lastime20151
New member
- Joined
- Feb 3, 2022
- Messages
- 7
- Reason
- Learn about ALS
- Diagnosis
- 00/0000
- Country
- US
Hello all. I would like to mention that I am incredible grateful to the people who are posting on this forum and helping others with diagnosis and postdiagnosis. I would like to mention that before I posted this, I went through stickies couple of times.
I am 34 year old male, and on December 27 after I woke up I started having weird sensation in my left hand, like its not part of my body. The orthopedist in my home country told me that the reason is possible shoulder impingement. I started taking Mydocalm (muscle relaxer) and Arcoxia (anti-inflammatory) as prescribed. Few rehabilitation sessions were done.
However in the meantime I couldn't not notice that my left (dominant) hand is also weaker (holding phone, sometimes clumsy). I can't be sure that anxiety at this point is not affecting this (but then why just 1 hand). However I did not panic (yet) since I was not experiencing any twitches.
So I went to neurologist, where he said we will do EMG to see if there is any nerve damage. His pre-diagnosis after clinical test is ulnar nerve entrapment. Other neurologist/technician did EMG and results below are from yesterday. During the test the other neurologist did also notice small atrophy on the side of the hand under the pinky finger.
As you probably can guess, i did some search and my concern is this:
1. Can Mydocalm affect anyhow the EMG test result since it is muscle relaxer.
2. My worry are max. values on MUP in each segment. He tested hand, wrist, elbow, neck. Since it is not localized, I am worried.
3. Does no evidence of major denervation or re- innervation mean no ALS? Why he says no evidence when he put MUP +4 in each segment (on the machine he could choose between values 0 - 4).
4. Should I look for second opinion (considering the appointment this Saturday the primary neuro will stick to his ulnar theory)?
Obviously I am little scared since one orthopedist says upper back issues, other says shoulder impingement and neuro says ulnar nerve entrapment.
Thank you very much for your replies and god bless you all.
I am 34 year old male, and on December 27 after I woke up I started having weird sensation in my left hand, like its not part of my body. The orthopedist in my home country told me that the reason is possible shoulder impingement. I started taking Mydocalm (muscle relaxer) and Arcoxia (anti-inflammatory) as prescribed. Few rehabilitation sessions were done.
However in the meantime I couldn't not notice that my left (dominant) hand is also weaker (holding phone, sometimes clumsy). I can't be sure that anxiety at this point is not affecting this (but then why just 1 hand). However I did not panic (yet) since I was not experiencing any twitches.
So I went to neurologist, where he said we will do EMG to see if there is any nerve damage. His pre-diagnosis after clinical test is ulnar nerve entrapment. Other neurologist/technician did EMG and results below are from yesterday. During the test the other neurologist did also notice small atrophy on the side of the hand under the pinky finger.
As you probably can guess, i did some search and my concern is this:
1. Can Mydocalm affect anyhow the EMG test result since it is muscle relaxer.
2. My worry are max. values on MUP in each segment. He tested hand, wrist, elbow, neck. Since it is not localized, I am worried.
3. Does no evidence of major denervation or re- innervation mean no ALS? Why he says no evidence when he put MUP +4 in each segment (on the machine he could choose between values 0 - 4).
4. Should I look for second opinion (considering the appointment this Saturday the primary neuro will stick to his ulnar theory)?
Obviously I am little scared since one orthopedist says upper back issues, other says shoulder impingement and neuro says ulnar nerve entrapment.
Thank you very much for your replies and god bless you all.