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NF1 and nerve pain from hell post-fibroma surgery. Ideas?
Spine Health | Last Active: 7 hours ago | Replies (47)Comment receiving replies
So, the report frommy Neurologist for my EMG/NCV showed the following: These are the conclusions of the full report: There is electrodiagnostic evidence of : 1. Active chronic denervation in muscles from roots of left L4-S2 with abnormal sensory nerve responses. Differentials include left sciatic neuropathy; left lumbosacral plexopathy; or left L4-S2 lumbosacral radiculopathy with coexisting sensory neuropathy. 2. Distal sensory axonal neuropathy.
Replies to "So, the report frommy Neurologist for my EMG/NCV showed the following: These are the conclusions of..."
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@insanepain
I put your post for your report in the Claude app and this is the result:
In plain terms: there's clear evidence of nerve/muscle damage in an L4-S2 distribution on the left, but the report can't pin down from the electrical testing alone whether the culprit is the sciatic nerve itself, the lumbosacral plexus, or the nerve roots — partly because there's also a separate, generalized sensory neuropathy in the legs that muddies the sensory data. Sorting this out usually requires clinical correlation: the pattern of weakness/numbness on exam, back or hip symptoms, imaging (like an MRI of the lumbosacral spine or plexus), and looking for causes of a distal sensory neuropathy (diabetes, B12, thyroid, alcohol, hereditary causes, etc.).