Neuro Exam Question
 

I have been to neuro and he says I have peripheral neuropathy and wants to do nerve conduction and EMG.

I have tingling in my feet and pain in my calf and thigh after walking for about 8-10 minutes on hard surfaces, but I can work in the yard all day without any problem. I don't have any symptoms when sitting, or when I sleep.

All blood test are normal.

I have gotten a copy of the neuro exam and it shows about 30 tests or observations that were done the only negative test is for decreased pinprick sensation distally and proximally.



How valid is the loss of pinprick sensation for a diagnosis of PN

Thanks

Welcome to NeuroTalk....

I have to wonder if you have had X-rays of the feet? And a good evaluation by a good podiatrist? Spurs in the foot can alter your gait which will throw off you whole leg and strain it.

I notice wide swings in walking pain with different shoes even.
I have alot of arthritis in my feet and left ankle, and right knee.

:Wave-Hello: Welcome fits64.

What kind of PN does your neurologist think that you have?

He says it is idiopathic

I am 67 years old, no history of PN in my family, and never had a bad blood test in my life

Thanks

I would be referring to DNA blood testing thru Athena Diagnostics for a specific disease that they can now test for. Expensive to say the least.

As you may know, idiopathic simply means that the cause is unknown.

It would probably be a good idea--
 

--to have the nerve conduction and EMG done, if only to see if there are problems with the myelinated nerves that involve muscular control and the sensations of mechanical touch and vibration (these tests cannot measure the functioning of the tiny unmyelinated nerves that subsume the sensations of pain and temperature).

Depending on the pattern of results, and especially the location along the nerve tracts of any abnormalities found, there may be some indication of cause.

Reduced pinprick sensation does imply some sort of neuropathic process going on, but it's a rather inspecific finding, and there could be a lot of possible causes, ranging from problems in the spine or with the spinal nerve roots to more systemic conditions.