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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Are tingling in hands and legs due to carpal tunnel or ALS?

Query: Hello doctor, I have tingling in my hands for a few years, and now I am feeling tingling off and on in my feet and legs with occasional inner tremors. I had all my blood work done to test for diabetes, thyroid, vitamin deficiency, CMP and CBC all came back normal. I had an MRI of the brain that cam...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com. These symptoms do not look like ALS (amyotrophic lateral sclerosis). Moreover, carpal tunnel syndrome (CTS) has been established in your reports. Anxiety and CTS are more than enough to cause these symptoms. So, my recommendation is that you should start on Pregabalin 7...  Read Full »

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

Neuro Surgeon, Neurologist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com. 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 any weak...  Read Full »

Does ALS affect both sides of the body?

Query: Hello doctor, I am a 45 years old female. I first experienced my symptom 18 years ago, which was left-hand side symptom. I have seen two neurologists since the last visit along with MRI was seven years back. My main concern back then was MS, but the last neurologist said it is not MS. I raised my ...  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. I can state with 100 % confidence that no ALS (amyotrophic lateral sclerosis) presents over the 18 years. It is a progressive illness and once started, there is gradual deterioration. As symptoms experienced by you are of ep...  Read Full »

What causes left arm twitching?

Query: Hi doctor, I am a 38 year old male, and I have been feeling twitches in my arm. I started feeling this constant twitch about six weeks ago. I did not experience any weakness in that arm or anywhere else in the body. The twitches lasted for about a week and then went away. The twitches have now app...  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hello, Welcome to icliniq.com. I have read your query and understand your concerns. First of all, I will suggest you consider other possibilities before jumping to conclusions. There are a number of conditions which can present with twitches without any disease, and ALS (amyotrophic lateral scler...  Read Full »

Is continuous twitching worrisome?

Query: Hi doctor, I had intermittent twitching all over my body for the last two months. I finally went to see my GP and he ran a plethora of blood tests and said that my vitamin B12, iron, and vitamin D were all really low. Since starting my vitamin supplements two days ago, the twitching has subsided si...  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hi, Welcome to icliniq.com. I have gone through the provided details and understand your concerns. It can be proved that your concern is really paranoid (no offense) and there is no substance for such thoughts. I mean to say that this is unfounded belief and there is no rational for at least today. ...  Read Full »

How can I rule out ALS?

Query: Hi doctor, About five weeks ago, I started feeling some weakness in my left leg. I have consulted my family doctor and a neurologist. All physical tests showed no actual weakness. There were no other clinical signs and the reflexes were also normal. There is no activity or movement that I cannot do....  Read Full »


Dr. J Mariano Anto Bruno Mascarenhas

Family Physician, General Practitioner, Neuro Surgeon, Neurologist, Spine Health Specialist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com. The various symptoms you have described are due to L5-S1 moderate broad left paracentral disc protrusion mildly distorted the anterior aspect of the thecal sac and abutting without displacing the traversing nerve roots. When a disc prolapses and compresses the spinal c...  Read Full »

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 fro...  Read Full »


Dr. Hitesh Kumar

Neurologist

Answer: Hello, Welcome to icliniq.com. 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 ...  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 is the chances of me getting it? Second question is I twitch in my left arm, left hand, left leg, left calve non-stop. Sometimes I get i...  Read Full »


Dr. Mahmoud Ahmed Abelrahman Abouibrahim

Internal Medicine Physician, Family Physician, General Practitioner, General Medicine Physician

Answer: Hello, Welcome to icliniq.com. 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 »

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. Nazma Parveen

Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. 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 l...  Read Full »

After an electric shock, why does my partner still have shock-like feeling and pain in his arm?

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

Internal Medicine Physician, Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. 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 »

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Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.