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Old 01-11-2013, 05:16 PM   #1
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Nerve Conductor Test

Has anyone here have a positive nerve conductor test and down the road it shows no sign of neuropathy?

Plus, I am in more pain now than ever before.

As stated before, my pain is in thighs and bottoms and sides of feet.

Just had a lumbar mri and should get the results next week.

Wondering if it is Meralgia Paresthetica and sciatica issues.

 
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Old 01-11-2013, 10:46 PM   #2
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Re: Nerve Conductor Test

Quote:
Originally Posted by LasVegasgirl View Post
Has anyone here have a positive nerve conductor test and down the road it shows no sign of neuropathy?

Plus, I am in more pain now than ever before.

As stated before, my pain is in thighs and bottoms and sides of feet.

Just had a lumbar mri and should get the results next week.

Wondering if it is Meralgia Paresthetica and sciatica issues.
My previous post was a little unclear.

I have had two prior nerve conductor tests performed by a neuro I have gone to for the last seven years and those tests stated mild PN.

I just had another nerve conductor test ran from a different neuro and it states no PN. It really confused me as I still have the same symptoms.

I think I probably have a couple issues going on but this just doesn't make sense to me.

I may be posting this to soon as I have not received the results from my mri. But I am a little frustrated.

The more I read about the type of pain I am experiencing in my left leg, I think it may be caused by Meralgia Paresthetica and/or sciatica issues.

Any thoughts are very much appreciated.

 
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Old 01-16-2013, 02:18 PM   #3
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Re: Nerve Conductor Test

Quote:
Originally Posted by LasVegasgirl View Post
My previous post was a little unclear.

I have had two prior nerve conductor tests performed by a neuro I have gone to for the last seven years and those tests stated mild PN.

I just had another nerve conductor test ran from a different neuro and it states no PN. It really confused me as I still have the same symptoms.

I think I probably have a couple issues going on but this just doesn't make sense to me.

I may be posting this to soon as I have not received the results from my mri. But I am a little frustrated.

The more I read about the type of pain I am experiencing in my left leg, I think it may be caused by Meralgia Paresthetica and/or sciatica issues.

Any thoughts are very much appreciated.
Did not know if I should have posted a new thread on this but I did receive my mri results.

Everything looks good but I do have mild facet disease on L4-5 and L5-S1.

I had a lumbar mri two years ago and it said the same thing. So this mri states no change from the last mri.

So now I am really confused as my leg pain became constant pain around 2/2012. If my mri has not changed and now my nerve conductor tests shows no PN what would be causing all of this pain? I am now sure these doctors are going to think I am making this stuff up. But this pain is for real.

I really don't know where to turn or what to do......

 
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Old 01-19-2013, 09:37 PM   #4
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Re: Nerve Conductor Test

Hi, you really need more testing, a neuro that knows what he/she is doing would do an emg to test the larger nerves and a skin punch biopsy to test the small fibre nerves.
A nerve conduction test alone is not enough to get a full picture of your problem.


Regards
Aussie.

 
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Old 01-19-2013, 11:51 PM   #5
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Re: Nerve Conductor Test

Quote:
Originally Posted by Aussie100 View Post
Hi, you really need more testing, a neuro that knows what he/she is doing would do an emg to test the larger nerves and a skin punch biopsy to test the small fibre nerves.
A nerve conduction test alone is not enough to get a full picture of your problem.


Regards
Aussie.
Hi Aussie,
Is a skin punch biopsy the same as when he took a needle with the electroydes on each group? He did not remove any tissue to biopsy it.

This neuro is friends with my current neuro and was clearly upset that I was there. I told him, I only came to see him because he offices with the MS specialist I only wanted to see. But his office wanted me to see him first. I did not want these additional tests but thought if I cancelled the tests, it would further cause him upset and may not get into the MS specialist.

Now, these last few days, my left leg is worse and I am having cramping in both calves and behind both thighs. Just standing for short periods is causing major squeezing in left thigh. Plus over the last two days, I clearly have plantar fascitis again in both feet and can hardly step on them. Two years ago dx with plantar's in both feet and this feels the same with the exception of severe itching at times and the open sore feeling on outer sides of feet and now this open sore feeling is running straight across of bottoms of feet about an inch under the bottom of toes which I did not have before. I don't know if I should go back to a podiatrist and if they can see nerve damage besides plantar tears. Do you know?

My husband thinks I should stop all of this testing and call it an MS thing. But as I told my husband and this neuro, all I want to do is find out what is wrong and what I am dealing with, wouldn't he want to know if it was him.

Thank you for your post Aussie. I value your opinion.

Hugs!

 
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Old 01-20-2013, 01:25 PM   #6
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Re: Nerve Conductor Test

I would find a neuro that is competent in dealing with peripheral nerves conditions, ask around large teaching hospitals [neurology departments] for neuro's that come highly recommended in dealing with the peripheral nervous system and conditions, then you will get proper testing and if needed reffered to other specialist.

It was my experience in the beginning of my neuropathy that there is a lot of neuro's out there that don't know much at all about the peripheral nervous system, the first professor of neurology I had game me the wrong test for the symptoms I had, then told me he didn't think I had any burning symptoms, my feet were on fire at the time, what an idiot, that was it for me, done my own research and found a neuro that come highly recommended from other people in the neurology field.

best of luck to you.
Aussie

 
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Old 01-21-2013, 07:59 AM   #7
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Re: Nerve Conductor Test

I usually post on the Back board but wanted to add a couple comments. Your comments, Las Vegas girl, indicate to me that your back issues could be causing the type of pain you are describing.

Without knowing more about your lumbar MRI, I can't give you too much information...but, just in general, facet joint disease can be painful. If you look online for a "dermatome map" you will be able to see what areas of the body are innervated by the L4, L5 and S1 spinal nerves. Facet disease can cause the joints to enlarge, the growth of osteophytes and other changes that result in some nerve compression. When these nerves are pinched, it results in pain that can radiate down the leg into the foot.

The EMG/nerve conduction study are subjective tests that are only as good as the person giving the test and the person interpreting the results. It is not unheard of to get different results if you have tests from different doctors.

Losing feeling in toes, etc. can be a first sign of spine problems. I was diagnosed with PN around 2000 but didn't develop any other signs of spine problems until 2005. It wasn't until 2008 that the doctors decided I never had PN...that the numb toes were a result of the nerve compression I had due to spondylolisthesis.

If you go to a podiatrist, they will probably find something wrong with your feet...in part because they won't be looking any higher up in your body. If your symptoms continue or worsen, you might want to go to a spine specialist for an evaluation. This would be either a fellowship-trained orthopedic spine surgeon or a neurosurgeon. All issues would be treated conservatively, with surgery only considered as a last resort. (Some people avoid a spine surgeon, thinking if they go they will end up with surgery. This is not the case!)

 
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Old 01-23-2013, 01:26 PM   #8
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Re: Nerve Conductor Test

Quote:
Originally Posted by teteri66 View Post
I usually post on the Back board but wanted to add a couple comments. Your comments, Las Vegas girl, indicate to me that your back issues could be causing the type of pain you are describing.

Without knowing more about your lumbar MRI, I can't give you too much information...but, just in general, facet joint disease can be painful. If you look online for a "dermatome map" you will be able to see what areas of the body are innervated by the L4, L5 and S1 spinal nerves. Facet disease can cause the joints to enlarge, the growth of osteophytes and other changes that result in some nerve compression. When these nerves are pinched, it results in pain that can radiate down the leg into the foot.

The EMG/nerve conduction study are subjective tests that are only as good as the person giving the test and the person interpreting the results. It is not unheard of to get different results if you have tests from different doctors.

Losing feeling in toes, etc. can be a first sign of spine problems. I was diagnosed with PN around 2000 but didn't develop any other signs of spine problems until 2005. It wasn't until 2008 that the doctors decided I never had PN...that the numb toes were a result of the nerve compression I had due to spondylolisthesis.

If you go to a podiatrist, they will probably find something wrong with your feet...in part because they won't be looking any higher up in your body. If your symptoms continue or worsen, you might want to go to a spine specialist for an evaluation. This would be either a fellowship-trained orthopedic spine surgeon or a neurosurgeon. All issues would be treated conservatively, with surgery only considered as a last resort. (Some people avoid a spine surgeon, thinking if they go they will end up with surgery. This is not the case!)
Hi Teteri66, thanks so much for the dermatome map information. It is an interesting tool to read about and does show the area's I am having pain at.

I honestly think a good part of my issues are caused from my MS. Because MS attacks the myelin sheath. But then it could be lumbar issues too. But my MRI says mild facet disease, more so on left side (which is where the most pain is). My pain is not mild one bit.

I don't have numbness, tingling or loss of feeling. I don't have sensitivity on feet that is written here so much. The classic signs that are posted here and that I have read about, do not pertain to my issues. That is why I am so confused.

I also have carpal tunnel in both hands and really think this is all caused by inflammation due to my MS. But have not found a doctor that will even discuss anything about MS or PN.

I appreciate your advice and Aussie's and will try to find a Neuro who specializes in PN. I do have an appointment at the end of March with a MS Specialist.

Thanks again, for your posts. It was very informative.

 
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Old 01-10-2014, 09:05 AM   #9
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Re: Nerve Conductor Test

I found immediate relief from my Plantar Fasciitis, not from my night splint boots, but from Adidas Adissage Slides, those ugly black sandals, with the nubby things sticking up. I couldn't put my foot on the floor in the morning it was so bad, but with these sandals, after a few tortured steps, I was walking! Best advice I ever took from a podiatrist! My feet have been pain free for years. It's worth a try.

 
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