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EMG Results and Epirdural Shot question

Spine Health | Last Active: Aug 22, 2023 | Replies (41)

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@soccer1477

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.

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Replies to "Hello Got the following test results from EMG, I was 100% my issues were spine related..."

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.

Definitely repeat the study as they advise, due to the possibility of motor neuron disease. Other things can cause fasciculations. I got them from taking Benadryl too often! So I hope you don't worry too much but at the same time keep up with the suggested evaluations. Sorry you are dealing with all this. (I can related to the spinal stuff!)

@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.

I feel for you. My MRI results were simply “Severe Lumbar Arthritis”. Being endlessly curious I always need to know how things work so I found it very frustrating. At least they are telling you what’s going on, even if it’s a lot for you to deal with. I’m trying to get talk therapy to help deal with waking up with electricity pulsing through my arms and legs and a throbbing lower back every morning. Not to mention screaming tinnitus. Makes living life difficult. Have you found any relief? Are they offering any help?