Nerve conduction velocity (NCV), also called electroneurography or nerve conduction study, is a test used to measure the speed of conduction of electrical impulse through a nerve. It is done to diagnose nerve damage and destruction. NCV can be used to diagnose conditions like herniated disk disease, sciatica, peripheral neuropathy, carpal tunnel syndrome, and Guillian-Barre syndrome.
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What does post-polio syndrome mean?
Query: Hi doctor, The patient is a 50 year old woman with a history of polio in childhood and complains of paresthesia since a year. It started suddenly from the toes on both sides and it progressed to upper back (T4) in 20 days. She was hospitalized with post-polio syndrome and treated with IV Ig. She co... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I do not quite agree with post-polio syndrome. Post-polio syndrome after these many years is quite rare. From a neurosurgical point of view, when I look at her MRI cervical spine (attachment removed to protect patient identity), there is a significant disc bulge pr... Read Full »
My father is not able to walk properly. Should we get a CT scan?
Query: Hi doctor, My father is not able to walk properly. His x-ray is fine. I guess it as some brain issue. Shall I go with CT scan? Kindly suggest. Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. If patient not able to walk properly, then there are three most common possibilities. He has problem in the brain. He has problem in the spine. He has problem in peripheral nerves. If he has brain problem, then he might have a stroke or NPH (normal pressure hy... 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 »
Answer: Hello, Welcome to icliniq.com. 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), t... Read Full »
Does twitching in the calf muscle mean I have amyotrophic lateral sclerosis?
Query: Hello doctor, I am a 25-year-old female and I am afraid I have ALS. This started with twitching in my right calf muscle two months ago and that has now spread to everywhere. A clinical exam showed slightly asymmetrical brisk knee reflex, and it is brisker on the right leg where it bothers me, not ... Read Full »
Dr. M. A. Toyeb, Nazma Parveen
Answer: Hello, Welcome to icliniq.com. I can completely understand your concern. First of all, ALS (amyotrophic lateral sclerosis) is a condition which requires time to diagnose especially when it is in the initial stages. You said you experience twitching in your muscles. Do you have any other problem... Read Full »
How long does cheeks muscle spasm, a side effect of Paroxetine, last?
Query: Hi doctor, After taking Paroxetine 20 mg for GAD, I had three side effects. The two side effects are diffculty in sleeping and lack of appetite. The two were manageable. The third one was a mild spasm in my cheeks. Sometimes, I have tightness and sometimes it seems to be relaxed. These side effects... Read Full »
Answer: Hi, Welcome to icliniq.com. As your spasms persist for a long time, I suggest you consult a psychiatrist for an alternative option. If you do not want to change Paroxetine, you can try taking calcium supplements for a few months as sometimes spasms can get improved after taking it. You can do NCV ... Read Full »
My 4-month-old daughter has very little movement in her legs. What can be done?
Query: Hello doctor, My daughter is four months old. We observed that there was very little movement in her legs. We performed an EMG and an NCV along with a vitamin D test. The report mentions generalized motor axonal polyneuropathy. I could only understand that there is an issue with her nerves in sever... Read Full »
Answer: Hello, Welcome to icliniq.com. It is advisable to do a nerve biopsy along with an MRI (magnetic resonance imaging) of the brain and spine and a detailed physical examination by a pediatric neurologist to come to a conclusion as to what we are dealing with. There are various different types of neur... 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 »
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 »
Answer: Hello, Welcome to icliniq.com. 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 »
Can the burning sensation in my fingers while touching something be related to diabetes or hypertension?
Query: Hi doctor, I am diabetic and hypertensive. My problem is, if I touch anything with my fingers, I get a burning sensation and I drop it down. Please advise me on this. Read Full »
Answer: Hello, Welcome to icliniq.com. As per your complaints and previous history of diabetes, I think you are suffering from peripheral neuropathy secondary to diabetes mellitus. I will recommend some medications as mentioned below. Also, some investigations are to be performed. Investigations to be done ... Read Full »
Is my uncomfortable pain-like feeling in the left arm be due to heart problem?
Query: Hello doctor,I have been experiencing numbness and an uncomfortable pain-like feeling in my left arm for more than one month or so. It used to happen very rarely before but is more regular now. The pain is present almost daily. The feeling is from the top of the arm to the elbow. Sometimes it is acu... Read Full »
Answer: Hi, Welcome to icliniq.com. I would like to know some details of your symptoms. For example- 1. what type of pain do you feel in your left arm? 2. Do you feel heaviness, stretching, current-like or tearing-type pain, or something else (please describe)? 3.What do you feel in numbness: decreased ... Read Full »