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What Does EMG Report Indicate About My Cervical Stenosis And Cord Compression?
Question: Progress Notes Info
Author Note Status Last Update User Last Update Date/Time
XXXXXXX S. Foley, MD Signed XXXXXXX S. Foley, MD 5/6/2014 6:42 PM
Progress Notes
Community Spine Center
7120 Clearvista Drive, Suite 1500 XXXXXXX Indiana 46256
(317) 621-9292
Patient: XXXX Date of Birth: 2/10/1957
Sex: Male Age: 57 Years 2 Months
History: He c/o right upper limb numbness. H/O cervical stenosis and cord compression.
Sensory NCS
Nerve / Sites Rec. Site Peak Lat Peak Ampl Duration Distance
ms µV ms cm
R GENERAL NERVE - CTS Panel
Median@wrist Digit I 2.90 13.5 3.65 10
Ref. 3.10 10.0
Radial@wrist Digit I 3.10 10.4 1.70 10
Ref. 3.10 5.0
Median@wrist Digit III 3.30 11.3 2.05 14
Ref. 3.80 20.0
Ulnar@wrist Digit V 3.65 18 1.60 14
Ref. 3.80 20.0
Motor NCS
Nerve / Sites Latency Ampl. Dur. Distance Velocity
ms mV ms cm m/s
R GENERAL NERVE - CTS Panel (1)
Median@wrist 3.50 7.9 5.65 8
Ref. 4.20 4.0
Median@elbow 7.45 6.6 6.65 20.5 51.9
Ref. 48.0
Ulnar@wrist 3.05 9.0 5.95 8
Ref. 3.80 4.0
F Wave
Nerve Min F Lat XXXXXXX F Lat Mean FLat
ms ms ms
R GENERAL NERVE - Default 29.20 30.15 29.60
EMG Summary Table
Spontaneous MUAP Recruitment
IA Fib PSW Fasc H.F. Amp Dur. Poly Pattern
R. DELTOID 1+ None None None None N N 1+ N
R. CERV PSPINAL N None None None None N 1+ 1+ N
R. INFRASPINATUS N None None None None N N N N
R. TRICEPS N None None None None N N N N
R. BICEPS 1+ None None None None 1+ 1+ 1+ 1-
R. EXT DIG COMM 1+ None None None None 1+ 1+ 1+ 1-
R. BRACHIORADIALIS 1+ 1+ None None None 1+ 1+ 1+ 1-
R. PRON TERES 1+ 1+ None None None 1+ 1+ 1+ 1-
Comments:
The median, radial, and ulnar sensory responses were normal. The median motor latency, amplitudes, and conduction velocity across the forearm was normal. The ulnar motor distal latency, amplitude, and F-waves were normal. The needle EMG of his right upper limb showed only very mildly reduced recruitment in several muscle groups.
Impression:
Normal right upper limb nerve conduction studies.
Mildly abnormal right upper limb EMG which –given the clinical scenario- is suggestive of a mildly neuropathic recruitment pattern associated with central stenosis/myelopathy.
There was no EDX evidence of plexopathy, acute mono-radiculopathy, or generalized peripheral neuropathy seen in the areas tested.
Thank You
XXXXXXX S. Foley, M.D.
ABPM&R and ABEM Certified
Author Note Status Last Update User Last Update Date/Time
XXXXXXX S. Foley, MD Signed XXXXXXX S. Foley, MD 5/6/2014 6:42 PM
Progress Notes
Community Spine Center
7120 Clearvista Drive, Suite 1500 XXXXXXX Indiana 46256
(317) 621-9292
Patient: XXXX Date of Birth: 2/10/1957
Sex: Male Age: 57 Years 2 Months
History: He c/o right upper limb numbness. H/O cervical stenosis and cord compression.
Sensory NCS
Nerve / Sites Rec. Site Peak Lat Peak Ampl Duration Distance
ms µV ms cm
R GENERAL NERVE - CTS Panel
Median@wrist Digit I 2.90 13.5 3.65 10
Ref. 3.10 10.0
Radial@wrist Digit I 3.10 10.4 1.70 10
Ref. 3.10 5.0
Median@wrist Digit III 3.30 11.3 2.05 14
Ref. 3.80 20.0
Ulnar@wrist Digit V 3.65 18 1.60 14
Ref. 3.80 20.0
Motor NCS
Nerve / Sites Latency Ampl. Dur. Distance Velocity
ms mV ms cm m/s
R GENERAL NERVE - CTS Panel (1)
Median@wrist 3.50 7.9 5.65 8
Ref. 4.20 4.0
Median@elbow 7.45 6.6 6.65 20.5 51.9
Ref. 48.0
Ulnar@wrist 3.05 9.0 5.95 8
Ref. 3.80 4.0
F Wave
Nerve Min F Lat XXXXXXX F Lat Mean FLat
ms ms ms
R GENERAL NERVE - Default 29.20 30.15 29.60
EMG Summary Table
Spontaneous MUAP Recruitment
IA Fib PSW Fasc H.F. Amp Dur. Poly Pattern
R. DELTOID 1+ None None None None N N 1+ N
R. CERV PSPINAL N None None None None N 1+ 1+ N
R. INFRASPINATUS N None None None None N N N N
R. TRICEPS N None None None None N N N N
R. BICEPS 1+ None None None None 1+ 1+ 1+ 1-
R. EXT DIG COMM 1+ None None None None 1+ 1+ 1+ 1-
R. BRACHIORADIALIS 1+ 1+ None None None 1+ 1+ 1+ 1-
R. PRON TERES 1+ 1+ None None None 1+ 1+ 1+ 1-
Comments:
The median, radial, and ulnar sensory responses were normal. The median motor latency, amplitudes, and conduction velocity across the forearm was normal. The ulnar motor distal latency, amplitude, and F-waves were normal. The needle EMG of his right upper limb showed only very mildly reduced recruitment in several muscle groups.
Impression:
Normal right upper limb nerve conduction studies.
Mildly abnormal right upper limb EMG which –given the clinical scenario- is suggestive of a mildly neuropathic recruitment pattern associated with central stenosis/myelopathy.
There was no EDX evidence of plexopathy, acute mono-radiculopathy, or generalized peripheral neuropathy seen in the areas tested.
Thank You
XXXXXXX S. Foley, M.D.
ABPM&R and ABEM Certified
Brief Answer:
EMG is mostly normal.
Detailed Answer:
Hi,
Thanks for the query my friend.
Your EMG report is essentially normal to me. Except for the finding finding that, the needle EMG of his right upper limb showed only very mildly reduced recruitment in several muscle groups, I don't find any other serious concerns. You need not be worried, If these correlated with your clinical sign and symptoms i.e if numbness is less than 30 mins or muscle power is upto 4 then you should concentrate on physical therapy and must have regular follow up with your doctor.
If your symptoms are improved as compared to previous days then even with this EMG report, you may lead a normal and healthy life. For myelopathy you should include muscle straightening exercise program in you daily routine.
Try to avoid activities which demand laborious works and sitting in one position for prolonged time.
You should also try to avoid sitting in-front of computer or laptop for prolong period.
You can take pregabalin tablets by prescription.
I hope you have got your answer.
You area welcome to as further health related query at any time from me.
Thanks.
Dr.Singh.
EMG is mostly normal.
Detailed Answer:
Hi,
Thanks for the query my friend.
Your EMG report is essentially normal to me. Except for the finding finding that, the needle EMG of his right upper limb showed only very mildly reduced recruitment in several muscle groups, I don't find any other serious concerns. You need not be worried, If these correlated with your clinical sign and symptoms i.e if numbness is less than 30 mins or muscle power is upto 4 then you should concentrate on physical therapy and must have regular follow up with your doctor.
If your symptoms are improved as compared to previous days then even with this EMG report, you may lead a normal and healthy life. For myelopathy you should include muscle straightening exercise program in you daily routine.
Try to avoid activities which demand laborious works and sitting in one position for prolonged time.
You should also try to avoid sitting in-front of computer or laptop for prolong period.
You can take pregabalin tablets by prescription.
I hope you have got your answer.
You area welcome to as further health related query at any time from me.
Thanks.
Dr.Singh.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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