What could be the reason for burning sensation and muscle twitching in the extremities?

Hi doctor,

I have a burning sensation in my left hand and left leg. This sensation stops when I move. I have had some muscle twitching, mainly in the calves. I have taken an EMG three months after the beginning of the symptoms. No denervation or any other sign of ALS was found. Is EMG efficient in finding ALS symptoms after three months of muscle twitching? And, also burning sensations in my arms and leg started during a very high anxiety period. Can anxiety be the cause of the burning sensation?

Thank you.

Hello doctor,

Thank you for the reply.

Is there any reason to suspect ALS? Kindly suggest.

Hello doctor,

Thank you for the reply.

I had muscle twitching all over the body and pain on one side of left arm and left leg for six months. I got nerve conduction study and an electromyography three months after the symptoms and the reports were normal. I have also had an anxiety period. The symptoms started during this period. I take antidepressiv (amytriplin) and the pain has gone away. So my question is : After 6 months of Twitch would not I experience muscle weaknesses if it was ALS ?

Hello doctor,

Thank you for the reply.

I took an MRI scan of the spine and brain and was normal. I have also taken an EMG, three months after the beginning of the twitches. I asked the physician to conduct the EMG specifically on the muscle where the twitches were located. The twitches were on the calves, lower legs area, and shoulder. Is an EMG and NCV efficient three months after the onset of symptoms in a particular area? Kindly suggest.

Thank you.