look forward to hearing from you.

Trent

 

[kiara]

Hi, I'm not a doctor and so this is only my opinion but I think that the mild chronic denervation they found could be related to problems in your spine. I don't understand if they found this denervation only in legs or also in arms anyway if it's present in both upper and lower body this could mean that you have problems in many regions of your spine or there could be something else in place that is causing this denervation.
Maybe Wright that is an expert will give you a better explanation.

 

[Tb12]

Thanks so much for the reply kiara, the neuro only tested my left leg and arm with the emg, no where else and that was the conclusion I got back. So chronic devernation is not a definite diagnosis of Al's? I have read a lot about that. I have heard of wright but I can not private message him.

 

[notme]

No, in ALS there is chronic denervation and renervation.

Something is injuring your nerves...but it's doubtful it's ALS>

Your GP should be able to explain the results to you, even if he didn't perform it.

With spinal stenosis--your EMG results aren't surprising.

 

[kiara]

If you cannot pm wright try leaving a public message in his profile.