Howdy all, my turn to ask for "opinions" on what I am going to post - and yes I know none of us are doctors. :-) On the 8th of April I had a bad run in with a Neurologist who had a fit when he found I was allergic to Latex, and wouldn't get Nitrile gloves or accept the ones I keep with me for such occasions. Please see post number 36 at for the whole deal: http://www.spine-health.com/forum/sciatica-leg-pain-radiculopathy/neckie-joins-backie-club-long
My neck is a mess, but it has seemed manageable to the point I am/was thinking my back issues could be addressed now. I am beginning to wonder now after my last NCS (NCV).
In June 2009 before my fusion for C6/7 my results were: (these two tests were taken by the way at the same doctors office, and by the same person) - I am just listing the NCS not the EMG as I am now scheduled in 2 weeks for a upper extremity and upper spine EMG due to these results...
June 19, 2009
"Evaluation of the Right Ulnar Anti Sensory nerve showed prolonged distal peak latency, reduced amplitude, decreased conduction velocity (Wrist-5th Digit) and decreased conduction velocity (A Elbow-B Elbow). The Right Median Motor nerve was unremarkable. The Right Ulnar Motor nerve was unremarkable. The Right Median Anti Sensory Nerve was unremarkable.
IMPRESSIONS: The above electro-diagnostic study reveals evidence of moderate chronic C6 and C7 radiculopathy on the right. Mild right ulnar sensory neuropathy below the elbow."
Now this one - again NCS/NVC only...
"Evaluation of the Right Median Motor nerve showed reduced amplitude. The Right Median Anti Sensory nerve showed no response (Elbow), no response (Axilla), no response (Erbs), prolonged distal peak latency, reduced amplitude, and decreased conduction velocity (Wrist-2nd Digit). The Right Median Acr Palm Anti Sensory nerve showed prolonged distal peak latency (Palm).
IMPRESSIONS: The above electro-diagnostic study reveals evidence of a moderate right carpal tunnel syndrome (median nerve entrapment at wrist) affecting sensory and motor components."
Okay, now I did a bit of research, and am trying to figure out (and the graphs show pretty much what he listed for "lack of activity" in the nerve areas), how in the world would he only come up with Carpal Tunnel when there is obviously problems up beyond the shoulder? The Axilla and the Erbs involve relation to the C5/6/7 - the Ulnar, C7/T1 (C8 nerve root). I also had a full physical assessment from top to bottom the other day, and the "feeling" of the doctor is my C7/T1 is going, and there are impingement issues within my present fusion areas.
The doctor that gave the "IMPRESSIONS" by the way, is the one I refer to in my post referenced above. His findings don't seem to match the machine? I am therefore asking you my fellow spineys (that I know aren't doctors, and will take such insight as such) what you all think. From the numbness from my hand to my armpit, and related pain and zings ...I think a lot is going on, and this is not going to be a good year! Thanks in advance guys!!!
PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.