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EMG Results and Epirdural Shot question
Spine Health | Last Active: Aug 22, 2023 | Replies (41)Comment receiving replies
<p>Hello, got an EMG last week and got the following results.<br />I have a lot of pain on my Tibialis, Hamstrings, and Peroneus muscles on my legs, very little pain on my lower back.<br />Any experience would be greatly appreciated.<br />IMPRESSION: This is an abnormal study. There is electrodiagnostic evidence for very mild right and left median neuropathy at the wrist (carpal tunnel syndrome). Also, there is electrodiagnostic evidence for a very mild right and left ulnar neuropathy at the elbow (cubital tunnel syndrome). Finally, there is electrodiagnostic evidence for chronic right L5 and S1 polyradiculopathy with ongoing active denervation in the right L4-5 and L5-S1 paraspinal muscle. There is no electrodiagnostic evidence for right cervical radiculopathy, right thoracic radiculopathy, polyneuropathy, or progressive lower motor neuron disease (ALS).</p>
Replies to "Hello, got an EMG last week and got the following results.I have a lot of pain..."
I have the following EMG results, and I would like to know if anyone has something similar and what has worked for you.
I also had an Epidural shot on my L4 and S1 right side on 01/10 and thought I was doing good, but the pain is back and now in both legs.
Having Peroneus Brevis, tibialis Anterior, and hamstring pain in both legs, the pain is horrible and does not even allow me to drive as it will get worse or sit for a long time. An orthopedic surgeon said he thinks it could be Piriformis Syndrome but not 100% sure, my pain management Dr. gave me a shot for piriformis on my right side, and also felt was working for two days but the pain is back with revenge.
EMG Results: chronic right L5 and S1 polyradiculopathy with ongoing active denervation in the right L4-5 and
L5-S1 paraspinal muscle.
I also have fasciculations on my leg
Thanks,
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@soccer1477 Well the good news here is that it states there is no evidence for ALS and I know that was a big concern for you. While these results show what is going on in nerves that leave the spine at the nerve roots, it does not evaluate what is going on with the spinal cord. I saw in your other posts about imaging of the spine that you have stenosis in the central canal at multiple levels. There isn't a specific predictable symptom that they can point to for that because the spinal cord is a large bundle of nerve axons floating withing the canal and it is pot luck on what nerves will be touched or compressed and that can change when you change body position and the cord has to shift within the canal. Your other post mentioned a cervical disc herniation of 4mm. By comparison, my cervical disc herniation with bones spurs was 5 mm and it was ready for surgery to prevent further damage.
Your results also describe nerve compressions in your arm and wrist which just complicates the situation when pain may be coming from multiple sources within the same nerve. The loss of nerves in the lumbar sacral area is concerning, and you have been telling your doctors about muscle issues in your leg for a long time. This really should be getting their attention and a plan to help you. Nerves can only tolerate compression for so long before they start to die. Spine surgery seeks to decompress the nerves at the trouble spots to stop the progression of damage.
My case was a bit unusual because all of my symptoms were from spinal cord compression in my neck and that did include leg weakness and gait disturbances. If that is already happening in the neck, and then other problems exit in the lumbar spine at the nerve roots, it just adds more insult to a nerve path that is already compromised. I did have muscles jumping in my legs, and numbness. In my upper arms, I lost muscle on the back in the triceps and deltoids because of the spinal cord compression. A lot of that came back after my surgery, but not all of it. I am several years past my surgery, and all is well. It was the best choice I could make.
I hope that you can define your own path to healing and find compassion skilled surgeons who are willing to help. Let me know how I can best help you in your journey.
Jennifer