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@  Asiadaug : (16 November 2014 - 02:07 AM) Thanks. I Have Seen The Fast Ltr 10-35 And Have Seen Cases Where The Va Has Apparently Agreed That Tinnitus Can Have Delayed Onset. I Did Not In Looking Over The Fast Ltr See Where They Had Ruled 10-028 Into That. And, I Am Not Sure In The Vas Issuance Of ‘policy’ Type Letters How They Might Roll In Previous Instructions Into Newer Ones. Maybe There Is Some Intranet Traceability Capability? I Was Just Curious As There ‘appeared’ To Be Conspicuous Absence Of That 10-028. I Am Assuming 10-028 Was Written In 2010. But It May Be I Should Not Assume Anything.
@  carlie : (15 November 2014 - 05:56 PM) Asiadaug - You Might Be Looking For Fast Letter 10-35, Http://www.hadit.com/forums/topic/40962-Va-Fl-10-35/ Also Check Out This Link To Links For Delayed Onset Tinnitus - They All Refer Back To Fast Letter 10-35, Https://www.google.com/webhp?sourceid=Chrome-Instant&ion=1&espv=2&ie=Utf-8#q=Tinnitus, Delayed Onset, Va Fast Letter
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Emg Test


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12 replies to this topic

#1 betrayed

 
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Posted 27 May 2007 - 09:22 AM

Long story short I have bulging disk at c6/7, neurosurgeon states from looking at spine mri that there is nerve root compression.Neurosurgeon sent me for EMG which was conducted by another neurosurgeon EMG showed bilateral carpal tunnel but it showed no evidence of cervical radialopathy (SP?). I will attach the emg results. I thought this was done to look for permanent nerve damage? My understanding the test shows no permananet nerve damage.

But does the test rule out that nerve root compression is causing problems with my right hand and arm?

Attached Files



#2 tdak

 
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Posted 27 May 2007 - 10:37 AM

Betrayed,

I also have EMG testing done on my left arm to rule out left ulnar neuropathy (which I do have and EMG showed positive for).

When an EMG is done, it is to try and pinpoint the location of nerve damage. Just because the test show "normal" doesn't always mean it is.

Chronic cervical nerve root compression refers to nerve irritation caused by damage to the disc between the cervical vertebrae, so that the disc presses on the nerve root as it leaves the bony spinal column. So maybe the EMG is correct and there is not permanent nerve damage as of this moment in time. This doesn't mean that the compression won't end up causing damage in the end.

This is from emedicine:
"The primary use of electromyography is to diagnose nerve root dysfunction when the diagnosis is uncertain or to distinguish a cervical radiculopathy from other lesions, which are unclear on physical examination. While electrodiagnostic studies are very sensitive and specific, a "normal" EMG in the face of signs and symptoms consistent with a cervical radiculopathy does not exclude the diagnosis of cervical radiculopathy."


I can remember the doctor who did my testing saying that if the needle was not in the exact location, the reading may not be precise.

Oh, if you are taking certian medicines, like muscle relaxants and cold medicines, they may interfere with the results of the EMG test too.

Tamara

#3 jbasser

 
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Posted 27 May 2007 - 11:00 AM

Betrayed, I am Service connected for Carpal Tunnel from a Herniated disk at C6.
We have the exact same condition.
The nerve root compression is most likely the cause of the carpal tunnel.

Do you have a copy of the MRI.

My EMG said the same thing. The bottom line is you have proof of a nerve root compression. If it has been ongoing for say 6 months or longer, It is most likely the damage is permanent and irreversable.

Edited by jbasser, 27 May 2007 - 11:04 AM.


#4 Hoppy

 
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Posted 27 May 2007 - 08:02 PM

Betrayed,

I want to caution you about doctors who do nerve conduction studies. Their are doctors who are crooks and I have ran into several. They lie and write misleading reports. There goal is to make it harder for you to get disability.

If you have a nerve conduction study that indicated carpal tunnel it is hard to get total disability from Social Security. It is also hard if you have a disc herniation that is not verified by a nerve conduction study. If you have a cervical disc herniated and it is verified by MRI with ridiculopathy verified my EMG then SS total disability is much easier to win. All this was told to me by my SS attorney. The doctors know the SS rules and some will try to cheat you by writing messed up reports.

I am confused by the report. It is hard to read the first couple sentences. It appears to me that there are some abnormalities other than carpul tunnel. Then he talks about carpul tunnel on the right side. I have to wonder if the reference to no riduclopathy refers to the right side only. I would not assume there is no ridiculopathy unless the doctor said that there was no indication of riducolopathy bi-laterally. This could be a sly doctor writing a vague report.

If you could re-type the first couple sentences maybe we could make more sense out of it.

Edited by Hoppy, 27 May 2007 - 08:03 PM.


#5 betrayed

 
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Posted 27 May 2007 - 08:47 PM

maybe these will help

Attached Files



#6 Hoppy

 
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Posted 27 May 2007 - 10:11 PM

The math does not tell me much. To answer your question about hand and arm pain. I have had the same pain and was diagnosed with nerve root compression with ridiculopathy. The pain was in my shoulder and bicept. There was no question that it was caused by the nerve compression. If the pain is above the elbow they told me it had to be a shoulder injury or c-spine injury. There was no evidence with x-ray or EMG of a shoulder injury. If your pain is above the elbow then you need to suspect the c-spine. The EMG does not specifically test pain levels. You can have plenty of pain and like the others say it could be that the next EMG will show the nerve slowing. The EMG tests for nerve disfunction.

#7 betrayed

 
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Posted 28 May 2007 - 04:52 AM

here hoppy

Attached Files

  • Attached File  b1c.jpg   249.86KB   19 downloads
  • Attached File  b2c.jpg   224.25KB   13 downloads


#8 betrayed

 
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Posted 28 May 2007 - 04:53 AM

and another

Attached Files

  • Attached File  f1c.jpg   277.44KB   14 downloads


#9 betrayed

 
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Posted 28 May 2007 - 04:54 AM

and the last one

Attached Files

  • Attached File  f2c.jpg   346.78KB   14 downloads
  • Attached File  f3c.jpg   304.13KB   12 downloads
  • Attached File  f4c.jpg   173.35KB   9 downloads


#10 calton

 
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Posted 28 May 2007 - 07:03 AM

Betrayed

about 10 years ago I received 50% from c4/c5/c6 causing the right arm/hand to go numb all the time, with constant pain in the right arm and hand.

I also had the EMG, and they ruled that the carpal tunnel in both hands was not related to the problems with c4/c5/c6.

Subsequently, I had an operation for the carpal tunnel in my left hand and it is now doing well.

The pains are getting so bad, in both arms, that I went back and complained.

Last week I had another EMG, and all the neuro. said is that the carpal tunnel in my right hand is so serious that I need an immediate operation or there will be some other serious problems, but they did no elaborate. The neuro. told me nothing else.

When I get some written results, I will let you know how it works out.

#11 jbasser

 
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Posted 28 May 2007 - 07:21 AM

Betrayed, (Chief) Keep an eye out for other symptoms from your Nerve Root compression.

The C spine acts as a Circuit breaker in the body.

Also remember that nerves dont have to show compression. The Neural foramen sometimes narrows and causes problems also.

I can show you an example if you need one.


J

#12 betrayed

 
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Posted 28 May 2007 - 01:31 PM

I can show you an example if you need one.
J



please do I have both MRI's on CDROM pretty neat, mine is so bad even I spotted it in a flash

#13 betrayed

 
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Posted 29 May 2007 - 04:30 AM

MRI PICS

Attached Files