First, I want to thank you for your response to my previous post. I have a little more information. I had an esophageal manometry, showed peristalsis, but 4/10 swallows hypotensive. UES was had a resting pressure of 40, a little low. Is this a sign of weakness? I am scheduled to have a modified barium swallow on Tuesday. Does this help dx and/or rule out the possibility of MND?
I went to a neuro last Monday, was told that I have BRISK end of normal of all reflexes (What does that mean?), and bilateral hoffman's sign, no babinski. Could these be signs? Both of my hands hurt, thumb area and between thumb and forefinger and don't work quite right. My arms (just below the elbow towards the wrist) are stiff, and sometimes spasm.
I had an EMG on my rt arm in March and rt leg in June done by a physiatrist, which were normal, except for cold leg conduction problems.
Is a more thorough EMG needed to rule out ALS? Thanks.