![]() There is a very clearly diagnosed issue you have, meaning your results are very explainable. A herniated disc then pushes into nerves in the spine and this can cause pain, numbness, tingling and inflammation which can make even simple movements difficult. So just breathe, this EMG is not telling the story of ALS. When the inner nucleus of the disc breaks out of the annulus and leaks into the spinal canal you have a herniated disc. My follow up only to check for surgery to see if I needed it was clean. But nope it was Ulnar neuropathy, due to leaning on my elbow all the time, causing a lesion on my Ulnar nerve. My first EMG showed PSW in two of my Ulnar nerve muscles and I thought for sure I was a goner. Your EMG is not showing anything like an ALS pattern. If you had ALS almost all muscles tested would be abnormal, showing both acute and chronic dennervation. Many nerve injuries, irritations, and neuropathy will show up on EMG with PSW. I think many focus on that and need to understand it's more than just PSW for ALS. So either the disc is compressing the nerve root in your lower back or you have some nerve root irritation which you can have without disc compression on the nerve. Your EMG is diagnostic for Radiculopathy.
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