Hey Folks,
My wife can no longer stand on her tiptoes, and we've been to both a
neurologist and endocrinologist (thyroid seems OK). We're between
appointments and I'm stressing over potential causes.
She suffers no pain or numbness, just the inability to stand on
tiptoes. I have read that the L5-S1 nerve root is directly involved in
plantarflexion (rising on toes), and she did fall hard on her posterior
back in May while rollerblading, so I've been wondering if she might
have some slight disk damage that might be causing her symptoms.
However, it seems from my reading that L5-S1 damage or tibial nerve
damage usually cause symptoms only on one side of the body. My
question is, could a hard backward fall result in this isolated
weakness in both legs? The weakness isn't a general one . . . she
still walks long distances with no problem and with no tiredness or
pain, and has no problems with stairs. She just can't stand on her
toes.
Just looking for anyone with similar experiences until the glacial pace
of the health care system gets us to our next appointment. Any info
would be greatly appreciated.
Thanks,
Karl
Robert A. Fink, M. D. - 16 Dec 2004 01:52 GMT
>She suffers no pain or numbness, just the inability to stand on
>tiptoes. I have read that the L5-S1 nerve root is directly involved in
[quoted text clipped - 9 lines]
>pain, and has no problems with stairs. She just can't stand on her
>toes.
It certainly sounds like an unusual presentation for a herniated disc.
Does she have any sensory loss or sensory symptoms (tingling, etc.)?
It could still be a herniated disc but the lack of pain is unusual.
The consultations will be important. Has an MRI been done yet?
Best,
Bob
Robert A. Fink, M. D.
Neurological Surgery
2500 Milvia Street Suite 222
Berkeley, CA 94704-2636 USA
510-849-2555
**********************************
NOTE: The material above is not "medical
advice". Medical advice can only be
given after an in-person contact between
doctor and patient.
**********************************
Redtruck - 16 Dec 2004 03:30 GMT
> >She suffers no pain or numbness, just the inability to stand on
> >tiptoes. I have read that the L5-S1 nerve root is directly involved in
[quoted text clipped - 15 lines]
> It could still be a herniated disc but the lack of pain is unusual.
> The consultations will be important. Has an MRI been done yet?
No MRI yet. The appointment for EMGs is on the 28th. No sensory loss
or tingling. I'm just praying it isn't ALS.
Karl
Robert A. Fink, M. D. - 16 Dec 2004 23:52 GMT
>No MRI yet. The appointment for EMGs is on the 28th. No sensory loss
>or tingling. I'm just praying it isn't ALS.
>
>Karl
Yup. That would be terrible.
Best,
Bob
Robert A. Fink, M. D.
Neurological Surgery
2500 Milvia Street Suite 222
Berkeley, CA 94704-2636 USA
510-849-2555
**********************************
NOTE: The material above is not "medical
advice". Medical advice can only be
given after an in-person contact between
doctor and patient.
**********************************
Redtruck - 29 Dec 2004 16:34 GMT
Just an update for anyone that might stumble across this thread looking
for info:
Had EMG tests done yesterday (electrodes and wired needles in legs and
arms) and the neuro diagnosed myotonia:
http://www.ninds.nih.gov/disorders/myotonia/myotonia.htm
Now we have to wait for genetic testing and/or muscle biopsy to find
out the cause. Worst case is muscular dystrophy, best is a benign
genetic condition that will not progress much.
The good news is that it is not life-threatening (I had feared ALS),
but the bad news is that there is a 25%-50% of passing a more severe
case or this condition down to any children we have (no kids yet).
Will post more info when we have a final diagnosis.
Best Regards,
Karl