Hi Tommy,
I feel nice that I could be of some help to you.
Which doctor are you planning to consult? When is your next appointment?
I would recommend you to see an orthopaedician at earliest and get imaging study done for your lower limb.
You should also for electro-diagnostic studies if diagnosis is still doubtful.
The Electro-Diagnostic studies examination ordinarily comprises electromyography (EMG) and nerve conduction studies (NCSs).
Keep me informed about the disease progression and also what doctors have to say.
Bye.
Thank you so much - ALS was my biggest fear now I can put my mind at ease and ask them to check my legs
Hi Tommy,
As per your NCV reports, there is latency in your common peroneal nerve conduction. This could be due to compression of nerve around knee joints.
This compression of nerve could be due to fibular head, along the course of peroneal nerve.
It can be managed conservatively, but compression has to be avoided.
Hope this helps.
Bye.
Tommy, I have had a similar road myself, and my balance issues ultimately ended up being contributed to the medication I was on which was causing neurotoxicity. Are you on anything right now? I was on two anti-depressants and ambien.
Thanks, I'm relieved to hear that there's no evidence of ALS - but I had an MRI of my lower back and it didn't show any causes for my symptoms. What else could this be?
Hi,
Your EMG studies show there is no evidence of electrical instability.
There is no objective evidence of ALS on EMG studies.
I think it is neuropathy involving your peroneal nerve.
Lumbar MRI would help in further evaluating regarding any pathology originating from lower back.
Hope this helps.
Bye.
The results of the EMG on my legs are in the 1st paragraph
Hi,
EMG findings are not pathognomonic of specific diseases and do not in themselves provide a definitive diagnosis.
Motor neuron disease including ALS would usually present with common initial symptoms is weakness, muscle wasting, stiffness and cramping, and twitching in muscles of hands and arms. Legs are less severely involved than arms, with complaints of leg stiffness, cramping, and weakness common.
Needle EMG and nerve conduction studies are the tests of choice for confirming the diagnosis of ALS. The confirmation of ALS is facilitated by demonstrating diffuse denervation signs, decreased amplitude of compound muscle action potentials, and normal conduction velocities.
Is EMG study been done?
Keep me informed.
Bye.