Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Loss of muscles in hand with normal EMG,NCV.

Resolved Question:

Dr,
I am 37 year old male, 6ft tall and weights 74kg. Over last few years i have been seeing gradual loss of fat/muscle mass especially on my hands and feet. Some visible shrinking is also observed on the arms and lower leg mass. (Attached are some pictures). I can walk; perform all other functions as of now. Certain movements do cause a snapping sound at wrist and also at times on the hip, knee, shoulder, elbow joints as if muscles are wasted and tendons are snapping. I get some muscle twitching at times on feet and sometimes on arms. But not for very long, like 3-4 twitches. Sleeping on certain positions gets me cramps on hand (up to fingers) at times.

I did consult a neurologist in my area and he did EMG/NCV tests which returned normal results. Next was an MRI and that too was normal except for a tiny lesion he found on one of the D blocks which as per his diagnosis is not possibly the cause for any muscle wasting is quite a small one. All other clinical tests done (kidney, liver, serum b12, thyroid etc) are normal.
Please help me with your experience with such symptoms.
Regards
Bip

Category: Psychiatrist

Ask Your Own Question

 21 Doctors Online

Hello,
Thanks for posting your query at DoctorSpring.com
I have gone through your question in detail and I can understand what you are going through.
The kind of symptoms that you are stating suggests that the illness that you are having could be a complex partial seizure. None of the blood tests will diagnose this illness, but an EEG can demonstrate these changes.
The treatment is not very difficult and the things can be taken care of with the use of antidepileptics such as carbamazepine or oxcarbamazepine. But first I think you should go ahead with an EEG.
The condition is treatable, so please don't stress yourself much.
Kind regards
Dr. Srikanth Reddy


Patient replied :

Thanks for the reply, Sir. I don't have any past medical history. Just a Kidney Stone at the age of 8 which was resolved in a week. Also, I am not having any hypertension. Just a little tension of studies which is common I guess. Also I will go will the EEG Test you have told to perform.
Thanking You.
Samarth Paval


Hello
Your kidney stones and stressors are most likely not related to the current problem of seizures. Do get an EEG done. You may let me know the results next time.
Regards.


Dr. Srikanth Reddy
Category: Sexologist
Experience: 
Doctor of Medicine (MD), Psychiatry Residency Program,2001 – 2012
M.B.B.S,Mahatma Gandhi Institute Of Medical Sciences, Sevagram

Certificate Course in sex Therapy and Counselling, Sexology and Counselling, A
Sexology,Medikon Sexual Sciences, Mumbai

Training in Advanced Neurology at a leading corporate hospital (CARE hospital) in Hyderabad

Child Psychiatry Training in National Institute of Mental Health and Neuro-Sciences, Bangalore

Sex Therapy and Counsellingat MEDIKON Sexual Sciences, Mumbai.
Dr. Srikanth Reddy and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news