Pressure can also cause tingling, weakness, muscle pain, and cramping in your lower back. Persistent pressure on these nerve roots can cause the spontaneous contraction of the nerve and slow down nerve activity. This type of test can pinpoint areas of nerve compression or nerve damage (neuropathy) that result from chronic inflammation and spinal conditions like: Why you might need electromyographyĮlectromyography (EMG) is a minimally invasive procedure to evaluate the electrical activity of the nerve roots in your spine. De La Torre offers on-site diagnostic testing services, including electromyography. And even in the times when your pain is persistent and your test results are normal, there are many things that we as pain medicine physicians can do to provide a patient with significant pain relief.When you have lower back pain but aren’t sure what’s causing it, it’s important that you get the right diagnostic tests.Īt New Tampa Interventional Pain & Sports Medicine, pain specialist Jose De La Torre, MD, knows that chronic lower back pain can affect many aspects of your life. How does it the patient describe the pain? Is it sharp? Is it dull? Is it aching? A good pain physician will be able to take that information, start thinking about how to best treat that patient. Then it's becomes who's the pain physician and the patient to actually extract a very good history as it relates to the pain. Or two, we don't have the adequate testing available to assess a pain. And it may be because it takes time for the test result to change. Their EMG may be normal, but yet they actually have pain. Because there are scenarios when patients, they have absolutely normal testing. And actually, that's the beginning of the time when a person should actually see a pain specialist. They've seen their primary care physician and they're starting to wonder as to whether or not this pain is all in their head, whether they're crazy.
— - Question: What If All The Tests Are Normal But I Still Have Pain?Īnswer: There are times when patients will present where all the tests are normal.
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