Okay it started with the pads of my feet feeling stiff, than i went to the neurologist who said i had peripheral neuropathy, my emg was normal. than i started having twitches, the neurologist still said it was neuropathy but now i notice when i touched my legs it caused parathesias in my feet, when i took my hands away it would go away , sometimes i get shocking pains up from my toes that travel a little not all the way up , than i started having lower back soreness, my gp send me for an mri, moderate stenosis measuring 8 mm and 9 mm bilateral stenosis plus central stenosis, i started reading about als so when i was in oregon i got to see the peripheral neuropathy/als specialist he did ncv/emg, told me i didn't have neuropathy or als, that it was coming from my back the spontaneous part of the emg was normal but the volitional part showed some muap that showed it to be my back. now i sit here and don't know who to believe, can anyone give any insight, i pass all the neuro test have normal reflexes, shoes always feel tight even though they are not, help!!!!

please any insight would be appreciated

As far as I can see unusual features in the volitional part of a Motor Unit Action Potential can arise from many things but are not usually strongly diagnostic of anything in particular.

The information here may help you to ask your health care team informed questions about this Motor Unit Recruitment in EMG: Definition of Motor Unit Recruitment and Overview, Order of Recruitment, Assessment of Recruitment at Low Level of Muscle Contraction .

Thanks for your suggestion and info, guess just not smart enough to understand how he looked at those muaps and said it was from the lumbar area, i do have all. 3 forms of stenosis. Central,lateral and recess(i think thats the third. Still confused.