Amyotrophic Lateral Sclerosis

Amyotrophic lateral sclerosis or ALS is a degenerative motor neuron disease, meaning, it affects the nerve cells. The brain loses control over the voluntary muscles, causing inability to move around, speak, eat and eventually even breathe. Early symptoms include muscle twitching, weakness of legs and arms, and speech difficulties. Currently, there is no cure for this disease.

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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 »

Should I get electromyography to rule out amyotrophic lateral sclerosis?

Query: Hello doctor, For the last few days, I have had fasciculations in my calves and muscle cramps in my leg, especially after training. Sometimes, I feel some numbness in my right arm. I am really concerned about ALS, and my doctor says that I do not need EMG. What is your opinion about it? Kindly sugge...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello,Welcome to understand your concern and can explain that cramps in ALS (amyotropic lateral sclerosis) usually occur at an advanced stage when there is muscle weakness and muscle wasting. So, I do not think that this is your case. Dehydration can lead to this clinical situation—c...  Read Full »

My partner had an electric shock a year ago and still has a shock-like feeling and pain. Why?

Query: Hello doctor, My partner got an electric shock to his right arm a year ago. Ever since then, he has felt like he is constantly shocked, and he has been unable to move his arm properly. He is on 750 mg of Lyrica a day to control the shock-like feeling and pain. However, the hand movement has not retu...  Read Full »

Dr. Ramesh Kumar S

Answer: Hi, Welcome to Cases of motor neuron disease are seen after electric shocks. Most likely, your partner is experiencing wasting of muscles due to motor neuron disease post the electric shock. A motor neuron (or motoneuron) is a nerve cell, which directly or indirectly controls the effect...  Read Full »

I am 51 years old and have been experiencing muscle twitching. Please suggest some treatment for the same.

Query: Hello doctor, I am 51 years old and have been experiencing muscle twitches several times an hour for almost three to four weeks. I have had no muscle weakness or imbalance. Sometimes, I experience sharp pain, but the muscle twitches last only a few seconds. They happen anywhere on my body, including...  Read Full »

Dr. Abhaya Kant Tewari

Answer: Hello, Welcome to Thank you for the detailed history. Your reports (attachments removed to protect the patients' identity) suggest that you are suffering from simple benign fasciculation syndrome, characterized by random twitching of muscles affecting various body parts. There is no p...  Read Full »

Does twitching in the calf muscle mean I have amyotrophic lateral sclerosis?

Query: Hello doctor, I am a 25-year-old female and I am afraid I have ALS. This started with twitching in my right calf muscle two months ago and that has now spread to everywhere. A clinical exam showed slightly asymmetrical brisk knee reflex, and it is brisker on the right leg where it bothers me, not ...  Read Full »

Dr. M. A. Toyeb, Nazma Parveen

Answer: Hello, Welcome to I can completely understand your concern. First of all, ALS (amyotrophic lateral sclerosis) is a condition which requires time to diagnose especially when it is in the initial stages. You said you experience twitching in your muscles. Do you have any other problems...  Read Full »

Are my muscle twitching and spasm due to ASL?

Query: Hi doctor, I think I have ALS; what are the symptoms of it? I have been experiencing muscle twitching and spasm for over a month, and I am scared of having ALS. Please help me with this issue.  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I understand your concern and would explain that muscle twitching is a very common symptom related to many metabolic causes like high caffeine intake, dehydration, thyroid gland dysfunction, vitamin D or vitamin B12 deficiency, insomnia, etc. But when muscle twitchin...  Read Full »

I have twitching and cramps in the muscles. Can this be amyotrophic lateral sclerosis?

Query: Hello doctor,I am a 26-year-old female. About four years ago, I woke up one day and noticed that I had twitching in my thumb. It has progressed rapidly to every muscle in my body even places I did not know could twitch were twitching. It has not gotten any better. In fact, right now my right thumb i...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know some details about your symptoms: 1. Apart from twitching, do you have weakness or thinning of any muscles? Are these twitchings visible by eyes or only felt inside? 2. Do you have any sensory symptom like tingling, burning, pins and n...  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 »

Kindly suggest a medicine for my laughing problem.

Query: Hello doctor, I have a problem with laughing. I laugh without any reason, and I cannot control the laugh. I laugh while speaking to others or on the phone without reason. It is a problem to me and my career. I cannot do a job with this laughing problem. I have seen on the internet that laughing w...  Read Full »

Dr. Aida Abaz Quka

Answer: Hi, Welcome to I carefully read your question and would explain that your symptoms seem to be related to pseudobulbar affect. For this reason, I would first recommend performing a brain MRI to investigate the possible causes underlying your symptoms. An electromyography is also necessar...  Read Full »

Does twitching always mean amyotrophic lateral sclerosis (ALS)?

Query: Hi doctor, I have a tight feeling in my left calf for a month with some tingling that I can see. I feel some other tingling as well. The onset is sudden in case of tightness or when I am in bed uncomfortably. I have faced no issues of weakness yet. I have been doing calf raises and such to check t...  Read Full »

Dr. Abhaya Kant Tewari

Answer: Hi, Welcome to You have complained of tightness in the left calf for a month. Secondly, you have mentioned tingling, which you can see likely to be fasciculations (twitching of individual fibers seen), which gives you the fear of ALS (amyotrophic lateral sclerosis). It is not ALS as A...  Read Full »

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