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My thread from a couple months ago was closed, wanted you guys to take a look my EMG.

nhenderson

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My thread was closed. I finally got a smart phone and could take a picture of my EMG of my left arm and I wanted you guys to take a look at it. I only took a pic of the last page. It includes the Motor nerve conduction part of the study and the EMG part. The sensory was pretty much normal except that there was no sensory response to digit Five. I have been told it is Ulnar nerve damage only, and have been diagnosed with cubital tunnel. My pinky finger is constantly numb and I am starting to loose some grip strength, have been dropping things mostly though I notice it is at work when I am in a hurry(I am a nurse).

I also have been having body wide twitching and some places more than others, guess people refer to them as hot spots. I thought that the twitching was related to low magnesium and vit. D which I found out was low in March. I have been on supplements ever since and also stopped taking a medication that could cause low levels of some vit/minerals and still have the twitching, some days worse than others.

I have always been concerned about the +1 PSW part of the test. I have had the MRI and x-rays which didn't find anything in my arm, to cause this. I also have been doing months of PT as well and tried the night splint.

I do go back to the neuro in June and she will order a new EMG, she wanted to wait until it had been six months since the first EMG, before any other decisions are made going forward.

This EMG study was Dec 28th. In your opinions does this seem like the start of ALS and it is picking it up super early or really just and Ulnar nerve problem. If it were the start of ALS would the other muscles tested also be abnormal?

Since I have posted before I thank anyone for the time to look at this and respond. I am just a little worried since I have started dropping things in that hand and it is weaker than my right. Also this was not a neuro that did this first EMG.
 

KarenNWendyn

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I think you’re in the clear as far as ALS. A couple psw’s and everything else is squeaky clean. With ALS there would be widespread abnormalities, more than just a couple psw’s.

The followup with the neurologist in June is a good idea to track the issues you do have, but nothing in your story is concerning for ALS.
 

nhenderson

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Ok thank you so much for your reply. Like I said I am being treated now for Ulnar neuropathy(cubital tunnel) which I have been just reassuring myself that is all that is going on. As I am sure you already know it can cause weakness as well, I only seem to really drop things at work but I am in a hurry a lot. Will you guys keep my thread open so I can report back in June after I have had the 2nd EMG?
 

KarenNWendyn

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The thread will close automatically 30 days after the last post, so that’s June 16. If you need to start a new thread, we can always include a link to the previous threads.
 

nhenderson

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Oh ok thanks, I probably won't end up getting the second EMG until closer toward the end of June. Again I thank you so much for taking the time, it really means a lot to me and is very helpful. I am trying not to worry about it, the neuro didn't seem really all that concerned when I did see her in March.
 

lgelb

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Yup. I don't see anything to be concerned with in terms of ALS. I'd follow the recommendations to avoid pressure on your elbow, forearm and wrist -- it does make a difference, and ask about appropriate exercises if you don't have a regimen as yet.

Best,
Laurie
 

nhenderson

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Ok thanks so much Laurie for your reply. I have been doing PT exercises for months and wearing the night splint, nothing seems to be working. I am now trying something called ionotopheresis. If this doesn't work and depending on what the 2nd emg shows in terms of further damage or even some healing, I may have to have surgery.
 
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