Nerve Conduction Studies

Nerve conduction study (NCS) is a diagnostic test used to measure how fast electrical impulses move through the motor and sensory nerves. It is used to differentiate between nerve and muscle disorder. It is used to diagnose carpal tunnel syndrome, Guillain-Barre syndrome, herniated disc disease, etc.

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Are my asymmetrical thighs related to intermittent twitch in my legs, calves, and thighs?

Query: Hi doctor, I have an intermittent twitch in both legs, calves, and thighs. I think it happens when I am anxious or stressed at work. But I am not sure how long I had the twitches and, it worsens if I focus on it. I searched online about ALS and just also noticed that one of my thighs is 1.5 to 2 cm ...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello,Welcome to understand your concern. I would like to explain that your symptoms could be related to anxiety or benign fasciculation syndrome. Anyway, I suggest the following:1) Check vitamin D, vitamin B12 plasma levels, and thyroid hormone levels for thyroid gland dysfunction.2) ...  Read Full »

Why do I have throbbing and burning pain down the thigh even after spinal fusion surgery?

Query: Hi doctor,I had L4-L5, and L5-S1 fused six years back and had right sacroiliac joint fusion four years ago. But, the pain persisted. I also had labral tear repair, gluteus medius and minimus, and bursectomy two years back, and still, the pain persisted. Now, five weeks post revision surgery of previ...  Read Full »

Dr. Varun Chaudhry

Answer: Hi,Welcome to understand your concern. The computed tomography (CT) scan for the thigh is unlikely to be helpful as only bony anatomy is well evaluated, and only minimal soft tissue and nerve fiber anatomy are visualized. Regarding the screws being near the sciatic nerve, that could be...  Read Full »

I developed symptoms of autoimmunity after Hepatitis B vaccine. What to do?

Query: Hi doctor, Before the vaccinations, I was in good health and optimal fitness level. The Hepatitis B vaccine caused me an unresolved encephalopathy and symptoms of autoimmunity. It caused flu-like symptoms, including malaise, sore throat, diffuse musculoskeletal pain, extreme exhaustion, numbness of ...  Read Full »

Dr. Shobhit Shah

Answer: Hello, Welcome to Most likely it is acute polyneuropathy. It is important to find the cause because treatment is based on it. Get an MRI of the spine and brain. Nerve conduction velocity of all four limbs. Meanwhile, you try taking tablet Neurobion Forte (Multivitamin), twice a day. Co...  Read Full »

Does my wife require surgery?

Query: Hi doctor, My wife, who is 43 years old, is feeling loss of skin sensation on the lower part of the legs. This feeling has started four years ago. But, it did not bother her that time. Two years ago, we consulted a neurologist and he prescribed medicines, which brought her relief. She stopped takin...  Read Full »

Dr. J Mariano Anto Bruno Mascarenhas

Answer: Hi, Welcome to I have gone through your query with diligence and would like you to know that I am here to help you. Our body parts undergo wear and tear as we age. This is called degeneration. This degeneration varies from person to person. Some people have degeneration in some o...  Read Full »

Kindly review my report and give your opinion on my constant headaches and tingling sensation.

Query: Hello doctor, I recovered from a COVID infection four months ago. After that, I have brain fog, concentration issues, headaches, memory issues, balance issues, lack of mental precision, depression, anxiety, and PTSD issues. My headaches are constant and can last for days or even weeks. I also hav...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know some further details about your headache. 1) Since when you are having headaches? 2) Which part of the head aches? 3) What kind of headaches have you felt? 4) What is the duration of one episode of headache? 5) Do you have ...  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 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 »

Do all my symptoms occur due to alcohol neuropathy or back injury?

Query: Hello doctor, I am a 31 years old, who weighs 160 lbs and 5.10 feet tall. I drink alcohol on and off since I was 18 years old. Once I got back from deployment, I drank pretty hard with friends. I would say 3 to 8 beers every other night and then 12 to 16 on weekends. I quit drinking cold turkey a mo...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to After quitting alcohol, many patients get alcohol withdrawal symptoms, but that usually develops within a week of quitting alcohol. Chest tightness and racing heart can be because of some cardiac problem like rhythm disturbance or ischemic heart disease, or it can a...  Read Full »

I wore a steel belt during the nerve conduction study. Will it cause side effects?

Query: Hi doctor, I have a doubt. Three days before nerve conduction test has been done. During that time I was wearing metals, steel belt and silver ring on my body. So, I am afraid that if any side effects may occur from those things. Please explain.  Read Full »

Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to I read your query and understand your concerns. Wearing metals like silver rings, gold rings, steel belts are a normal part of our life and do not affect in any way when nerve conduction studies completed. In fact, the nerve conduction is for nerve only and the ornaments...  Read Full »

Why do I have terrible cramps on my left leg after sudden indentation?

Query: Hi doctor, I am 63 years old. I had a back injury ten years back and got partly paralyzed on the right side from my hips. Two years back, I did chemotherapy for triple-negative breast cancer. I feel absolutely fine now. Suddenly, I have an indentation on the outer side of my lower left leg. I hav...  Read Full »

Dr. Nasir

Answer: Hi, Welcome to Your symptoms can occur due to peripheral neuropathy. It causes sensory and motor disturbances. It is caused due to vitamin B12 deficiency. You can have gait disturbance, tingling, and numbness at extremities. There are many other causes to have peripheral neuropath...  Read Full »

Why do I have numbness in my fingertips?

Query: Hi doctor, My thumb, index and ring fingers are all super numb at the fingertips. This numbness has lasted for five days, and now I am getting horrible sharp pains in my index finger. Previously, I have carpal tunnel syndrome.  Read Full »

Dr. Akshay Kumar Saxena

Answer: Hello, Welcome to You have mentioned numbness in your hand finger tips, and the area mentioned appears to be that of median nerve region. Now, if this pain and numbness are severe and persistent, then the advice to you is to get nerve conduction study done and look for severity of compr...  Read Full »

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