EMG Results and Epirdural Shot question

Thank you so much for replaying.
1. She wants me to see her in 6 months and do a follow-up on the EMG.
2. I have been dealing with leg fasciculations for about 9 months, I was doing Physical Therapy in May this year and somehow hurt my Hamstring which cause my leg to give up on me, since then I have not been able to drive and had to start walking with a walking stick, but have been able to recuperate some and have been walking without a stick for now a month or so, but still not able to drive yet.
3. I have several issues in my spine, but my neuro basically said all my issues are related to the fasciculations and not my back, I guess she believes BFS - Hyperexitability syndrome based on the EMG today, but she also wrote the "Early Lower motor predominant motor neuron disease cannot be entirely excluded" sent me and my family into panic mode.
4. My Spine issues:
Lumbar:
- Mild nerve impingement at L4-L5 and L5-S1
- Right subarticular disc protrusion at L3-L4 abuts the traversing right L4 nerve root.
- Left foraminal zone disc protrusion at L4-L5 contributes to moderate left foraminal narrowing
and abutment of the exiting left L4 nerve root.
Thoracic:
- Moderate left and advanced right T10-T11 foraminal narrowing could potentially impinge on the
exiting T10 nerve roots.
- Moderate left T8-T9, and mild bilateral T9-T10 foraminal narrowing.
- Mild-moderate spinal canal narrowing at T10-T11.
- Mild spinal canal narrowing at T6-T7 and T8-T9.

Hoping all that abutting, impinging and narrowing is the cause of your symptoms. I hope you get good help!

I think there is a thread on this forum about benign fasciculations.

Hello
Got the following test results from EMG, I was 100% my issues were spine related as some of my MRIs showed pinched nerves on lumber and Thoracic spines.
My family and I are nervous as you can understand but not sure if any one can provide any feedback or have experience similar test results with good or bad outcomes, any information would help.

I injured my hamstring during physical therapy and have had pain there and on my calf for now 10 weeks

I also have the follow spine issues

- Herniated disc C5-C6 4mm
- Lumbar spondylosis with right subarticular disc protrusion at L3-4 and left foraminal zone disc protrusion at L4-L5. These findings is abutment of the traversing right L4 nerve root at L3-L4 and exiting left L4 nerve root at L4-L5.
- Mild bilateral L3-L4, moderate left L4-L5, and mild bilateral L5-S1 foraminal narrowing. No significant spinal canal narrowing.
- Annular fissures at L3-L4 and L4-L5 may be potential discogenic sources of low back pain.
- Mild degenerative marrow edema at L5-S1 may be potential source of low back pain.
- Thoracic spondylosis with multilevel disc bulges resulting in varying degrees of spinal canal and foraminal narrowing.
- Moderate left and mild right T8-T9, mild bilateral T9-10, and advanced right/moderate left T10-T11 foraminal narrowing.
- Mild spinal canal narrowing at T6-T7, T7-T8, and T9-T10 Moderate spinal canal narrowing at T8-T9 and T10-T11.

Summary EMG
The right median, ulnar, peroneal, and tibial motor NCS demonstrated normal distal latencies, normal CMAP
amplitudes, and normal conduction velocities. F-wave latencies were normal.
The right median, radial, superficial peroneal and sural sensory NCS showed normal SNAP amplitudes and
conduction velocities. The right ulnar NCS demonstrated a low SNAP amplitude and normal conduction velocity.
Needle testing of the right arm and leg demonstrated rare fasciculations in scattered muscles of the legs (EHl,
vastus, tibalis anterior) as well as polyphasic MUAP configuration diffusely in the leg along with reduced
recruitment and interference patterns. The triceps muscle produced similar findings. The right pronator teres
demonstrated rare fibrillations and fasiculations. Fasiculations were present in the tongue.
Conclusions
Abnormal study. There is evidence of chronic denervation changes in the right leg in the presence of
diffuse fasciculations, clinical correlation is advised. Early lower motor predominant motor neuron
disease cannot be entirely excluded and repeat study is suggested in 3-6 months to evaluate for
progression.

Hello
Got the following test results from EMG, I was 100% my issues were spine related as some of my MRIs showed pinched nerves on lumber and Thoracic spines.
My family and I are nervous as you can understand but not sure if any one can provide any feedback or have experience similar test results with good or bad outcomes, any information would help.

I injured my hamstring during physical therapy and have had pain there and on my calf for now 10 weeks

I also have the follow spine issues

- Herniated disc C5-C6 4mm
- Lumbar spondylosis with right subarticular disc protrusion at L3-4 and left foraminal zone disc protrusion at L4-L5. These findings is abutment of the traversing right L4 nerve root at L3-L4 and exiting left L4 nerve root at L4-L5.
- Mild bilateral L3-L4, moderate left L4-L5, and mild bilateral L5-S1 foraminal narrowing. No significant spinal canal narrowing.
- Annular fissures at L3-L4 and L4-L5 may be potential discogenic sources of low back pain.
- Mild degenerative marrow edema at L5-S1 may be potential source of low back pain.
- Thoracic spondylosis with multilevel disc bulges resulting in varying degrees of spinal canal and foraminal narrowing.
- Moderate left and mild right T8-T9, mild bilateral T9-10, and advanced right/moderate left T10-T11 foraminal narrowing.
- Mild spinal canal narrowing at T6-T7, T7-T8, and T9-T10 Moderate spinal canal narrowing at T8-T9 and T10-T11.

Summary EMG
The right median, ulnar, peroneal, and tibial motor NCS demonstrated normal distal latencies, normal CMAP
amplitudes, and normal conduction velocities. F-wave latencies were normal.
The right median, radial, superficial peroneal and sural sensory NCS showed normal SNAP amplitudes and
conduction velocities. The right ulnar NCS demonstrated a low SNAP amplitude and normal conduction velocity.
Needle testing of the right arm and leg demonstrated rare fasciculations in scattered muscles of the legs (EHl,
vastus, tibalis anterior) as well as polyphasic MUAP configuration diffusely in the leg along with reduced
recruitment and interference patterns. The triceps muscle produced similar findings. The right pronator teres
demonstrated rare fibrillations and fasiculations. Fasiculations were present in the tongue.
Conclusions
Abnormal study. There is evidence of chronic denervation changes in the right leg in the presence of
diffuse fasciculations, clinical correlation is advised. Early lower motor predominant motor neuron
disease cannot be entirely excluded and repeat study is suggested in 3-6 months to evaluate for
progression.

Yikes, feel bad for you that sounds like a lot to deal with. I can only relate to the injured hamstring. I did that on my exercise bike in Feb. and just recently feel that's it's healed. Hope yours' heals faster.

Hello
Got the following test results from EMG, I was 100% my issues were spine related as some of my MRIs showed pinched nerves on lumber and Thoracic spines.
My family and I are nervous as you can understand but not sure if any one can provide any feedback or have experience similar test results with good or bad outcomes, any information would help.

I injured my hamstring during physical therapy and have had pain there and on my calf for now 10 weeks

I also have the follow spine issues

- Herniated disc C5-C6 4mm
- Lumbar spondylosis with right subarticular disc protrusion at L3-4 and left foraminal zone disc protrusion at L4-L5. These findings is abutment of the traversing right L4 nerve root at L3-L4 and exiting left L4 nerve root at L4-L5.
- Mild bilateral L3-L4, moderate left L4-L5, and mild bilateral L5-S1 foraminal narrowing. No significant spinal canal narrowing.
- Annular fissures at L3-L4 and L4-L5 may be potential discogenic sources of low back pain.
- Mild degenerative marrow edema at L5-S1 may be potential source of low back pain.
- Thoracic spondylosis with multilevel disc bulges resulting in varying degrees of spinal canal and foraminal narrowing.
- Moderate left and mild right T8-T9, mild bilateral T9-10, and advanced right/moderate left T10-T11 foraminal narrowing.
- Mild spinal canal narrowing at T6-T7, T7-T8, and T9-T10 Moderate spinal canal narrowing at T8-T9 and T10-T11.

Summary EMG
The right median, ulnar, peroneal, and tibial motor NCS demonstrated normal distal latencies, normal CMAP
amplitudes, and normal conduction velocities. F-wave latencies were normal.
The right median, radial, superficial peroneal and sural sensory NCS showed normal SNAP amplitudes and
conduction velocities. The right ulnar NCS demonstrated a low SNAP amplitude and normal conduction velocity.
Needle testing of the right arm and leg demonstrated rare fasciculations in scattered muscles of the legs (EHl,
vastus, tibalis anterior) as well as polyphasic MUAP configuration diffusely in the leg along with reduced
recruitment and interference patterns. The triceps muscle produced similar findings. The right pronator teres
demonstrated rare fibrillations and fasiculations. Fasiculations were present in the tongue.
Conclusions
Abnormal study. There is evidence of chronic denervation changes in the right leg in the presence of
diffuse fasciculations, clinical correlation is advised. Early lower motor predominant motor neuron
disease cannot be entirely excluded and repeat study is suggested in 3-6 months to evaluate for
progression.

@soccer1477 that is a lot to look at. On the bright side of things, there are a few “normal”, and “mild” dx peppered in that data. That’s certainly hopeful.

Follow up tests sounds like a good idea.