Than you for your response,
My biggest questions were not answered though, they were,
Are there two seperate neurological events happening in my spine?
Could they have been precipated by a single spinal injury?
Could an undelying condition have been aggravated by a single injury to the spine?
Everything that has happened to my spine in the last eighteen months stim from an injury which produced Cauda Equina Syndrome and foot drop.
I was referred to UCSD Neurology for confirmation of the tests done by my personal Neuro, so subjective findings don't apply in this case as they are consistant between doctors.
Without knowing your case in more detail, I cannot be specific in your individial case
EMG can be a subjective test and is even more difficult to interpret. The appearance of the EMG in an upper motor neuron lesion (ie in the spinal cord) can also be seen with poor activation of the muscle during the test from whatever reason eg pain. There does seem to be evidence of pinched nerves at L5-S1, especially the L5 root - this would be expected to give sensory loss over the medial lower leg and upper foot, and weakness of foot flexors and eversion.
If your spine is now stable after surgery, furhter damage should not occur, which is the aim of surgery. Surgery though does not necessarily reverse previous damage from a disc prolapse at that level. The spinal cord ends above that level but fibers innervating the lower legs and bladder pass through there.
If the EMG is accurate, then further imaging higher up the spine may be indicated. If it is just poor effortm your exam localized to the area of prolapse
Good luck
I have constant burning cramping pain in both legs and feet so if it were for the fact I have very little touch sensation left in my legs and feet I wouldn't even notice.
Dear Racquel Morris,
if you are in constant pain, EGM will be nothing compared.
I have had 4 in the last 6 months and now I go to them like a blood test. No pain compared to the REAL PAIN!
Have the test done as soon as possible, if you have any damage it is better it is solved and if you haven't you have peace of mind. By waiting it won't get better and if you have nerves affected or pinched, they won't recuperate and they could cause permanent damage.
Good luck and get well soon,
ea5cng
Cranky,
Can you please tell me if the EMG hurt? I have been putting mine off for some time now. I am in enough pain on a daily basis that I do not look forward to adding more pain to it. Mine will be done on both legs and arms.