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Wise Elder
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Join Date: Aug 2006
Posts: 8,292
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Wise Elder
Join Date: Aug 2006
Posts: 8,292
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Alan just got the results of his latest EMG
Here is what the report said:
(thank god I'm a fast typist) lol
Reason for Referral: 61 year old man with a diagnosis of polyneuropathy. A prior electrodiagnostic study (12/06) found absence of bilateral sural and right median sensory responses with reduced right unar SNAP amplitude and mild-moderately reduced bilateral peroneal motor CAP amplitudes, severely reduced left tibial CMAP amplitude, and an absent right tibial response. There was no active dennervation on needle examination of the lower extremities. There was evidence of a moderate right median neuropathy at the wrist. The patient has been receiving treatment with IVIG and notes improvement. This electrodiagnostic study is performed to assess for interval change.
IMPRESSION:
There is electrodiagnostic evidence of a symmetric polyneuropathy affecting the legs and right arm. The sensory component is severely affected. There is moderate motor involvement in the legs. There is electrodiagnostic evidence of a bilaterial L5/S1 radiculopathy. There is electrodiagnostic evidence of a moderate right median neuropathy at the wrist. in comparison to the prior study, there is currently evidence of a bilateral lumbosacral radiculopathy. The peroneal motor CMAP amplitudes have improved.
?????????????????????????????????????what does all this mean?
Also (and here is where it gets VERY INTERESTING) They are sending him for yet another MRI. OF HIS BACK!!!
Alan has always had the opinion that his neuropathy in his toes is a result from something wrong with his back (and Dr. Theirl said he agreed and it was his glutes). That's why Alan used to go to the gym and felt much better after all the stretching etc. etc. (and when Dr. Theirl uses the G5 machine on his back, well Alan is a new person) but the foot ulcer prevented him from going to the gym.
So I asked him "but you had an MRI two years ago, and every time you mention your back, they pooh poohed you".
He responded: "that's exactly what I told the neurologist today, I told her "your back guy told me it was not my back". She then said: "Well, that was two years ago, let's get another MRI, and we'll take a closer look.
Any and all comments are welcome (I've got a roasting chicken in my oven that needs my attention...lol)
Thanks much
Melody
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