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Neurology (Expert Forum)
weak/fatigued should/bicep
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury
weak/fatigued should/bicep
by mike3456, Sep 26, 2004 12:00AM
Hi.Male/35/165lbs good health,been under extreme stress for 1.5+ years.Don't exercise,worked at computers for 15 years.Have poor posture much of the time.Neck pain on/off many years (15+),sometimes enough to prevent sleeping.Pain often radiated to inside right shoulder blade.Sometimes pain stops for weeks/months and recently no pain.6-7 weeks ago noticed twitching,1st in rt shoulder.That night,tingling in rt arm and it felt heavy-went away within a day,never returned.Twitches began occurring on body on boths sides, mostly right-side (forearm, calves,knee,thighs,buttocks,abdomen,back,neck)-maybe 1 twitch every 5-10 minutes.No noticable weakness or fatigue(lifted fairly heavy things and did yard work)-lasted 2-3 weeks. For 1-2 weeks twitching maybe stopped or I didn't notice them(can't be sure).After that,tingling in hands and feet,numbness in 2 toes,aching in my right thigh/calf which waxed/waned for 1 week.Then got neuro exam- "perfectly normal"-he was "100% sure" wasn't ALS(I asked)-he didn't want EMG,but I talked him into it.Had brn/crv MRI to r/o MS/disc disease,no results yet.But 1-2 days after exam, some "almost cramps" feet arch.Lifted about 1-2 gallons of water w/rt arm,carried short distance- now right shoulder/bicep feels fatigued(day after).Rt leg better but but "feels" slightly different than left.Still no inability to do things.I have the EMG in two days.On Zoloft for 4 days now due to GAD dx by primary doctor. Been extremely scared/anxious past week from this.Hoping arm is from much shoulder shrug using mouse/anxiety tension.Thoughts/comments appreciated. Tnx.
Doctor's Answer
by CCF-Neuro-M.D.-CS, Sep 30, 2004 12:00AM
I would agree with the evaluation you are receiving, however without examining you I cannot make a diagnosis. It sounds like you have had many complaints over the years, which could be related to your spine. The MRI of the cervical spine should provide answers. Cervical disc disease could cause similar symptoms. Other tests which can be completed include B12, Folate, TSH, and markers of inflammation. If you do not find an answer with this round of testing, perhaps having a second opinion would be reasonable. Good luck.
http://nextination.com/aboutbfs/forums/viewtopic.php?t=2392
Could the Neurologist here still offer any other comments on my case, even in light of this new information?
Thanks!