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Lubbock, TX
A 32-year-old male asked:

Thinking i have als. doctor did emg just right arm and neck and said i have nothing to worry about. no signs of als or peripheral neuropathy. ?

3 doctor answers6 doctors weighed in
Dr. Robert Kent
Physical Medicine and Rehabilitation 12 years experience
If you do not mind: Me asking, but why do you think you have als? It certainly must be a scary thought. If you do think you have it, get a second opinion, but know there are many objective tests, like emg's (if done correctly) that can point toward the diagnosis. I certainly hope its not als, but each person knows their body best, so keep listening and find the correct diagnosis. Best of luck!
Dr. Robert Kent
Dr. Robert Kent commented
Physical Medicine and Rehabilitation 12 years experience
Provided original answer
Also know that emg's are very user dependent. Try to get a second opinion with experience diagnosing als via emg. If the emg and imaging is negative, discuss other possibilities with your neurologist.
Feb 3, 2014
Dr. Adam Lewis
Neurosurgery 35 years experience
ALS: Amyotrophic lateral sclerosis or lou gehrig's disease is a degeneration of upper and lower motor neurons. The diagnosis is made with an EMG and additional tests may include a lumbar puncture and an mr i of the brain and spinal cord. A second opinion with a neurologist will provide you some reassurance.
Dr. Julian Bragg
Neurology 17 years experience
Depends on symptoms: Als is a disease of the upper and lower motor neurons. If you are experiencing lower motor neuron symptoms (e.g. Twitching, weakness) in the right arm but the EMG in that region is normal, it argues strongly against ALS as the underlying diagnosis. It does not exclude the possibility of upper motor neuron disease in that limb or other issues elsewhere in the body, however.

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Last updated Apr 8, 2016

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