ALS, otherwise called amyotrophic lateral sclerosis, is a type of degenerative disease that affects the nerve cells in the brain and spinal cord that control voluntary muscles. The symptoms include difficulty walking, falling, leg weakness, muscle cramps or twitching, and behavioral changes.

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Apart from ALS, which other conditions cause muscle twitching?

Query: Hi doctor, I am a 24 year old female. For the last three days, I have noticed continuous twitches on the thenar aspect of my right palm. Today, I searched on the internet and it showed it could be ALS. I am worried. Also, I noticed that my right thenar prominence is a little less than the left. I do...  Read Full »

Dr. Rajyaguru

Answer: Hi, Welcome to I do not think this to be ALS (amyotrophic lateral sclerosis). ALS will have little more extensive twitches and at times they are visible on the muscle surface and a number of muscles having the flaccid type of weakness. Fasciculation only for three days without an...  Read Full »

Are the cramps I am experiencing are due to ALS or MND?

Query: Hello doctor, I am a 29-year-old male and in need of some reassurance over my serious health anxiety re MND (ALS). I am not normally anxious or depressed, married with a young daughter and a wife who is pregnant. It stared with an entire all day leg ache (left leg). Two days later my arm started to...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to Your symptoms are not typical of ALS (amyotrophic lateral sclerosis). You should know that at your age ALS is a very exceptional diagnosis. But there are also a lot of other conditions that may mimic this clinical situation. For this reason, I would recommend performin...  Read Full »

I have had fasciculation on my left thigh for the last three days. How likely is it to be ALS?

Query: Hello doctor, I am a 28-year-old female, having continuous fasciculations on my left thigh for the last three days. How likely it is to be ALS?  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know some details about your symptoms: 1. Are the fasciculations you mentioned limited to the left thigh or some other body parts? If yes, please tell me which body parts. 2. Are these fasciculations visible by eyes or only felt by you inside? 3. D...  Read Full »

I have body twitching and hand pain, especially between my fingers. Please guide me if this could be ALS.

Query: Hello doctor, Over the last few months, I have been dealing with body-wide twitching, arm sensations, and, recently, hand pain, particularly in my thumbs and between my thumb and index finger. An EMG was conducted with normal motor nerves and minor ulnar neuropathy on my left arm. It came normal. I ...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know further details about your symptoms: 1. Since when you started to have body twitching? 2. These twitchings occur in which part of the body? 3. Are the twitchings visible or only felt by yourself? 4. In which arm and part of that arm do you fe...  Read Full »

Can my difficulty in swallowing and left jaw muscle spasm be due to ALS?

Query: Hi doctor, I have had three EMGs in the last 17 months. The doctors say I do not have ALS, but I have new symptoms that correlate with the disease. I was told the last EMG (the other two) were normal, but on the report where the T9 paraspinal was tested, the poly, amp, duration, recruitment, and act...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I understand your concern and would explain that with three normal EMGs (electromyography), we can exclude ALS (amyotrophic lateral sclerosis). I would like to know more about your symptoms and complaints. There are some specific EMG criteria for ALS that a neurologi...  Read Full »

I have intermittent twitching in hypothenar muscle. Should I be worried about ALS?

Query: Hi doctor, I am worried about ALS. I have had a twitch in my left hypothenar muscle intermittently for three weeks or so. Perhaps a few twitches per hour followed by hours of no twitching. I also have twitches in other parts of my body quite regularly though this one is focal and the others are diff...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I read carefully your question and would explain that your symptoms are not typical of ALS (amyotrophic lateral sclerosis). Benign fasciculation syndrome, an electrolyte imbalance or thyroid gland dysfunction could mimic this clinical situation. Coming to this point...  Read Full »

Is tongue fasciculations in a baby always a sign of SMA?

Query: Hello doctor, My son is 18 months old. He was born with ankle clonus, but it was completely gone after a while. So, he no longer has clonus. He also has possible tongue fasciculations. I say possibly because the pediatrician said that it was difficult to tell if they were or not. He is always sticki...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to You should know that tongue fasciculation do not have the same clinical significance in children as in adults. There are many abnormal neurological signs in adults which are usually present in normal children and disappear while growing up. This is because of an imma...  Read Full »

What is the chance of getting ALS if someone in the family had it?

Query: Hello doctor,My grandfather died of ALS, and now I am having signs of it. He is the only one that we know of that had it in the family. So my first question is, what are the chances of me getting it? The second question is I twitch in my left arm, left hand, left leg, and left calve non-stop. Someti...  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to I understand your concerns. ALS (Amyotrophic lateral sclerosis) is familial in only 10 % of the cases. The diagnosis is mainly clinical (with characteristic symptoms). EMG and NCS (nerve conduction studies) may help in the diagnosis, symptoms include: 1. Fascicula...  Read Full »

Is my twitching due to amyotrophic lateral sclerosis?

Query: Hi doctor, About two weeks ago, I started having twitching in the front of my right calf. The next four days, it began to spread to my left calf and thighs. Sporadically I will get them on peck, shoulder, triceps, back near the armpit, and shoulder blade. My lower body nearly always twitches, whi...  Read Full »

Dr. Aida Abaz Quka

Answer: Hi, Welcome to I understand your concern and explain that a normal EMG (electromyography) excludes ALS (amyotrophic lateral sclerosis). The lack of weakness too. For this reason, I think that your symptoms are related to anxiety. Nevertheless, I would recommend checking thyroid hormon...  Read Full »

I am suffering from weakness in my legs and right arm. Can it be due to ALS or MND?

Query: Hi doctor, I am a 19-year-old male. For the last couple of days, I have been extremely worried about having the early symptoms of ALS or MND. A week ago, I felt as if my whole body was tired and burnt out. Recently I have noticed my legs have become quite tired, shaky, and fatigued easily, and my ri...  Read Full »

Dr. Aida Abaz Quka

Answer: Hi, Welcome to Thanks for writing in, and I understand your concern. I suggest your symptoms are not suggestive of ALS (amyotrophic lateral sclerosis) or MND (motor neurone disease), especially after considering the normal reflexes and the short period of time of your history. So, in...  Read Full »

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