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upper extremity Muscular atrophy and neuropathy
Two questions for the experts here (maybe three)
One, are the muscles of the upper extremity e.g. hands generally self regulating?
Two, is it an appropriate modaility to engage in activities that elicit neuropathic symtoms ahead of an EMG study?
Here's my background, two years ago I developed an intense tingling and numbness in both hands and wrists. I was initially treated for Carpal Tunnel, but EMG results are negative and an MRI of the wrist shows no nerve entrapment within the carpal tunnel. X-rays were performed and no structural abnormality was found. MRI and CT scans of brain and C spine were performed with nothing found of note. Rhumatological tests were done, again with nothing found.
Over a course of behavior modification, symptoms have subsided for the most part, only muscle weakness remains and the hands become symptomatic if I attempt any heavy lifting or sustained gripping.
I've been doing light excercise to strengthen the wrist specifically and upper extermities in general.
If things have calmed down, should I expect the fine motor control muscles to regain some sort of strength and tone? Or should I get more of the theraputty and go to work at the various squeezing and such?
Also, would the results of an EMG be any different based on symptoms? A hand specialist has referred me out to have them performed again, this time with a emphasis on neck-to-wrist.
Also(2) any other ideas on diagnostic tests or specialist to see? I had seen a chiropractor who tried to treat me for thorasic outlet syndrome, though my specific situation and the advise of an MD had me go elsewhere as that would be a longshot and unlikely diagnosis.
One, are the muscles of the upper extremity e.g. hands generally self regulating?
Two, is it an appropriate modaility to engage in activities that elicit neuropathic symtoms ahead of an EMG study?
Here's my background, two years ago I developed an intense tingling and numbness in both hands and wrists. I was initially treated for Carpal Tunnel, but EMG results are negative and an MRI of the wrist shows no nerve entrapment within the carpal tunnel. X-rays were performed and no structural abnormality was found. MRI and CT scans of brain and C spine were performed with nothing found of note. Rhumatological tests were done, again with nothing found.
Over a course of behavior modification, symptoms have subsided for the most part, only muscle weakness remains and the hands become symptomatic if I attempt any heavy lifting or sustained gripping.
I've been doing light excercise to strengthen the wrist specifically and upper extermities in general.
If things have calmed down, should I expect the fine motor control muscles to regain some sort of strength and tone? Or should I get more of the theraputty and go to work at the various squeezing and such?
Also, would the results of an EMG be any different based on symptoms? A hand specialist has referred me out to have them performed again, this time with a emphasis on neck-to-wrist.
Also(2) any other ideas on diagnostic tests or specialist to see? I had seen a chiropractor who tried to treat me for thorasic outlet syndrome, though my specific situation and the advise of an MD had me go elsewhere as that would be a longshot and unlikely diagnosis.
I've been doing a B6 suppliment (200mg once per day) for 3 months as has been recommended elsewhere to little effect. I don't know about doing a B complex or anything else.
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