TeleEMG.com Patient FAQs Series

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Neck, Carpal Tunnel & Arm FAQs
Copyright © 2002 Joe F. Jabre, M.D. All rights reserved

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Use of EMG in C Spine problem Top

Question

I need some advice, last year I had my c6-c7 disc removed and fused with hip bone and metal plate. All was well for one year now I have a herniated c5-c6 disc. My doctor wants to do a c6 nerve root block, right now I’m doing traction treatment but that’s not working, I’m trying to get some advice on whether an EMG would be a good idea instead of the nerve root block. Don’t want to do surgery again only as last resort. They brought up the idea of steroid injections to get rid of pain in neck and shoulder so I can continue my career. Any advice please reply

Answer

In situation like yours, I would want to know what is causing the recurrent symptoms before I treat and an EMG (you can't have an MRI because of the metal plate) would be very helpful.

 

Post cervical disc operation radiculopathy Top

Question

What is usually done for a cervical disc problem that causes Radiculopathy in an extremity?

Answer

The great majority of them get better on their own, with time and conservative treatment (anti-inflammatories, Physical Therapy, changing work habits..). In the more severe cases, or in cases which significantly interfere with daily activities, surgery may be indicated.

 

Nerve injury due to bulged disc, is it reversible? Top

Question

If a disc has caused nerve damage in an arm, will it be permanent or can it be fixed?

Answer 1

Nerve damage is reversible when the nerve is still connected (in continuity) and the cause of the damage has been removed. Disc bulges usually leave the nerve connected, so when the cause is eliminated (or gets better on its own) the nerve regenerates. Nerve growth is slow though, about 1 mm/day.

 

Mixed median nerve neuropathy with demyelinating features Top

Question

I was tested two years ago and was just advised today that I have the above diagnosis. I would like more information as I was told there is nothing to do since the damage has been done, except pain control and seeing a neurologist. Where do I find out more about this?


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