Welcome to Just Answer. I am an Adult Neurologist and was contacted to answer your question.
Hello. yes you can have bilateral SI joint problems, or piriformis syndrome, but you should have weakness, EMG changes, and exam changes to suggest a severe problem
as you are offline, please get back to me to discuss this further. Dr Frank T
Hi, I am avaiable now. How do I get online?
What do you suggest given all that I have trie? I have heard of a MR Neurography scan. Would this be helpful?
I have had a nerve conduction study and I was only told that it was normal. They only check the nerve response in my feet where I was feeling the tingling at that moment. Nothing was done in that test to chec the fasiculations in my calves though.
If there is entrapment, wouldn't knowing where the entrapment is assist in the treatment of the condition?
Do you suggest another EMG requesting those specific things you mentioned?
Ok, I will return to the last Neurologist I saw then. I didn't go back for the EMG he suggested because he seemed a bit disingenous as he listened very little to what I had to say and said he could not see the very obvious calf fasiculations with his naked eye (although all the referring doctors saw them). He was onluy insistent that I only come back to do an EMG with him (which of course he would get more money for) as that was the only way to tell for sure.
Seems a bit crazy that I would have all these symptoms and no problem!
I also maybe should have mentioned that I have a Syrinx in the Thoracic region. It is long and narrow and the Neuros have told me the symptoms I am getting are not from my thoracic spine so it is just asymptomatic. Would you agree with that?
Thanks a lot, Doc. I will get back to you when I have the results.
Ok, will do! Thanks again.
Hi doc, I had the EMG and Nerve Conduction Study done today. The Neuro synopsis was:
"NCS are Normal. Muscle sampling shows occassional fasiculations but no giant potentials"
Rt Sural - Amp (uV): 6.3
Rt Sural - Lat (MS) - 5.3
Rt Lateral Popiteal Nerve (SE on EDB):
DML - 4 - ms
CMAP (ankle) - 7 - mV
CMAP (knee) - 7 mV
F-wave latency - 56 ms
NCV - 48 - Ms (to the negaive one power)
Rt Posterior Tibial Nerve (SE on AH):
DML - 7 ms
CMAP (ankle) mV
Rt/Lt Medial Gastrocnemius - 0 Fibs, + Fasics, I/P normal.
The pain and tingling still exist though. Does it just mean that I have nerve irritation but not nerve damage?