Electromyogram is the record obtained through electromyography of the muscles condition and the nerves that supply them. An electromyogram can be interpreted to determine possible causes of muscle weakness or tingling sensation, such as muscular dystrophy, radiculopathies, nerve disorders, etc.
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My right ulnar nerve has slightly deviated, and I am worried if it is causing muscle twitching. Please suggest.
Query: Hello doctor, I have some questions in regards to some symptoms I have had recently. Two years back, I had a twitching feeling around my body, such as my forearm, face (cheeks), eyebrows, and fingers. Occasionally in my biceps and shoulders. The twitching was very random and could be two days in my ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. A comprehensive clinical examination is critical because fasciculation would be a grave sign only when it is accompanied by weakness, atrophy, or clinical signs of upper motor neuron involvement. The results of your electromyography (... Read Full »
Apart from ALS, which other conditions cause muscle twitching?
Query: Hi doctor, I am a 24 year old female. For the last three days, I have noticed continuous twitches on the thenar aspect of my right palm. Today, I searched on the internet and it showed it could be ALS. I am worried. Also, I noticed that my right thenar prominence is a little less than the left. I do... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I do not think this to be ALS (amyotrophic lateral sclerosis). ALS will have little more extensive twitches and at times they are visible on the muscle surface and a number of muscles having the flaccid type of weakness. Fasciculation only for three days without an... Read Full »
Why is my thumb numb after cervical surgery?
Query: Hi doctor, I had an MRI last year, which indicated a herniated disc and stenosis at C6-C7 left. So, I had cervical surgery ACDF. Still, l had pain for a couple of months and the MRI showed to my dismay that I still had stenosis with displacement of the C7 nerve root. Also, it showed that C5-C6 protr... Read Full »
Answer: Hi, Welcome to icliniq.com. Sometimes it can take time for radiculopathy to improve even up to a year. If your neurological function is getting worse then a repeat MRI would be advisable. If the symptoms are the same and your neurological examination is not worse then you can wait before ... Read Full »
Is the numbness in my right leg a normal symptom of peroneal neuropathy?
Query: Hi doctor, I got peroneal neuropathy after bariatric surgery. I have lost 97 lbs in the last six months, and all of a sudden, I was diagnosed with peroneal neuropathy in my right leg. My right leg was numb from the knee down all through my toes, but now the numbness has subsided and only my big toe ... Read Full »
Answer: Hello,Welcome to icliniq.com.Foot drop and impaired sensation on the outer side of the leg below the knee are possible common peroneal neuropathy. But the same can also happen by the involvement of partial sciatic nerve involvement or lumbar plexus involvement or the involvement of roots coming from... Read Full »
Are my EMG reports suggestive of ALS?
Query: Hi doctor,I want a review of EMG analysis to reassure it to be unlikely ALS onset. My knee and arm reflexes were normal, as were the strength tests. Does "good recruitment" in the presence of atrial fibrillation and occasional positive waves point away from ALS or MND? In those cases, would the recr... Read Full »
Answer: Hi,Welcome to icliniq.com.I read your query and understand your concerns.First of all, I would like to inform you that the available EMG (electromyography) report does not suggest anything found in motor neuron disease (attachment removed to protect the patient's identity). My observation is based o... Read Full »
Is my muscle twitching due to the rare autoimmune disorder GBS?
Query: Hello doctor, I am a 19-year-old male. And I have been experiencing muscle twitching in my hands and legs for more than three months. And I also have occasional chest pains. My feet are too cold even when I am in a hot shower. I had my Johnson and Johnson COVID-19 vaccine 16 days ago. I read abo... Read Full »
Dr. Florilyn Joyce Chulsi Bentrez
Answer: Hello,Welcome to icliniq.com.Thank you for the query.Kindly answer me the following to help you better;1) Do you have any weight loss?2) Do you have weakness in the hands and feet?3) Do you have difficulty in breathing? I suggest you do ESR (erythrocyte sedimentation rate), CRP (C-reactive protein),... Read Full »
Will essential tremor cause post-micturition dribble with a diminished sense of smell?
Query: Hi doctor, I am a 28 year old male who was diagnosed with essential tremor six years ago. Presently, I have tremors only in my right hand and thumb, but it feels like my entire body wants to move. Before, I used to get tremors on some movement, but nowadays, it is present even while at rest. I am... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on the history which you have provided, it seems to be a progressive neurological condition. Essential tremor is diagnosed when there is no pathology in the brain, and the cause is idiopathic or unknown. But in your case, it is a bit of concern as you have developed... Read Full »
What are the signs and symptoms of ALS?
Query: Hello doctor, I am a 20-year-old male, and I am having a bunch of unexplained neurological symptoms lately. I have constant urine leakage when walking around and brain fog and confusion, but the most recent symptoms are the ones that make me the most worried. I have had stiffness or weakness in my ... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all, do not worry. ALS (amyotrophic lateral sclerosis) neither causes urinary incontinence nor causes confusion, and your age is not compatible with ALS. I want to answer your questions: EMG (electromyography) could be wrong, but EMG should never be analyzed... Read Full »
Should I be worried about my tongue twitches?
Query: Hello doctor, I am having twitches on my tongue and I am really freaking out about them. I looked online and ALS pops up all over the place. I have twitches all over my body that do not bother me at all, but the tongue is really freaking me out. I had them in March and then they went away after a f... Read Full »
Answer: Hi, Welcome to icliniq.com. Tongue muscles twitching are due to many causes and ALS (amyotrophic lateral sclerosis) is rarest of them. Do you have any weakness in limbs, unable to type on a keyboard, difficulty in using hands or walking? Any history of thinning of limb muscles? If no, then no ne... Read Full »
What can cause continuous twitches throughout the day?
Query: Hi doctor, My calves have been twitching throughout the day for about two months now. But, I do not have any weakness. It occurs in different spots on both calves. What could this be? Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I would like to know a few more things. Is there any change in your weight in the last two months? Did you observe any change in your lifestyle in the last last months? Did you start any exertion during this period? 90% of the normal population experience muscle twitches,... Read Full »