EMG and PPS Diagnosis

Original Post: I understand an EMG is a test used to eliminate other potential problems like ALS. However, according to two physiatrists here, I do not have PPS based on my EMG results. My left leg has shrunk and I’ve developed scoliosis. I was told my last EMG showed old polio damage. I had non-paralytic polio as a child. I have suffered with worsening PPS symptoms since the late 90s. No one has an answer for my leg weakness and atrophy while developing scoliosis. I know I need a brace on my left ankle but who do I go to now?

Dr. Bruno’s Response: If everything else is ruled out and you have a history of non-paralytic polio, your EMG shows “old polio” (neuron damage), and you have PPS symptoms, you should be treated as having PPS. Since the late 1970s, an office EMG has never been shown to be able to diagnose PPS. I recommend that you need to see a physiatrist who knows about PPS (or is willing to learn).

Richard L. Bruno, HD, PhD

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EMG and Previous Polio