Neurology

Ask a Neurologist. Get Answers to Your Neurology Questions.

Ask a Doctor,
Get an Answer ASAP!

Neurology
This answer was rated:

I'm a 35 year old male who experience a strangle spasm in my…

Hi,I'm a 35 year old...
Hi,I'm a 35 year old male who experience a strangle spasm in my left thumb and index finger a few weeks ago - followed by some pain and soreness that went up my wrist into my forearm for a few days. A few days after that I woke up with numbness in the on the back of my thumb (which may be unrelated, and more to do with me sleeping with my wrist bent - I can cause pins and needles in this exact area by pressing on a certain spot on my forearm) I may have over compensated due to anxiety (done pushups etc) but over the next week or two the pain progressively moved up my arm into my forearm / bicep and shoulder. I saw a Neurologist, and presented a normal physical exam, but to rule out ALS (which was my fear) he ordered and performed an EMG. The NCV test was normal, but the needle test summary is as follows: "Needle evaluation of the Left abductor Pollicis brevis and the left first dorsal interosseous showed increased insertional activity, slightly increased spontaneous activity, and diminished recruitment. The Left low cervical paraspinal muscle showed increased insertional activity. All remaining muscled showed no evidence of electrical instability”other muscles tested: Pronator Teres / Bicep/ Tricep/Deltoid/Cerical parasp mid / Felx Carpi UlnMy grip remains very strong, my arm and hand feel sore and a little ‘off’ but I have no problem with any daily functions and my thumb and index finger grip are quite strong.According to the doctor, this rules out ALS and suggested sub-acute C8 radiculopathy. He told me I definitely do not have ALS and should start working about more important things, but I am a worrier and any second opinion insight into this would be very helpful toward my own piece of mind.Thank you.
Show More
Show Less
Ask Your Own Neurology Question
Answered in 5 minutes by:
9/20/2017
DrRussMd
DrRussMd, Board Certified MD
Category: Neurology
Satisfied Customers: 65,666
Experience: Internal medicine doctor, diagnose and treat neurology patients, many years
Verified

Hi.
Welcome to just answer. I am here to answer questions for education and information. I will respond shortly with an answer, or a question for you

Ask Your Own Neurology Question

This finding is consistent with disc disease in the cervical spine.

You need an MRi of the spine so that you can get the correct physical therapy.

Such disc disease is common, and can be reversed.

If you leave it go, you will develop a more chronic problem and might wind up having surgery.

This is the real problem. You don't have ALS, but you do have a problem that needs immediate intervention.

OK, let me know if you have more questions.

Please also click a 5 on the rating scale. This gives me maximal credit with just answer, costs you nothing, but sees that I am credited and paid. I will be here for any follow up question. Thanks.

Ask Your Own Neurology Question
Customer reply replied 5 months ago
Thank you - What about this specific test eliminates ALS as a diagnosis? I made the mistake of reading about 'split hand syndrome" where these two particular muscles (abductor Pollicis brevis and the left first dorsal interosseous) were early indicators - that's what really scared me. I have an MRI scheduled for tomorrow. Also - do you suspect that the numbness on on the back side of my thumb that can be exacerbated by pressure in a specific area on my forearm (tinels sign i believe) is indicative or a separate issue?

It does not show anterior horn cell neuron disease in the spine.

It shows peripheral damage to do radiculopathy which is from disc compression of the nerve.

These symptoms are all part of the same issue.

ALS is not in the picture.

Please also click a 5 on the rating scale. This gives me maximal credit with just answer, costs you nothing, but sees that I am credited and paid. I will be here for any follow up question. Thanks.

Ask Your Own Neurology Question
Customer reply replied 5 months ago
Thank you, best $58 i've ever spent.

Please click a 5 or I am not fully credited or paid.

You have to do that on the rating scale.

Let me know if you do not see it.

thanks

DrRussMd
DrRussMd, Board Certified MD
Category: Neurology
Satisfied Customers: 65,666
Experience: Internal medicine doctor, diagnose and treat neurology patients, many years
Verified
DrRussMd and 87 other Neurology Specialists are ready to help you
Ask your own question now

Thanks, ***** ***** save time and find me by request for fast and accurate answers.

Ask Your Own Neurology Question
Customer reply replied 5 months ago
Dr. Russ are you still available?

Hello.

What is the question?

Ask Your Own Neurology Question
Customer reply replied 5 months ago
I'm still having cramps in the muscles near my thumb and index finger, and I can't help but be a little putt off by them. Is this normal in the disc disease you mentioned? - Perhaps they are residual from the needle test (or even anxiety). Truthfully, the more you can hammer home to me that there is no POSSIBLE way this ALS the better. I can upload a pdf of the EMG test if helps. You have been very reassuring so far, unfortunately hand cramps are a constant worrysome reminder and hard to ignore.

You need further work up, but not for als.

Have your neurologist order an MRI of the cervical spine.

After examining the hand.

Disc disease can cause pain and fasciculations.

Ask Your Own Neurology Question
Customer reply replied 5 months ago
I had an MRI yesterday - awaiting results. So the information I provided you on the EMG 100000% rules ALS out?

Yes.

Ask Your Own Neurology Question
Customer reply replied 5 months ago
Thank you. I will make sure to take all steps needed to correct this issue. Provided the issue is disc disease, as it appears to be, is there any reason for me to curb activities like typing, video games, etc that use that thumb and finger? Other than the cramping it occasionally causes?

It depends on the physical therapy assessment and what the therapist tells you.Until then take it easy.

Ask Your Own Neurology Question
Customer reply replied 5 months ago
Got it. Last part to the question and I'll let ya run: I understand that nerves heal relatively slowly? i.e. Once the condition causing numbness on the dorsal side of my thumb is corrected it may take some time for the feeling to fully return? Could you maybe give me some insight on what to expect in that regard? I've always wondered, especially because I still have a distinct lack of feeling in my inner thigh almost 2 years post open inguinal hernia surgery. Doesn't bother me but i've always wondered. Thanks in advance!

Six months to a year once the cause is removed.

Ask Your Own Neurology Question
Customer reply replied 5 months ago
Thanks a lot. I appreciate your time and have a great night.

Any time.

Any questions.

Ask Your Own Neurology Question
Customer reply replied 5 months ago
Hi, I rec'd MRI results and would like to ask you a few questions about them. Happy to pay for the time.

Sure

Ask Your Own Neurology Question
Customer reply replied 5 months ago
The summary of the MRI is as follows:Mild degenerative changes of the cervical spine. No significant canal narrowing.Mild right foraminal narrowing at c3-c4No cord signal abnormality.So it appears not to be c8 radiculopathy as my Dr. suggested. what else would it be?
Customer reply replied 5 months ago
I can send you a copy of my EMG report, or this MRI report if needed.

Yes this is an indication for the correct manual medicine program. It is not any where near to a surgical problem.

It is not anything else. We have been over the EMG.

You don't have als.

However, degenerative disc disease will become a big problem in 10 years if you do not address it.

You need to see an MD specialist of physical medicine and rehabilitation. This doctor will give you a variety of modalities to build up the spine and get rid of any associated pain.

Ask Your Own Neurology Question
Customer reply replied 5 months ago
I have an appt. with a physical therapist. Overall i am feeling somewhat better, and I understand that i do not have ALS - i'm just wondering what would cause the reduced recruitment findings on the EMG? are they minor enough to be a fluke?

They are minor enough to be from nerve irritation from spinal degenerative disc disease.

Ask Your Own Neurology Question
Customer reply replied 5 months ago
does that happen? Like a nerve just gets "tweaked" and has a spasm like i had initially, and then just heals over time with therapy?ps. let me know how I can get you extra compensation from this.

Yes that is correct.

Ask Your Own Neurology Question
Customer reply replied 5 months ago
how can i pay / tip you for this time?

I have no idea.

Just find me by request in the future on a new post.

Ask Your Own Neurology Question
Customer reply replied 5 months ago
I will. Thanks.

anytime

Ask Your Own Neurology Question
Was this answer helpful?
Ask DrRussMd Your Own Question
DrRussMd
DrRussMd
DrRussMd, Board Certified MD
Category: Neurology
Satisfied Customers: 65,666
65,666 Satisfied Customers
Experience: Internal medicine doctor, diagnose and treat neurology patients, many years

DrRussMd is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Mark

Dr. Mark

Neurologist (MD)

1,985 satisfied customers

Neurosurgeon - Brain, spine, and peripheral nerve surgery

Jack Scariano Jr

Jack Scariano Jr

Neurologist (MD)

1,056 satisfied customers

Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine

Dr. Bob

Dr. Bob

Neurologist (MD)

3,731 satisfied customers

Neurology & Int Medicine (US Trained): 20 yrs experience

healthydoc

healthydoc

Board Certified Physician

1,851 satisfied customers

Board Certified U.S. Neurologist

Dr. F

Dr. F

Board Certified MD

266 satisfied customers

Neurosurgeon with more than 20 years experience in practice and teaching.

Phytube.com

Phytube.com

Neurologist (MD)

86 satisfied customers

Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications

Stroke Doc

Stroke Doc

Board Certified Physician

51 satisfied customers

I am board-certified in Neurology and the subspecialty Vascular Neurology.

< Previous | Next >

Related Neurology Questions
I've been dealing with fasciculations in calves and upper
Hi I've been dealing with fasciculations in calves and upper arms for 5 months now .had an EMG of my lower legs it said it was normal but I just had a brain MRI with the dye and my muscles are going w… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,115 satisfied customers
Double vision with both eyes open. no double vision with
double vision with both eyes open. no double vision with either eye closed. no other symptoms. age = 90 … read more
Dr Stan
Dr Stan
DO
2,723 satisfied customers
Why has my grandson stopped talking after his seizure
Why has my grandson stopped talking after his seizure please … read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
657 satisfied customers
I have had ringing in both ears since November 5, and have
Hi, I have had ringing in both ears since November 5, and have seen2 ent doctors. The second doctor gave me a blood test and told me that I an abnormal test result, an anti 68 kd positive. He says als… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,115 satisfied customers
My mum is 85 years old and she says there is plastic growing
Hi my mum is 85 years old and she says there is plastic growing in the foot and taking over her toes. I know this is a neuropathy related problem, do you know a name for it so I can tell her doctor? … read more
Dr.Sawhney
Dr.Sawhney
Post-Doctoral Degree
6,381 satisfied customers
Ild bilateral periventricular matter hypodensity present.
ild bilateral periventricular white matter hypodensity present. This was stated regarding a recent unenhanced CT of the brain. What is the significance? … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,115 satisfied customers
I have been diagnosed with "orthostatic hypertension" which
I have been diagnosed with "orthostatic hypertension" which means I sometimes get dizzy when standing after lying down or the opposite. This 1st occurred in December 2017 as I recall and went away aft… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
My husband wanted me to get your opinion. For years now, out
My husband wanted me to get your opinion. For years now, out of the blue, I will get a whiff of a strong, sweet ‘perfumy' scent. No one else smells it. It is so strong that I want to cover or plug my … read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
Unless I take a daily “dehydration cocktail”, about every
Unless I take a daily “dehydration cocktail”, about every 2days I develop a severe sharp pain in my head. I have thought this was a dehydration issue but I'm not sure. Could a neurologist help me.? … read more
Dr. Bob
Dr. Bob
Neurologist (MD)
Doctoral Degree
3,731 satisfied customers
I have a muscle problem in relation to sitting muscles or
I have a muscle problem in relation to sitting muscles or any other muscles under influence of sideways physical pressure. These and only these muscles become painful, fatigued. Pain remains for a wee… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,149 satisfied customers
I had a seizure yesterday what type of dr do i need to see.
i had a seizure yesterday what type of dr do i need to see … read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,737 satisfied customers
About 3 weeks ago I started having pain in my left back
About 3 weeks ago I started having pain in my left back between the ribs and top of the hip. 4 days later I also had a burning pain at my left shoulder blade. Also had numbness and tingling down the b… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,149 satisfied customers
I had surgery Feb 14th 2017 for release of medium nerve and
I had surgery Feb 14th 2017 for release of medium nerve and carpet tunnel .prior to surgery symptoms were numbness tingling pain ,but my hand fingers thumb all function 100%,after the surgery i lost t… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
I developed myoclonus in 2015 while taking Lexapro; in the
I developed myoclonus in 2015 while taking Lexapro; in the 3rd month of taking the drug it started happening every minute or so all day. Dose reduction reduced the side effect, and after I stopped it … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I had surgery for an inguinal hernia in october 2017 for an
I had surgery for an inguinal hernia in october 2017 for an injury from july 2017. I believe I also tore some abdominal muscles and have experienced a lot of pain and discomfort since surgery.. The su… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,149 satisfied customers
My husband was hit by an 18 wheeler over 4 months ago and
My husband was hit by an 18 wheeler over 4 months ago and has had major dizziness since the accident. He has been to the doctor multiple times and they say he needs to see a neurologist but we can not… read more
Dr. Bob
Dr. Bob
Neurologist (MD)
Doctoral Degree
3,731 satisfied customers
I was seen by a neurologist last week. He stated that I
I was seen by a neurologist last week. He stated that I needed a "back replacement" and obviously that can not be done. I have had steroidal injections over the past 4 years. I have spinal stenosis L4… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
I am experiencing tingling on my legs whilst coughing and I
I am experiencing tingling on my legs whilst coughing and I have started experiencing tingling on my fingers and hands after coming from the flu … read more
Expert
Expert
6,909 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x