emg normal but still have numbness

I was in a cast for almost 8 weeks and then started physical therapy 2 times weekly for 6 weeks. Possible causes could include: Make sure to notify your doctor about any over-the-counter or prescription medications you may be taking. 804 Service Road, Room A-217 I have started to get a pinch feeling at the base of the pinkie, but there is no anomalies there. Bathe or shower and wear comfortable, loose-fitting clothing. As you rest or contract your muscle, the needle electrode records the electrical activity. sandur saidHello everyone. As the patient contracts the muscle more forcefully, more muscle fibers are activated and the oscilloscope should show stronger electrical activity. The other is a nerve conduction study (NCS). An NCS measures the flow of electrical current through a nerve before it reaches a muscle. After the swelling went down and it was still painful to walk I had an X-ray and the doctor said nothings broke but maybe sore for a few months. Theyll then insert a small needle with an electrode through your skin and into your muscle. Does anyone else feel this way. OMT is a hands-on technique used for both diagnosis and treatment by specialized doctors of osteopathic medicine. It can help tell the difference between muscle weakness caused by the injury of a nerve attached to a muscle, and weakness due to nervous system disorders, such as muscle diseases. Medication? The provider doesnt deliver electrical stimulation through the needle. The entire procedure should take between 30 and 60 minutes. Recently I started to get a tightness in the hand. Some of the tests that the EMG doctor may use are nerve conduction studies (NCSs) and/or needle EMG. 10 Conditions EMG Test Can Diagnose: Nerve & Muscle Problems Sciatica is a common condition where the sciatic nerve becomes irritated or inflamed, causing pain, weakness, and numbness along its path. to analyze our web traffic. 2005 - 2023 WebMD LLC, an Internet Brands company. I can massage the area of the pinkie and it doesn't go away like if you just have something out of place. Get useful, helpful and relevant health + wellness information. Burning and numbness are signs of trauma and inflamation to the nerves (e.g., neuritis, neuropathy, etc.). These symptoms include: Muscle Most people recover from the disorder after treatment Myasthenia gravis, a rare disorder that causes muscle fatigue and weakness. SO now I am at almost 14 months post surgery and 35 months post injury. WebYou can still have polyneuropathy with a normal EMG nerve conduction study. Such symptoms may include: Tingling; Numbness; Massive swelling of elbow, and then the pain started a few days afterward as well as numbnessinpinkie. Neurologists often perform an EMG test alongside a nerve conduction study (NCS). Electromyography: This is more involved than NCS. An EMG can detect issues with your motor nerves, muscles or the communication between the two. The oscilloscope may include an audio amplifier so that electrical activity can be heard as well. I injuried my ulnar nerve in May 2011. Our website services, content, and products are for informational purposes only. Your muscles move when nerve signals from the brain tell them to get to work. Thanks for your insight into your surgery and recovery. Department of Neurology and Ophthalmology I found ''Pregabalin'' helped me with similar symptoms you are experiencing. Clinically this refers to visible twitching of the muscle and are seen in the EMG needle examination as fasciculation potentials. Apparently I'm a big baby. I constantly do a google search to see if anyone is going through the same issues I am. Normal Results Hopefully he can help with with the pain and discomfort. The other electrodes record the nerves response. Several types of doctors may oversee the procedures. There may be a small amount of pain when the needle is put in. I have had a injury in my palm before which ended in a scar down my finger to my rist. If youre able to have an EMG, you should do the following beforehand: You will be asked to lie down on an examination table or to sit in a reclined chair. Make sure to tell your doctor if the swelling or pain becomes worse. The Escalating Rates of Metabolic Diseases and Their Consequences, Lactate is far more important than you think, How to determine your aerobic and anaerobic thresholds, Batters Shoulder : Posterior Labral Tears, Runners require strength too: What to do and when to do it, Lactate, the lactate shuttle, and lactate threshold workouts in polarized training, Zone 2 Heart Rate Training For Longevity and Performance, Pain In The Front Of The Knee: 6 Common Causes, Sometimes our joints just hurt, and its ok not to know why. I'm concerned Im not wearing it right. While a healthy muscle shows electrical activity during contraction and not during rest, a damaged muscle or a muscle that has lost input from nerves may show electrical activity during rest, or abnormal electrical patterns during contraction. Creams and lotions can affect the tests accuracy. Still I have the numbness and tingling in the 4.5 and 5, down the 5 side of hand and into the wrist on same side. You also can do your normal activities after the tests. Massive swelling of elbow, and then the pain started a few days afterward as well as numbness in pinkie. The feeling of something stuck in my elbow at the point was gone, and the numbness down the arm to the pinkie finger was gone. Nerve restore slowly, and it can take some time to know how well it will do after the surgery. I did manage to get some post surgical physio for 5 weeks and it started 2 weeks ago. I check in and troll the posts to see if anyone else has posted with the same issues. My left arm is very week and I cannot carry or hold things on that side. All rights reserved. I have limited understanding of the NCS values, aside from knowing that a lower number probaly isnt better. The soreness may last for a few days and can be relieved with an over-the-counter pain reliever, such as ibuprofen. Still have tenderness over the new home of the ulnar nerve, still have tenderness and extreme itch over the incision. These nerve cells are known as motor neurons. \it hasn't really made any difference yet. Which wa sexactly what I was a fraid of and why I pushed WCB to pay for me to see a physio dr to be properly fitted for the brace and too make sure I had it on right. Takedown request | View complete answer on hopkinsmedicine.org. EMG nerve conduction studies can only assess large fiber polyneuropathy. You may also see some bruising where the needles entered your skin. Had surgery Feb 2013. I have thought a similar case maybe happening with my foot but wasnt sure it was possible since I assumed it only happened because of the botched first surgery. Stiff person syndrome is a neurological disease and autoimmune disorder. I am due to have an EMG test to my arms. Normally, a muscle at rest has no electrical activity. You may feel slight discomfort or pain while the needle is being inserted. Your provider is available to help and support you. Radiculopathy is pain that travels down nerve paths into the extremities. What do my electromyography results mean? \I am hoping that there are others out there who have had this surgery and can give me some perspective on the recovery. Electrodiagnostic Tests. I refused because I had seen too much from others that had the surgery. It teaches doctors the things that can go wrong with the human body and how to tell the difference between these things. If the cause is uncertain, you may be referred to a neurologist for more blood tests to check: You may need alumbar puncture to test a clear, colourless fluid that surrounds and supports the brain and spinal cord (cerebrospinal fluid) for inflammation. It may include medications, surgical procedures, or lifestyle changes. I have worn it to bed but the pain in the elbow seems worse then, or maybe its better than the nights I dont wear it. Starting to feel hopeless and that these symptoms will always be here. Thanks for the hope Shell74. As part of the Department of Neurology at Brigham and Women's Hospital (BWH), the Division of Neuromuscular Disease and Electromyography offers comprehensive diagnostic evaluation, consultation and management of all neuromuscular disorders. Cleveland Clinic is a non-profit academic medical center. Johns Hopkins Medicine: Nerve Conduction Studies., Johns Hopkins Medicine: Electromyography., Mount Sinai Hospital: Nerve Conduction Study.. And it may be because it takes time for the test result to change. My surgeon doesn't know what else to do for me. They caught it quickly so hopefully anynerve damage is minimal. Some symptoms that may call for an EMG include: The results of an EMG can help your doctor determine the underlying cause of these symptoms. EMG is most often used when a person has symptoms of weakness, pain, or abnormal sensation. In general, these types of nerves are called large diameter nerve fibers. (Straight armhas always had the least amount of pain and numbness.). You dont need to do anything special before either test. Ulnar was decompressed and moved to inside of arm under muscle (don't know if it has a special name) That day of my surgery I had a horrendous Charlie Horse pain in arm. Academic Fax: (517) 432-9414 I'm going to get fitted for it at physio tomorrow. I go tomorrow to speak to the doctor so well aee what he thinks. WebWhile electromyography can be uncomfortable, the data received from the test can be very useful to the doctor in helping you find a long-term solution to the pain or condition that Electrodes in the needles detect electrical activity in the muscle and display the results on an oscilloscope, a monitor that shows electrical activity in the form of waves. It is basically losing sensation in a particular area of the body that affects a persons lifestyle. Its a rare condition that can. If EMG shows that your muscles responded well to nerve signals, your doctor may look for other causes of your muscle soreness or weakness. The nerve conduction study is performed first. It was burning, I'm squealing and asking for a general anestetic for the injection. This entire situation frustrates me very much and it is impacting my life greatly. These nerve cells are known as motor neurons. If you have a pacemaker, you should tell your doctor before they schedule NCS or EMG. I hit the ulnar just behind the point of the elbow. Oh Elaine, aside from the numbness at the site of the incision- which the surgeon warned would happen- and that's the only thing that didn't happen to me. WebIt can lead to numbness, tingling, and paralysis. I would recommend a good, , which are usually depleted and necessary to adequately make thyroid. EMG results can help the doctor diagnose muscle disorders, nerve disorders, and disorders affecting the connection between nerves and muscles. I now feel like a complete fraud but still have a lot of pain in my neck and shoulder and still have numb fingers. Electromyography (EMG) is a diagnostic procedure that evaluates the health condition of muscles and the nerve cells that control them. The tests may be given to people who have the following symptoms that dont go away: Both tests can help doctors diagnose whats wrong with you. As I'm left handed if I write with the brace on the hand goes almost completely numb (I really dont think this is good). Tingling, numbness, muscle weakness, or burning are the most common signs and symptoms of nerve damage after surgery. Every body movement you make, from lifting your leg to nodding your head, involves complex communication between your central nervous system (your brain and spinal cord), nerves and muscles. Though on the bright side it sounds as though they found your entrapment rapidly. Some people may need to see a neurologist, a specialist in health conditions affecting the nervous system,in hospital for further tests. An EMG procedure can determine whether a patient is experiencing real muscle weakness as opposed to weakness caused by pain or psychological reasons. The EMG test your doctor has recommended studies if your muscles and nerves are working right. Your healthcare provider may opt for EMG when you have signs and symptoms such as weakness,tingling,numbness,pain in your muscles,cramping,or other abnormal sensations. Maybe be trying Amytripline in October so I need to wean down, but Amytripline gives me horrid drug drowseiness hangovers on a moderate dose. ughhhhhhhhhhhhhh. A doctor may order an EMG test if a person has symptoms of a muscular or neurological condition, such as numbness or unexplained weakness in the limbs. Seen a specialist inOct 2012 and hepinioned that it was indeed ulnar entrapment. Pain is different & worse & hand is numb. Hello everyone. If youre facing this procedure, lets remove some of the apprehension by explaining what happens. However, it is not a procedure to be dreaded. Had a non needle NCS in Nov 2011 - normal, but arm was never bent for the NCS just straight. When you see a GP, they'll ask about your symptoms and examine the affected area of your body. A provider will locate the muscle(s) they want to test. DUh, I needed him to record that as its a open WCB case. Numbness is the most annoying and troubling problem caused after surgery. My muscles twitch from head to toe. He said that if it doesnt subside in 10 days th\en they will have to send me for a EMG to see if there is furtger compression form wearing the brace. Call your doctor or 911 if you think you may have a medical emergency. now I have numbness in my foot and a burning sensation on the side. A machine will measure and display the electrical activity of your working muscle. I want to stop the med? is a source of discomfort but does not usually cause. If your EMG shows any electrical activity in a resting muscle, then you may have: If your EMG shows abnormal electrical activity when a muscle contracts, then you may have a herniated disc or a nerve disorder, such as ALS or carpal tunnel syndrome. Ifeel like I bullied my docotor to see the sugeon, but at the first visit with the surgeon he said lets operate- this subsided most of my pain!!! I hit the ulnarjust behind the point of the elbow. No change . HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Electromyography (EMG) is a diagnostic procedure that evaluates the health condition of muscles and the nerve cells that control them. WebYes, I still have numbness and tingling all over my body from my scalp to my feet. Policy. Risks and Contraindications. After the provider has recorded enough data from your muscle, theyll remove the needle. |Just touching the tip of the pinkie will feel like I have it in a vise. Neither NCS nor EMG should lead to any complications. After the exam, check with the doctor who referred you. Going to see thepain management dr that I seen who referred me to the surgeon , in a couple of weeks. MOst spouses dont and wont undestand. When your muscles are sore or weak and you dont know why, there are a couple of tests that can help give you answers. Advertising on our site helps support our mission. Your healthcare provider may recommend an Fasciculations may mimic normal or abnormal motor unit potentials (MUPs) as seen in on-going reinnervation. Stay off pain killers since they will only mask the pain and you will not have feedback to know if you are getting better, and please be safer in the future by protecting your feet, eyes, head etc. Thanks to all of you who have provided information in this stream. WebNo, in ALS (even normal or other conditions), it is one kind of fasciculation. They may also use an audio amplifier so they can hear the pulses of electrical activity. Find an expert Neurologist for innovative neurologic treatment and compassionate care. Connect with us. First, the obvious, why didn't you wear safety shoes? In electromyography, a healthcare provider inserts a small needle with an electrode into one of your muscles to record its electrical activity. East Lansing, MI 48824, Developed by DECS | Contact Information | Privacy Statement | Site Accessibility, MSU is an affirmative action, equal opportunity employer, Michigan State University Board of Trustees, East Lansing, MI 48824, Consortium of Osteopathic Residencies in Ophthalmology (CORO). As i always take my splint off. On the bright side I did find out that I have 4 non ferrous stapples in my arm- by the xray they look tohave been put into place to hold the nerve. After the nerve conduction study, your doctor will perform the needle EMG. I had and EMG and NCS done today but the doctor said it looked normal? There are two components to an EMG test: the nerve conduction study and needle EMG. My hand always feel like this now. HE looks at me like I'm cookoo when I'm tell in him that its like when you get out of the pool. I had a cortisone injection (done by ultrasound and live xray, sorry cant remember the name- flouro-something) last week. I have sore and downright painful spots all over my body. Yes I understand that nerves take time to heal, but as there has been no significant improvement in the numbness In the pinkie area I am starting to get very concerned and worried. To understand how an EMG test works, it helps to understand how your muscles work. (Straight arm has always had the least amount of pain and numbness.). It depends on how many muscles your provider needs to test. If you have numbness and tingling in the hand does it come from your neck? During the nerve conduction study, a provider will put electrodes (stickers) on the surface of your skin. Most are rarely dangerous. To view profiles and participate in discussions please. Had a repeat NCS in December 2013 and the values were lower than the previous NCS. 617-732-5500, Find a BWH Neurologist specializing in Neuromuscular Diseases. They are often done at the same time. a disorder affecting the nerves that connect to the muscle. Please help what kind of exam takes place? These symptoms may include tingling, numbness, or unexplained weakness in the limbs. Big hugs to you, and thank you for looking on behalf of your hubby. The neurologist who oversaw either or both procedures will review the results and write a summary for your doctor. This is a late post considering when the thread started but I too had the ulnar nerve transposition in spring 2011. During the EMG test, patients are typically asked to contract the muscle being tested, for example, by lifting or bending the arm. You are being sent to the EMG lab because you have numbness, tingling, pain, weakness, and/or muscle cramping. Some of the tests that the EMG doctor may use are nerve conduction studies (NCSs) and/or needle EMG. NCSs show how the bodys electrical signals are traveling to a nerve. WebYes, I get terrible pain after the EMG.I think it just over stimulates my muscles and causes the spasms to go in over drive.I usually have the legs and paraspinals done (ouch). You will be asked to relax and to contract (or flex) your muscles. It has to get better, right Lee? The EMG doctor examines you to decide what tests to do. I take my splint off all the time. If you have any questions about the test, dont hesitate to ask. Well, I am not here to guilt you but your employer should have had safety guidelines, and if they did not, you need to contact a lawyer. Privacy PolicyThe information on this site is not intended or implied to be medical advice, diagnosis, or treatment. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. This site should be used for informational purposes only. A few months go by and my three smaller toes are still stiff, my middle tow also hurts a lot if I curl it up and put pressure on it. AT this point all I am using for pain is a compound cream of 10%gabapentin,10%Lidocaine 10%ketoprofen(cant use diclofinac) in a transdermal. I have heat, cold and burning sensations in different areas. (https://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorders/diagnosis-of-brain,-spinal-cord,-and-nerve-disorders/tests-for-brain-spinal-cord-and-nerve-disorders), (https://medlineplus.gov/ency/article/003929.htm). Complications are rare. Nerve signals are electrical impulses that travel quickly throughout your nervous system. For more information about these cookies and the data Try these 3 self-massage techniques. Instead, you can think of the needle as being similar to a microphone its only a recording device. So glad to see an update from you Sandur but very sorry to read of all the problems you are experiencing. Like you said, EMG and NCS rarely pick up damage unless it is major like a severed nerve. This may involve testing sensation, strength and reflexes. Im not sure if its related but I also have a sharp shooting pain up my leg into my hip kinda towards the back. Your health and safety remain our top priority: Learn about our Safe Care Commitment | Use our Prescreen app before arrival for faster entry | Read the COVID-19 Vaccine FAQs. Muscular dystrophy, an inherited disease that seriously WebOne can have normal EMG and yet there can be muscle wasting as seen in ALS, multiple sclerosis, metabolic disorders such as diabetes, and thyroid disorders. Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them. They may order further tests to learn more about your condition. swelling over the new siteof the ulnar was present for about 8 weeks, and thenit gradually receded. A trained assistant, a technologist, under a doctors supervision can do nerve conduction studies (NCSs). Xray in July 2011- normal no bone involvement. Early peripheral neuropathy may present as sensory alterations that are often progressive, including sensory loss, numbness, pain, or burning sensations in a Obviously its is better than before the surgery but with the evolving symptoms I worry that the pain in the elbow wasnt so bad and now I've opened a whole new can of worms. Providers may also use EMG tests to rule out conditions. Something like this will take time, and you are young so healing should occur quickly. WebMD does not provide medical advice, diagnosis or treatment. This is one of the most common questions that patients ask when theyre preparing to undergo an electromyography. If you need to take a break, just ask. Electrodiagnostic medicine studies diseases of the nerves and muscles. THat its hard to decribe whatit feels like? During the procedure, its important to communicate with the doctorif the pain becomes more intense or feels overwhelming. The pinkie has started to give the sensation of being hot and numb. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Anything neurological, problems with nerves, tingling, numbness, shooting pains or shocks, it might be an idea to get your vitamin B12 bloods checked. It also helps your provider plan treatment. The test usually takes 60 to 90 minutes. Occasionally, a nervebiopsy may be carried out as part of your diagnosis. After the test, the muscles they tested may feel tender for a few days. Learn more about how U.S. News & World Report ranks Brigham and Women's Hospital. In my work (in the USA), anytime I or any person goes into the production plant, they must wear safety shoes. Why it's done. Your doctor may order an EMG if you have signs or symptoms that may indicate a nerve or muscle disorder. Such symptoms may include: Tingling. Numbness. Muscle weakness. Muscle pain or cramping. Certain types of limb pain. Numbness in pinkie finger returned day after surgery. Your doctor may ask you to move into different positions during the procedure. I have been in physical therapy for many monthsbut I don't know if it is helping anymore. The GP mayalso arrange blood tests, especially to check forcauses such as diabetesor vitamin B12 deficiency. \it hasn't really made any difference yet. Nonsurgical therapy If the condition is diagnosed early, nonsurgical methods may help improve carpal tunnel syndrome, including: Wrist splinting. Your doctor may review the results with you right after the procedure. Tried PRICE, no doc appointment for a week, help?. Take a bath or shower to remove oil from your skin. Back to Gabapentin. You will feel various pains for a while as this heals, and since nerves are all connected there will be referred pain to other parts of your body, like you legs and back. Bone scan in Feb 2012- normal. Healthline Media does not provide medical advice, diagnosis, or treatment. Imaging tests like X-rays, CT scans and MRI scans help healthcare providers see a pinched nerve and whats causing it (such as a herniated disk).

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