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normal emg and sore feet

Posted by Daniel C. on 4/18/02 at 13:44 (080154)

The docs thought that I had plantar fasciitis. But, because physical therapy didn't help, I went for an emg. It turned out normal. I still have pain in both feet. What kind of a physician should I see next?

Thank you.

Re: normal emg and sore feet

Ed Davis, DPM on 4/18/02 at 15:16 (080163)

Physical therapy, alone, may not cure plantar fasciitis. See a podiatric physician.
Ed

Re: normal emg and sore feet

Dr. John Cozzarelli on 4/18/02 at 15:30 (080166)

I agree with the Doc and would also suggest finding a pod that does diagnostic ultrasound imaging of the plantar fascia. If is less expensive than and MRI and is a dynamic test as opposed to static. The results are instantaneous for the patient. I hope this helps you.

Dr. John Cozzarelli

Re: normal emg and sore feet

Dr. David S. Wander on 4/18/02 at 19:03 (080206)

I agree with the previous postings and would also like to tell you that a normal EMG/NCV does not mean that there isn't still an entrapment neuropathy of the nerve. Many times a nerve conduction study will not show abnormal findings until the nerve begins to actually degenerate. This is usually after the problem has existed for a prolonged time.

Re: normal emg and sore feet

Dr. Cozzarelli on 4/18/02 at 20:29 (080221)

Hey:
You may also want to consider having a neurometer Current Preciptive Threshold test done. This measure the 'C' fiber on three different frequencies. This is a differnet type of nerve test. the patient describes when they first feel an electrical impulse. The data is plugged into the computer and report is generated.

Dr. John Cozzarelli

Re: normal emg and sore feet

Daniel C. on 4/18/02 at 23:30 (080236)

Thank you all for your help! I will inquire about everything mentioned here. Is the neurometer threshold test expensive? Does insurance usually cover it?

Re: normal emg and sore feet

Dr. John Cozzarelli on 4/19/02 at 11:57 (080308)

No it is not expensive. In our office we ahrge about one hundred dollars for the non invasive test.

Dr. John Cozzarelli

Re: normal emg and sore feet

Ed Davis, DPM on 4/18/02 at 15:16 (080163)

Physical therapy, alone, may not cure plantar fasciitis. See a podiatric physician.
Ed

Re: normal emg and sore feet

Dr. John Cozzarelli on 4/18/02 at 15:30 (080166)

I agree with the Doc and would also suggest finding a pod that does diagnostic ultrasound imaging of the plantar fascia. If is less expensive than and MRI and is a dynamic test as opposed to static. The results are instantaneous for the patient. I hope this helps you.

Dr. John Cozzarelli

Re: normal emg and sore feet

Dr. David S. Wander on 4/18/02 at 19:03 (080206)

I agree with the previous postings and would also like to tell you that a normal EMG/NCV does not mean that there isn't still an entrapment neuropathy of the nerve. Many times a nerve conduction study will not show abnormal findings until the nerve begins to actually degenerate. This is usually after the problem has existed for a prolonged time.

Re: normal emg and sore feet

Dr. Cozzarelli on 4/18/02 at 20:29 (080221)

Hey:
You may also want to consider having a neurometer Current Preciptive Threshold test done. This measure the 'C' fiber on three different frequencies. This is a differnet type of nerve test. the patient describes when they first feel an electrical impulse. The data is plugged into the computer and report is generated.

Dr. John Cozzarelli

Re: normal emg and sore feet

Daniel C. on 4/18/02 at 23:30 (080236)

Thank you all for your help! I will inquire about everything mentioned here. Is the neurometer threshold test expensive? Does insurance usually cover it?

Re: normal emg and sore feet

Dr. John Cozzarelli on 4/19/02 at 11:57 (080308)

No it is not expensive. In our office we ahrge about one hundred dollars for the non invasive test.

Dr. John Cozzarelli