The loss or wasting of muscle tissue is called muscle atrophy. A lack of mobility, usually due to an injury or disease, is the cause. The other common causes of muscle atrophy are aging, excessive drinking, burns, malnutrition, stroke, and spinal cord injuries.
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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 »
Answer: Hello, Welcome to icliniq.com. 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 »
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. Hardik Nareshbhai Rajyaguru
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 an... Read Full »
What causes unexplained weight and muscle loss in a 60-year-old woman with no history or signs of cancer?
Query: Hello doctor, A 60-year-old female with no prior history of cancer has unexplained weight loss, muscle loss, and gas bloating. Her lab work was run, with CA 19-9 elevated at 55 U/mL, beta-hCG is 9.25 at mlU/ml. MRI and CT did not show any masses anywhere; the ultrasound of the pelvis and ovary shows... Read Full »
Answer: Hello, Welcome to icliniq.com. If MRI (magnetic resonance imaging) and CT (computed tomography) scans show no masses, it seems unlikely to be pancreatic or ovarian cancer. These markers are significantly raised in cancer in thousands. Mild raise could be inflammatory or non-significant. I suggest ... Read Full »
Can motor neuron disease only affect the extensor functions and not flexion function?
Query: Hello doctor, I am a 58-years-old male with atrophy and muscle weakness in the upper extremities for the past 17 years. Muscle weakness only affects the extension functions, not the flexion functions. I underwent a PET scan, EMG, and NCV, and the doctor diagnosed it as multifactor motor neuropathy o... Read Full »
Dr. Florilyn Joyce Chulsi Bentrez
Answer: Hi, Welcome to icliniq.com. I understand your concern. I have a few questions so that I can help you. 1. With extension, do you mean with the fingers and elbows? 2. Can you abduct your shoulders at a 90-degree angle? 3. Is there pain, numbness, or any sensory deficit besides motor weakness? 4... Read Full »
I have been diagnosed with muscular dystrophy. What are the causes and treatments?
Query: Hello doctor, I have been diagnosed with muscular dystrophy, and it said I show early features of this muscle disease. But my CPK-MB, ECG, echocardiogram, and chest x-ray all came back normal. I have been down with this serious weakness since I was five years old, but I was diagnosed this year. I us... Read Full »
Answer: Hello, Welcome to icliniq.com. Muscle dystrophy is a genetic disease affecting muscles and sometimes other organs of the body, it progresses gradually. There are many types of muscle dystrophies. CPK value is usually high in such cases, but in late stages. If muscle mass is severely atrophied, then... Read Full »
Why am I not able to do straight leg exercise post meniscal tear?
Query: Hello doctor, Almost a year ago, I tore my meniscus. I was told no surgery needed and did PT for severe muscle atrophy for 12 weeks. Everything was going well. Then quarantine happened and leg started getting weaker due to lack of normal physical activity. Now my knee hurts, feels weak sometimes wh... Read Full »
Answer: Hello, Welcome to icliniq.com. Well, there is a loss of bulk and muscle atrophy due to reflex inhibition in patients with injuries of the knee. Exercises and rehab usually prevent it. You need to elaborate on certain details. Do you take a high protein diet? Did your back hurt as well? What is... Read Full »
Can you please give a second opinion for knee surgery?
Query: Hi doctor, I am a 31 year old female. When I met with an accident before six years my left leg below knee got injured and the doctors has done wrong surgery. Please help me. Read Full »
Answer: Hello, Welcome to icliniq.com. Please send me details of the accident and the surgery done, so that I can help you further. Please also send me the current x-ray pictures and name of the surgical procedure done. Revert back with reports and more detailed history to an orthopaedician and traumatol... Read Full »
My father loses his body fat through urine and on electro homeopathy Na Cl. Suggest a better treatment.
Query: Hello doctor, My father has diabetes, and the doctor said he loses the fat of the body through urine. Like no muscle inside the body. He takes electro homeopathy NaCl drip two to three times a week. Please suggest some thing how to be better? Read Full »
Answer: Hello, Welcome to icliniq.com. Patients with diabetes mellitus can develop contracture of digits and limbs as a result of soft tissue thickening in these areas. This can lead to wasting of the muscle from disuse. This is referred to as atrophy. You did not mention your father age, and if he is old... Read Full »
Whar causes muscle twitching in the right forearm?
Query: Hello doctor,Since the past week, I have had a twitch in my forearm area. I do not know if it was because I had to lift a three-gallon bottle for a long stance, or due to my anxiety issues. There is no weakness or atrophy as could be the case with ALS. Also, the movement of the twitch is very visi... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. Let me tell you that, it is possible to confirm the diagnosis of ALS (amyotrophic lateral sclerosis), only after physically examining the patient. About your concerns, I would like to inform you that an isolated twitching... 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 »
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 »