MikeJ
Member
- Joined
- Jul 24, 2013
- Messages
- 11
- Reason
- Learn about ALS
- Country
- US
- State
- Co
- City
- Parker
Hi,
This is my second post. I have been waiting for word back on my emg test done a by a neuro muscular neurologist. I have MS and my MS Dr. sent me to have a neuromuscular evaluation by this other neurologist. Well she did not do the evaluation, just the emg/ncv tests. My MS neurologist called me and was telling me it looked like ulnar never entrapment on my right elbow or maybe a c4/c5 disc problem. I told him the emg was bad in the section of my hand that has atrophy in it. My MS Dr. found the atrophy in my hand. Well he must have found that section in the report and said he was confused by what the other Dr. wrote and would have to talk to her about it. That was last Thur. and I have not heard back from him.
I now have a copy of the report. In the area of the emg for my hand atrophy it shows: Insertion Activity - Increased, Fibs - 1+, PSW - 1+. Fasciculations - 1+, Polyph - Increased, MUPS AMP - increased, MUPS Dur - Normal, Config - Poly, Pattern - Normal, Recruit - Decreased
Type written notes: evidence of acute and chronic denervation
The 1+ indications are positive for the number of muscle groups involved.
The emg Dr. mentions just the NCV test results in her summary and blames the hand problems on ulnar nerve entrapment. She does not mention the emg results at all unless I am reading it wrong?
Well I have weakness in my hand and legs. I cannot pull the tab off a bottle horseradish sauce with my right hand for example. I have been falling and stumbling now for over a year now. Lifting my left leg higher then 12" is not possible anymore.
I did some searching on these results along with spasticity, weakness and atrophy. The results were amazing. Numerous published studies of MS patients latter developing ALS with a good percent of them have some type of family gene associated with ALS.
Does anyone have any advice on questions to ask my MS neurologist when he calls me back? I am thinking about asking him to refer me to the neuromuscular clinic at Colorado University teaching hospital. They have an ALS clinic there to.
Everybody just assumes my MS is the cause of all this, I was happy to get the emg test done. I would just like to find out what all of this new stuff is about so I can make the appropriate plans going forward.
Thanks,
Mike
This is my second post. I have been waiting for word back on my emg test done a by a neuro muscular neurologist. I have MS and my MS Dr. sent me to have a neuromuscular evaluation by this other neurologist. Well she did not do the evaluation, just the emg/ncv tests. My MS neurologist called me and was telling me it looked like ulnar never entrapment on my right elbow or maybe a c4/c5 disc problem. I told him the emg was bad in the section of my hand that has atrophy in it. My MS Dr. found the atrophy in my hand. Well he must have found that section in the report and said he was confused by what the other Dr. wrote and would have to talk to her about it. That was last Thur. and I have not heard back from him.
I now have a copy of the report. In the area of the emg for my hand atrophy it shows: Insertion Activity - Increased, Fibs - 1+, PSW - 1+. Fasciculations - 1+, Polyph - Increased, MUPS AMP - increased, MUPS Dur - Normal, Config - Poly, Pattern - Normal, Recruit - Decreased
Type written notes: evidence of acute and chronic denervation
The 1+ indications are positive for the number of muscle groups involved.
The emg Dr. mentions just the NCV test results in her summary and blames the hand problems on ulnar nerve entrapment. She does not mention the emg results at all unless I am reading it wrong?
Well I have weakness in my hand and legs. I cannot pull the tab off a bottle horseradish sauce with my right hand for example. I have been falling and stumbling now for over a year now. Lifting my left leg higher then 12" is not possible anymore.
I did some searching on these results along with spasticity, weakness and atrophy. The results were amazing. Numerous published studies of MS patients latter developing ALS with a good percent of them have some type of family gene associated with ALS.
Does anyone have any advice on questions to ask my MS neurologist when he calls me back? I am thinking about asking him to refer me to the neuromuscular clinic at Colorado University teaching hospital. They have an ALS clinic there to.
Everybody just assumes my MS is the cause of all this, I was happy to get the emg test done. I would just like to find out what all of this new stuff is about so I can make the appropriate plans going forward.
Thanks,
Mike