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freezinginAK
Veteran Member


Date Joined Nov 2006
Total Posts : 1052
   Posted 5/27/2008 12:28 PM (GMT -6)   
  Not long ago I have a neruo exam and had the pin/poke test done and I would have to said that 90% of it I could not tell which was which in this test and fluked many of the other tests as well and 2 days later I got a call to come back as some thing was found on my MRI of my head and want one done on my upper lumbar
 
  But just what dose the pin/poke test tell the neruo as I can't find anything on this test
 
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carolynvb
Veteran Member


Date Joined Oct 2006
Total Posts : 540
   Posted 5/27/2008 12:39 PM (GMT -6)   
hi there,

which pin poke test? think there are 2 the big poke lumbar puncture and the other poke little needles nerve conduction study I think....I am new here but good luck...going for mri neck tomorrow.....right there with you! Someone will have lots of info for you. :)

uppitycats
Veteran Member


Date Joined Jun 2005
Total Posts : 2135
   Posted 5/27/2008 12:58 PM (GMT -6)   
freezinginAK said...
  Not long ago I have a neruo exam and had the pin/poke test done and I would have to said that 90% of it I could not tell which was which in this test and fluked many of the other tests as well and 2 days later I got a call to come back as some thing was found on my MRI of my head and want one done on my upper lumbar
 
  But just what dose the pin/poke test tell the neruo as I can't find anything on this test
 
   Cowboy up

I think what you are talking about is having the doctor test for sensory changes that you might be experiencing.  He is specifically looking for changes in skin sensitivity. Sometimes patients will report (the medical term is "complain") that they feel like their skin is prickly, or have a buzzing sensation, or feels numb. Sometimes just one area feels that way, other times it's a more generalized feeling of numbness or tingling. The doctor will literally stick a pin in you in various places, and/or poke you, and ask if you can "feel that?" or "does that feel different from this??" sort of thing.
 
I'm assuming the other tests you talked about included things like examining your eyes to see if there is any damage done to your optic nerve (optic neuritis, or a swelling of the optic nerve is common in MS), and you were tested for balance, coordination (the finger-to-nose test is often used for that), whether you can place the heel of one foot directly in the path of the other food and step forward, a sort of "drunk test", probably some vibration tests where he places a vibrating tuning fork on various parts of your body and asks if you can feel it, or if it feels differently from one area to another. He probably also tested your reflexes, and your strength, and the strength of one limb as opposed to another.
 
All these tests may seem a bit trivial, but they all can tell the doctor whether there are problems with your nervous system, whether the problems are with your peripheral nervous system or your central nervous system (MS is a disorder of the central nervous system), and cause him to ask for further testing - -the MRI, sometimes a lumbar puncture (or spinal tap), evoked potentials (which measure the brain waves from brain to eyes), and some others.
 
You probably couldn't find anything specific about the "pin poke test" because I suspect that's the doctors description of it, rather than the more generalized "testing for sensory changes", which are described in many books about MS.
 
Do let us know how the MRI goes!  Good luck!
...I am not a doctor, nor health professional, and don't pretend to be one, here.....


Gretchen1
Forum Moderator


Date Joined Jan 2007
Total Posts : 3523
   Posted 5/27/2008 1:40 PM (GMT -6)   
Good job as usual Cat! I have had the pin/poke thing where the doctor (gently) pokes you with a pin or pen or whatever to see if you can feel it. She also does the tuning fork. She hits it and holds it to my foot and says, "Tell me when you can no longer feel that vibrating." She also holds the fork to my skin and says, "Does it feel hot, cold or skin temperature." My doctor does a rough mapping of what I am feeling on a sheet of paper that has a diagram of the human form on it. She draws lines and such to indicate where my sensory deficits are then keeps them to compare with the next exam in 6 months. She says this is another way to show clinical progression.

I hope this helps.
Gretchen       co-moderator MS board       diagnosed with MS July 2006


freezinginAK
Veteran Member


Date Joined Nov 2006
Total Posts : 1052
   Posted 5/27/2008 3:41 PM (GMT -6)   

  Yea I did fluked the drunk test badly lol and the hand test of touching my fingers together but the pin/poke test of my body I could not tell at all till she got me in the side mid section and boy did I jump on thoughs pins. She did seem to spend a lot of time on my left eye? So I guess I'm heading back on friday for more testing as well as a 2day s worth of tests aswell so that will be 3 trips flying back and forth good thing I like flying lol

  Cowboy up


   Forum Moderator A/P
 
  Happiness is sitting around a warm campfire with no worries or cares as day turns to night.
 
  Help Healing Well grow as your donations are greatly appreciated @
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uppitycats
Veteran Member


Date Joined Jun 2005
Total Posts : 2135
   Posted 5/27/2008 4:15 PM (GMT -6)   
You're in Alaska, right? A really lovely state...but a challenge to get around, for sure. Do come back and let us know how the rest of the testing goes.
...I am not a doctor, nor health professional, and don't pretend to be one, here.....


freezinginAK
Veteran Member


Date Joined Nov 2006
Total Posts : 1052
   Posted 5/27/2008 4:36 PM (GMT -6)   

  Hi uppitcats, yes I'm from Alaska right now every thing is just starting to bloom and it's good to see the snow gone for now lol we are hoping for a good fishing season this year as I have seen that in the lower 48 all the closers for salmon and it's nice and clear outside in the low 60's but even living up here for as long as I have I still have a hard time sleeping with all the day light, right now I think we have like 19 hour but that's not including dust to dawn so it's more like 21 hours of light

  Cowboy up


   Forum Moderator A/P
 
  Happiness is sitting around a warm campfire with no worries or cares as day turns to night.
 
  Help Healing Well grow as your donations are greatly appreciated @
          www.healingwell.com/donate
  Anxiety/Panic, CFS, CNS damage, MCS and Diabetes type 2
 
 


uppitycats
Veteran Member


Date Joined Jun 2005
Total Posts : 2135
   Posted 5/27/2008 6:37 PM (GMT -6)   
Alaska is so beautiful. We've been there 3 times now...once around June 21, Summer Solstice, and were awed at the HUGE plants, and daylight nearly 22 hours (we were in Fairbanks). I don't know that I could live there in winter, with it dark 22 hours! (or nearly so!), but sometime I would love to fly into Fairbanks for, say, 22 hours in February, and just experience it. Then get back on the plane and fly home! lol!!

Anyway, keep us informed as to your test results. I SO hope you don't have MS!
...I am not a doctor, nor health professional, and don't pretend to be one, here.....


D'awesome
Regular Member


Date Joined Oct 2007
Total Posts : 343
   Posted 5/27/2008 9:52 PM (GMT -6)   
The pin/poke test is always kinda amusing for me and my neuro... I tell him the left side feels like a needle pricking, the right side feels like a thumbtack.. kinda duller... the right side has much less sensation these days for everything, vibration and pins/pricking etc...
 
Alaska...geepers, I wish I could get there! I've got my best friend living there now in Kasiloff, runs a Bed and Breakfast there with her hubby... sends me Salmon whenever she can... and lots of pics! I just got one today, she got the first catch of the season: 15.5lbs King Salmon! I keep telling hubby one day... I want to do it soon! She loves it there.
Fear knocked ~ Faith Answered ~ No one was there! :)
 ~ Ephesians 6:13 ~  * ~ Psalm 27:1 ~

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