Hi, I need help understanding my last EMG. I had it done in Spain in 2008 and didn't get to see the doctor after. I had an arthdesis in C6-C7 and after an arthoplasty in C5-C6 both in 2005. My accident was in 2004. I still have pain and a lot of problems with the medication.
This EMG (I tried to translate it the best I can) says:
The scan shows mild chronic neurogenic atrophy in the right uper limb compatible with a C7 chronic radiculopathy. No signs of evolution.
If anyone could explain what it means and what can be done, I would be very grateful.
Thanks in advance for your help!
Radiculopathy is not a specific condition, but rather a description of a problem in which one or more nerves are affected and do not work properly (a neuropathy). This can result in pain (radicular pain), weakness, numbness, or difficulty controlling specific muscles.
In a radiculopathy, the problem is at or near the root of the nerve, along the spine. However, the pain or other symptoms may manifest in an extremity through a process called referred pain. For example, a nerve root impingement in the neck can produce pain and weakness in the forearm or hand.
Atrophy is a wasting of a tissue. In this case it would be muscle tissue. The reason being (neurogenic), when the muscle does not get signals from its nerve, it does not contract and work properly, so it wastes away. It is listed as mild, so the symptoms of weakness may not be significant.
You must have had more than one of these tests. Since evolution is determined by sequential testing. It states that your condition is static, not changing.
As to what can be done, that depends upon your physical exam and deficits. You really need to see a neurologist, discuss the test results, and determine your options.
Hi Gaelic, Thanks a lot for your reply, it is very helpful.And yes I have had over 15 EGMs including lower back ones, we thought that after the first surgery this problem would have dissapeared but it seems it persists even though I have a C6-C7 fusion... The pain is unbearable and whenever I use my arms to do basic household chores or anything implying the use of arms of lifting or carrying a handbag triggers it on...
I don't have a neurologist at the moment as my GP thinks it is an ongoing condition and just prescribes paracetamol and diazepam. I wish I could cope with the pain better.
Thanks a lot for reading me and explaining what it is. You are very supportive.