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A 27-year-old female asked:

negative emg - diagnosed with ulnar neuropathy. is surgery still beneficial as a preventative measure (to avoid muscle wasting) at this stage?

2 doctor answers2 doctors weighed in
Dr. Bert Liang
Specializes in Neurology
It depends : If the ulnar neuropathy was demonstrated from an imaging study showing a compression or other specific cause surgery might be beneficial but the lack of correlation to the EMG/NCV is bothersome. Discuss further with your doctor about the benefits of surgery and the current diagnosis before proceeding would be a suggestion.
Dr. Jeremy Bland
Neuromuscular Medicine 40 years experience
-ve EMG is OK: EMG/NCS have quite a significant false negative rate for ulnar neuropathy at the elbow so the diagnosis remains possible but it could be argued that if there is no measurable nerve damage and no wasting or weakness now, it would be reasonable to try less aggressive measures first. Conservatively treated cases seem to do more or less as well as surgically treated ones overall.

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I have tingling feet my MRI shows L5 -s1 bulging disc with mid atrophy of some muscles around l5-4-3 . My doctor tingling feet. Are because of and this disc hasn't. Caused it. He gave me nortriptilin is my doctor right? I still have tingling feet and som

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Last updated Jul 13, 2017
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