lllearn
New member
- Joined
- Jan 10, 2022
- Messages
- 2
- Reason
- Learn about ALS
- Diagnosis
- 00/0000
- Country
- US
- State
- MA
Hi,
I promise I’ve read the sticky MANY times. I saw my PCP yesterday, and a neurologist today for the following symptoms:
-tingling in my left (non-dominant) hand that came on very quickly but then resolved about 24 hours later (I know this is a sensory symptom but since it set this situation in motion, I wanted to include it)
-at the same time that the above resolved, I started having cramping/tightness/spasms in my upper arm on the same side… no trauma/injury or exercise or action induced this
-some twitching in the same area
-slight tremor in left hand, only noticeable when is arm is outstretched/unsupported
-shaking/quivering in arm when it is outstretched or being used (even lifting normal items)
-some stiffness in hand and fingers but does not impact function/use
Both exams did not reveal clinical weakness. Sensation was normal.
The neurologist’s report indicated that I had reflexes 1-2 symmetrically. He did have to test one in my left arm 2x. The scale says 1 is diminished which is concerning me. He didn’t mention any of this in person. He didn’t say much actually, and said we should do an EMG in 3 weeks. They couldn’t actually get me in for 5 so it’s not until March. I asked him if there was anything serious to be concerned with and he said “it’s just a process with steps at this point.” He prescribed me a wrist splint and said it might be nerve entrapment at the wrist (I’m assuming that’s carpal tunnel?) I just didn’t think that I could have carpal tunnel without pain, the tingling hasn’t returned, and extending up to my upper arm nearly to the shoulder? The most reassuring thing he said was “if things resolve before the EMG, cancel it, it’s not comfortable.”
I’m also going to see an orthopedic doctor this afternoon.
I know the absence of clinical weakness and the fact that I’ve had no failures should be reassuring but the reflexes on the note threw me a bit and the fact that he ordered an EMG after what I thought he would say would be a normal clinical exam. Carpal tunnel seems like a stretch given that my hand and wrist seem ok? It’s my upper arm issues that are most troubling. Any thoughts?
I promise I’ve read the sticky MANY times. I saw my PCP yesterday, and a neurologist today for the following symptoms:
-tingling in my left (non-dominant) hand that came on very quickly but then resolved about 24 hours later (I know this is a sensory symptom but since it set this situation in motion, I wanted to include it)
-at the same time that the above resolved, I started having cramping/tightness/spasms in my upper arm on the same side… no trauma/injury or exercise or action induced this
-some twitching in the same area
-slight tremor in left hand, only noticeable when is arm is outstretched/unsupported
-shaking/quivering in arm when it is outstretched or being used (even lifting normal items)
-some stiffness in hand and fingers but does not impact function/use
Both exams did not reveal clinical weakness. Sensation was normal.
The neurologist’s report indicated that I had reflexes 1-2 symmetrically. He did have to test one in my left arm 2x. The scale says 1 is diminished which is concerning me. He didn’t mention any of this in person. He didn’t say much actually, and said we should do an EMG in 3 weeks. They couldn’t actually get me in for 5 so it’s not until March. I asked him if there was anything serious to be concerned with and he said “it’s just a process with steps at this point.” He prescribed me a wrist splint and said it might be nerve entrapment at the wrist (I’m assuming that’s carpal tunnel?) I just didn’t think that I could have carpal tunnel without pain, the tingling hasn’t returned, and extending up to my upper arm nearly to the shoulder? The most reassuring thing he said was “if things resolve before the EMG, cancel it, it’s not comfortable.”
I’m also going to see an orthopedic doctor this afternoon.
I know the absence of clinical weakness and the fact that I’ve had no failures should be reassuring but the reflexes on the note threw me a bit and the fact that he ordered an EMG after what I thought he would say would be a normal clinical exam. Carpal tunnel seems like a stretch given that my hand and wrist seem ok? It’s my upper arm issues that are most troubling. Any thoughts?