I should get a call tomorrow. Feeling dreadful today. Too much wine, trying to block out my thoughts that were running away with themselves. Whoa, headache I could do without, lol. Well, if he was looking for a reaction from flicking my middle finger nails, nothing happened! Thankyou all for your support ((Hugs)) xxxx
Yes it's called the "Hoffmann Reflex" and I suspect that he was checking for Multiple Sclerosis. Here's some more info on the Hoffmann Reflex -
“What is the neurologist looking for when he is tapping my finger?"
The neurologist is looking to see if there is a finger flexor response. The finger flexor response is demonstrated by a sudden flexing of the thumb and/or index finger. There are two ways to cause this response: * The doctor snaps or flicks the nail of the middle or 4th finger. A positive finger flexor response elicited in this manner is known as the Hoffmann reflex or sign.
“If I have a positive Hoffmann reflex, what symptoms might I notice?"
The finger flexor response is often associated with noticeable weakening of the grip in the hands.
“Is MS the only disease which can cause a positive Hoffmann reflex?"
No. The finger flexion response is an indicator of a number of neurological conditions such as multiple sclerosis and ALS, or diseases which cause spinal cord compression (myelopathy) such as cervical spondylitis, tumors, or degenerative arthritis. A Hoffmann reflex can also happen in the presence of generalized hyperreflexia (overactive reflexes) as seen with anxiety or hyperthyroidism.
The spinal surgeon kept flicking my middle finger nails repeatedly. Why?
The surgen who dianosed me ask me if I could feel as he was poking around with a needle. He was asking me if I felt anything and my answer wasn't satifying him so he stuck one right in my left testicle, and if that wasn't a good enough sign for him he grabbed my newly inserted catheter and gave a good tug. I told him not to do that again. Granted he had to know as I was in the ER and he was about to preform and emergency surgury on my spine. I actullay appreicate his behavior as odd as I thought it was. This guy had no bedside manor, one of the first things he told me was " that was the worst I've seen in 24yrs".
Back to topic: raggety, the saddle numbness is a sign that needs to be checked out immediatly. I don't know if you are working with someone with a backgroung in neuro stuff, but you should be IMO. My old boss, the one that watched me go down also has similar back issues right now. He has degeneritive disc's , arthritus, stenosis. His pain and numbness radiates down his left leg and across into his groin. Being he'd seen my deal he went and had it checked by a neuro-surgen. He had an MRI. and was told pretty much the same thing I was told. Someday we will have to opperate. Hang as long as you can. So I think the signs may be the same but very few actually tur out to be CES. We did an odds thing somewhere on the site, and I thought It was like one in a million. All the same treat it as the worst case senairo until you know different. Take Care Mark
Woah kilg0retr0ut, I'd be mortified if someone pulled on my catheter (when I had one) asking if I could feel it! That guy is nuts... Talking about nuts, I can't believe he poked your testicle with a needle either