I had an EMG done today, and I am just a little frustrated. When the neurologist came in to put the needle into the muscle he did not do this to anything but my left leg and my right leg is the one that I have had more numbness in. He said the EMG was negative and that I do not have peripheral neuropathy. When I mentioned to him about the ultrasound of the abdomen and the calcifications noted in the spleen he said it wasn't important. This is not the doctor that I originally went to see. I am supposed to hear from him after he gets the report. If this is not a peripheral neuropathy then why do my feet and hands burn, why do I have numbness and tingling and sharp stabbing pains in my feet and my hands. This is not in my imagination. This wakes me up at night. It is very uncomfortable and sometimes very painful. Are there any answers out there that neurologists agree on? I appreciate the time that you take to answer these questions. Thank you.
I'm not sure if you've posted previously - has a diagnoses of amyloid been established by biopsy in your case? If so, then here are some answers - First, amyloidosis can cause neuropathy involving the symptoms that you describe - it affects sensation far more than motor strength in the limbs. It tends to affect the smallest nerve fibers. EMG evaluates the larger, heavily coated fibers, and so, though it is generally very good in diagnosing neuropathy, it can miss abnormalities in disorders that affect the smaller fibers in the hands and feet. Another test which is done at larger centers (Medicare and many insurance companies don't pay for it) is Quantitative Sensory Testing which can be more sensitive (though at times nonspecific) for small-fiber neuropathy. Although it may help in your diagnosis, if the symptoms are suggestive enough, many neurologists will treat your pain as if you have a neuropathy even if specific diagnosis is difficult. There are many medications out there which can treat the burning pain of neuropathy. Still, a specific diagnosis of amyloid neuropathy is important and ultimately, a nerve biopsy of a sensory nerve in the foot may be necessary for diagnosis. Ask your doctor about the possibility of your amyloidosis causing a small fiber neuropathy. Finally, regarding your question regarding the EMG of one leg - since neuropathies commonly affect both feet symmetrically, it is common practice to only test one leg and spare the person the unnecessary pain and expense of another leg tested; generally, the more affected leg would be the one chosen.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.