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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I have twitching of different muscles. Can I be sure it is not ALS?

Query: Hello doctor, The last week and a half every few minutes, I got a muscle twitch in random parts of my body. My left eye twitches more constantly than that. I have general anxiety and major health anxiety which I am wondering can play a role. I have no muscular weakness at all, and no atrophy from wh...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to Frequent muscle twitches without any muscle weakness or atrophy and normal reflexes can be due to anxiety. The other possibility can be benign fasciculation syndrome. But before labeling this, it is advisable to rule out other possible grave diseases. Let me suggest...  Read Full »

I have body fasciculations with no numbness and tingling. Is it ALS?

Query: Hello doctor, Six months ago, following a mild concussion, I started to have symptoms that were vaguely consistent with bilateral cervical radiculopathy. The cervical MRI showed severe stenosis and disc herniation at the C6-7 level going right and C5-6 going left. The worst symptoms were numbness...  Read Full »

Dr. Ambekar Sudheer

Answer: Hi, Welcome to It is highly unlikely that the EMGs (electromyography) are clean in the presence of muscle wasting and fasciculations. I believe the symptoms and signs you are experiencing are due to cervical stenosis and not due to ALS. A C6-7 disc herniation can cause all the symptom...  Read Full »

I have muscle twitching in my shoulders and legs, muscle weakness, shortness of breath, and fatigue after covid. Are these symptoms of ASL?

Query: Hi doctor,I think I have ALS. For the last three weeks, I have had constant muscle twitching in my shoulders and legs, considerable muscle weakness, unable to go to the gym, shortness of breath, and harder to speak, along with fatigue. This happened right after I got covid, and I wonder if I am over...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello. Welcome to I understand your concern and would explain that your symptoms could be related to benign fasciculation syndrome. I recommend checking thyroid hormone levels, complete blood count, blood electrolytes, vitamin D plasma levels, and vitamin B12 plasma levels for possi...  Read Full »

I have recurring shoulder pain, muscle twitching, and cramps in the feet. How to manage muscle atrophy?

Query: Hi doctor,I had nerve pain in my left leg before two years. When I consulted a physiotherapist and neurosurgeon, they diagnosed it as herniated disk. But my MRI (magnetic resonance imaging) was normal. So I stopped consulting after four months. Before one year, I have had breathing difficulty and li...  Read Full »

Dr. Florilyn Joyce Chulsi Bentrez

Answer: Hi,Welcome to suggest you to take electromyography, nerve conduction test, autoimmune panel test, and inflammatory markers. Are you exposed to chemical or pesticide? Do any other family members have the same medical condition?   Read Full »

Why do I suffer from recurrent muscle twitching in the calves?

Query: Hello doctor,I take Levothyroxine once daily at 150 mcg. I am not regular with this; I have only taken it six times this month. I take Telmisartan or Amlodipine 40 mg or 5 mg daily for blood pressure (take this every day).  Read Full »

Dr. Florilyn Joyce Chulsi Bentrez

Answer: Hi, Welcome to The muscle twitching happens randomly in any part of the body? Do you see live flash? Is it progressive? Do you have weight loss or back pain? First, I suggest you undergo a blood test for potassium, calcium, sodium, creatine kinase (CK-MM), erythrocyte sedimentation ra...  Read Full »

I have fatigue, muscle weakness, and aching in both arms and legs after recovering from COVID. Could it be ALS?

Query: Hi doctor,I recently had covid and suffered from headaches, muscle aches, fever, and fatigue. I have tested negative after four days but still suffer from severe fatigue, muscle weakness (heaviness), and aching in both arms and legs. In the last 2 to 3 days, I have also developed muscle twitches (mo...  Read Full »

Dr. Abhaya Kant Tewari

Answer: Hello,Welcome to for providing a detailed history. The timeline of covid infection followed by fatigue and muscle pain is a well-established complication of Covid (coronavirus disease) infection and, in the majority of cases, will settle down in a few days, mostly an average perio...  Read Full »

I have twitching in my legs. Do you think it is ALS?

Query: Hello doctor, I have a question about twitching in my legs.  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to Muscle twitching can be related to differential medical disorders: Neuropathy (nerve damage) Thyroid gland dysfunction. Electrolyte imbalances. Muscular disorders. Epilepsy (seizures) or central nervous system disorders. Benign fasciculation syndrome, etc. ...  Read Full »

My EMG is normal, but I have a reoccurring twitch in my hand with slight indentation. Please help.

Query: Hello doctor, I had a scary symptom. I had EMG done and it was normal. But twitching still occurs. Recently had a reoccurring twitch in my hand. The twitch has left a slight indentation. Is this ALS? Please help.  Read Full »

Dr. Nene Devavrat Harihar

Answer: Hi, Welcome to I understand your concern. There are a number of reasons for intermittent muscle twitching, with a majority of them being benign conditions. As long as you do not have any muscle weakness associated with it, you need not worry. Things will get better gradually in a week o...  Read Full »

Are my EMG reports suggestive of ALS?

Query: Hi doctor,I want a review of EMG analysis to reassure it to be unlikely ALS onset. My knee and arm reflexes were normal, as were the strength tests. Does "good recruitment" in the presence of atrial fibrillation and occasional positive waves point away from ALS or MND? In those cases, would the recr...  Read Full »

Dr. Ashok Kumar Choudhary

Answer: Hi,Welcome to read your query and understand your concerns.First of all, I would like to inform you that the available EMG (electromyography) report does not suggest anything found in motor neuron disease (attachment removed to protect the patient's identity). My observation is based o...  Read Full »

I am concerned if I have ALS due to twitching and cramps. What should I do?

Query: Hello doctor, I am extremely concerned that I have ALS due to twitching and cramps. I recently had an EMG performed, a nerve test, and other reflex tests. The neurologist said that I 100 % do not have ALS. I was willing to accept this, but I have some questions. Is it possible that I have bulbar AL...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to Thanks for writing in, and I understand your concern. It is not possible to have early signs like muscle twitching as they are present at a later stage of amyotrophic lateral sclerosis (ALS) when muscle wasting is present. Bulbar ALS can be detected on electromyo...  Read Full »

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