Worth a follow up?

Quem

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37 years old. In May of 2017 I began having fasicularions and my reflexes were described as brisk. My EMG had this snippet:

"Increased insertional activity, fibrillation, or positive sharp wave potentials suggestive of active denervation were noted in the bilateral FDI foot muscles in isolation"

Things had gone well for awhile, no weakness to my knowledge and i havent been back. I am still twitching/cramping continially. BFS was considered the likely cause and my EMG was otherwise normal.

I now notice a dent/atrophy in my right foot confirmed by my spouse.

Should i make another appointment? I dont want to take time away from people who need the care. A lot of time has passed, but the twitching/imperfect EMG along with this issue in the area of trouble have me revisiting this.
 

KarenNWendyn

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The only thing that’s changed from last year is a dent?

Dents and asymmetry are common. Everyone has some asymmetry. Sometimes dents result because of biomedical imbalances resulting from that asymmetry. Physical therapy is often beneficial for that.

If you can still do everything you were able to do a year ago, then there is no reason to worry. If that doesn’t give you peace of mind, then by all means, see your doctor and get it checked out.
 

Quem

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That is correct, except the time frame is closer to 2 years.

I understand asymetry is common but this is definitely new. I also have significant heel pain which i can only assume is due to added stress to the area.

My concern is due to 3 factors:
-- Slightly abnormal EMG in feet
-- Continual fasiculations
-- Slight atrophy in foot (a symptom which i just noticed 2 years after fasiculations began)

On their own i could understand none of this pointing to anything more sinister- it is the combination of all three that has me concerned.
 

dldugan

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Doesn’t seem to be ALS, but if you are concerned make an appointment with a good neuromuscular specialist. There are at least 3 great clinics in Chicago. I went to Rush.
 

Quem

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I have attached a photo of the area of concern. The dent is on my right foot, better seen by rotating clockwise 90 degrees. My other foot does not have this indentation
 

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Clearwater AL

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Quem, as you wrote...

"I don't want to take time away from people who need the care."

Please don't.

"Things had gone well for awhile, no weakness to my knowledge and i havent been back. I am still twitching/cramping continially. BFS was considered the likely cause and my EMG was otherwise normal."

You do not have ALS.

You've been answered by extremely knowledgeable members.

This Thread and your previous Thread.

If you flex your big toe up and down that insignificant dent will probably
come and go. One little dent the size of a marble is not an indicator of
Atrophy...

Until you take up the time of your Neuro again... there's nothing more
anyone here can help you with.
 
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