Hi, My name is Robert and am a new member here. just a little about my problem, i injured my back in 2007 while at work. had an operation ( lapendectomy (sp*) at L5/S1) in nov 2008. still in a lot of pain daily in my legs and feet and seeing pain management for 3 years now. on medication ( methadone 10mg tablets - 3 tablets every 6 hours for pain ) and just had a test done a month ago with a neurologist and got a copy of the results and have NO clue what they mean. here are what the 2 letters said completely....
Nerve Conduction Study - Lower Extremity
The left peroneal nerve was stimulated 8cm proximal to the exstensor digitorum brevis at the dorsum of the ankle and a 5.1 mv potential was obtained at a distal latency of 4.0 ms. The peroneal nerve was again stimulated over the fibular head proximal to the foot and a 5.0 mv potential was obtained with conduction velocity to the foot of 51 m/s. When the peroneal nerve was stimulated at the popliteal fossa a 5.3 mv potential was obtained acheiving a conduction velocity of 53 m/s across the knee.
The left tibial nerve was stimulated 8cm proximal to the abductor hallicus at the medial tibial malleolus and a 5.4 mv potential was obtained at a distal latency of 3.9 ms. More proximally, the tibial nerve was stimulated at the popliteal fossa and a 5.3 mv potential was obtained with conduction velocity of 56 m/s to the foot.
Tibial and peroneal nerves were stimulated antidromically at the ankle and the tibial F-wave was 42 ms. The peroneal F-wave was absent. The tibial nerve was stimulated again at the popliteal fossa orthodromically and impulses were recorded from the gastrocnemius. The H-reflex was 41 ms.
The sural nerve and superficial peroneal nerve were stimulated over the lateral leg 7 cm proximal to the foot and were normal.
This NCV study is ABNORMAL due to absent peroneal F-wave and slightly prolonged H-reflex which suggests left S1 radiculopathy.
Electromyography - Lower Extremity
Electromyographic studies were performed of the left lower extremity to better evaluate the lumbosacral roots. Standard muscles were evaluated in the lower extremity and included the vastus lateralis, tibialis anterior, gastrochnemius, and peroneus longus. Motor unit potentials were analyzed with regard to morphology, recruitment, insertional activity and spontaneous discharges so that data regarding acute denervation, chronic denervation, anterior horn cell degeneration and myopathy could be obtained.
this EMG is NORMAL.
ANY help in understanding this is greatly appreciated. i know a doctor should tell me, but i do not see the dr until mar. 11 and i cannot wait 4 weeks to find out cuz it is driving me insane wondering. i am constantly in pain and am hating to take meds daily. thank you