instruction: hello doctor six months ago following a mild concussion I started to have symptoms that were vaguely consistent with bilateral cervical radiculopathy the cervical mri showed severe stenosis and disc herniation at the ca level going right and c5 going left the worst symptoms were numbness tingling and weakness down the left arm these symptoms really did not follow the c5 dermatome however they were all over the place in the left arm six months later the numbness and tingling have resolved I feel stronger overall however I have had body wide fasciculations for four months and I can see wasting of the first dorsal interossei muscle of the left hand it is subtle but I notice it I have trouble holding a pot or a phone with elbow bent past 90 degrees I have seen two neurologists including one neuromuscular specialist at an academic center both eggs were clean they needed the dorsal interossei muscle and all the other major muscles of the left arm clinical exams were also normal though benign fasciculations were noted how do I know that I do not have als what are the chances that these fasciculations are benign given the perceived weakness atrophy and fasciculations body wide how long does it take after the beginning of atrophy for an egg to pick up als what else could this be would not it be odd to develop ulnar neuropathy worsening rotator cuff issues and bodyside fasciculations at the same time I am not a doctor but these seem like system wide problems currently I am taking lamictal zaleplon and lipitor
output: hi welcome to icliniq com it is highly unlikely that the eggs electromyography are clean in the presence of muscle wasting and fasciculations I believe the symptoms and signs you are experiencing are due to cervical stenosis and not due to als a ca disc herniation can cause all the symptoms you have described is it possible for you to upload the mri magnetic resonance imaging pictures in als amyotrophic lateral sclerosis usually egg findings precede clinical symptoms such as fasciculations and muscle wasting this is also the case in radiculopathy due to cervical stenosis