To: Erica Thiel
Subject: EMG results
1) There is electrodiagnostic evidence for very severe residual right median neuropathy at the wrist (carpal tunnel syndrome.) .
2) There is electrodiagnostic evidence for a moderately severe residual left median neuropathy at the wrist ...
3) There may be a mild underlying polyneuropathy given the presence of mild conduction velocity slowing in motor and sensory nerves. Clinical correlation is required.
4) There is no convincing electrodiagnostic evidence for a cervical radiculopathy on either side
In short you need to keep the appointment with hand clinic for the carpal tunnel syndrome. Are you wearing braces for that at night/during day? For the possible polyneuropathy we should check vitamin b12 and folic acid levels as well as for diabetes. I have placed the orders if you could come to clinic at your convenience for lab check. What are your thoughts? PJS, MD