Q. I have anxiety, swollen left lymph node and spasm in calves. Could the reason be ALS or BFS?

Answered by
Dr. Aida Quka
and medically reviewed by iCliniq medical review team.
Published on Nov 16, 2019

Hello doctor,

I have a question regarding ALS vs BFS. I have severe anxiety, a kind fo shakes when arms are crossed, swollen lymph node on the left side of neck, sore wrists, muscle spasms in calves, and on outstretch the left arm gets fatigued. I have done MRI, EKG, and MRI cervical spine.

Dr. Aida Quka



Welcome to icliniq.com.

I understand your concern and would explain that ALS (amyotrophic lateral sclerosis) does not usually cause just fasciculation. It is usually associated to progressive paralysis and muscle wasting in the hands and legs. Other symptoms like troubles with swallowing, breathing occur later after some months. During physical exam pyramidal signs and diminished neurological reflexes can be seen (by the doctor). So, I do not think that your symptoms are related to ALS.

On the other hand the inflamed lymph node in the neck is not related to ALS. Nevertheless, the nerve conduction studies would help to definitely exclude ALS. You should discuss it with your doctor on the above test. I would also advise checking vitamin D and vitamin B12 levels for possible deficiency, thyroid hormone levels for possible imbalances. I hope this helps.

Thank you doctor,

He already did an EKG? Isn't that a nerve conduction study? He zapped my arm over and over. Do you have any idea of when I stretch my arms straight it gets locked up? I woke up one day and it was just like that.

Dr. Aida Quka



Welcome back to icliniq.com.

The EKG (electrocardiogram) is a test that examines the heart. Nerve conduction studies are called ENG (electronystagmography) and are performed with a small amount of electricity induced by electrodes in the arm and fingers. Do you remember such test? If no, I would recommend performing it.

Regarding the spasm in your arm, it could be related to a wrong position during sleep. I recommend trying to stretch your arm frequently during the day. In the meantime, I recommend trying magnesium supplements to help against the cramps.

I hope this helps.

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