EMG Procedure

[helenlegs 11]

So it could be used to find the site of entrapment possibly. Say if imaging shows numerous abnormalities or potential areas of entrapment that could entail separate surgical procedures, the ENG test could confirm the most symptomatic site.

Dr. de Bisschop, whose father is a neurologist believes he can locate the area of entrapment with the electrophysiological testing but he's the only doc I know of who claims to be able to do that. Funny thing was before my surgery de Bisschop and Bautrant were not in agreement on where the entrapments were but as it turned out during surgery I was entrapped in every one of the places that either of them predicted I would be. Maybe just lucky guesses, right? We really don't know of any test yet that is proven to be 100% accurate all of the time for locating entrapments.

Exactly Violet BUT with all of this good EMG information and better imaging I think with the right clinical examiner could make that lucky guess into a very educated one. I suppose it doesn't matter too much if you decide to have the op and the entrapment(s) are found say within a TG approach area. It would be an issue if they were actually in the dorsal root though (that is right, isn't it?) What about obturator internus entrapment is that accessed by a TG approach?

[Violet M]

Right Helen, I think if you have an experienced examiner you would have to hope for more than just a lucky guess.

Are you asking about the PN being entrapped in obturator internus (OI) fascia? It's my understanding that the TG or TIR should be able to access at least part of along the alcock's canal. Or if the OI is enlarged and impinging on the nerve I think either of those approaches should be able to open up the alcock's canal next to the OI at the proximal end of the canal.

[DonnaOntario]

Had the EMG test on Friday. It was not as bad as I had thought. No needles were used, the whole thing took about 3 minutes, it was painful and uncomfortable, but at least the test was short. Dr. Gordon said the test was fairly new for them. Interestingly enough, he has given me a RX for a valium suppository. Any one heard of this or used it before? Still waiting for appt for nerve block, apparently those patients that saw Dr. Peng in the Fall are just getting theirs done now!

[Lernica]

So what were your EMG test results, Donna?

[Karyn]

Had the EMG test on Friday. It was not as bad as I had thought. No needles were used, the whole thing took about 3 minutes,

No needles? Are you sure it wasn't a PNMLT?

[Violet M]

Donna, I haven't used valium suppositories but I know of other women who have and yes, they can be very helpful, especially if you have very tense pelvic floor muscles. Glad your test was quick and not too painful.

[Pelvis Stressly]

he has given me a RX for a valium suppository. Any one heard of this or used it before?

Yeah, Carolyn (my PT out in Cambridge) suggested a while ago that I get Dr. Gordon to prescribe these for me. But I hadn't seen her for months at that point, and when I did, prior to my app't. w. Gordon, she concluded that my muscles were all very relaxed already, so the suppositories likely wouldn't actually do anything. She's convinced my issue is w. the dorsal nerve, so there's nothing she can do (she can't properly access it like she can the main trunk of the pud. nerve).

Anyway, have they been helping you at all so far?