I have muscle weakness in the left hand and leg when compared to the right side. Please help me.

Hello,

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I would like to know some further information about your symptoms. Since when you started to have these symptoms? Also, please describe your symptoms in sequence, like what were the first symptoms and involved which body part? And then it progressed to which body part? Is this twitch visibly by eyes (to others and to self in the mirror)? or is it only perceived by you? Are twitches persistent 24x7? or is it intermittent? If intermittent, have you noticed any particular trigger factor or aggravating factor for these twitches? Cramps involve which body parts? Are they visible by eyes or only perceived inside by you? Are they painful or painless? One episode of cramp lasts for how long duration? Since when you noticed wasting of the left hand? Have you had any neck pain or back pain? Any history of weight loss? Have you consulted a neurologist for these symptoms? If yes, can you please send a neurological assessment sheet and also send any investigations reports (if done). How is your day-to-day mood these days? Is it happy or neutral or towards the sad side, or toward the worried side? How is your sleep these days? Do you get sleepy soon after lying in bed? Once you get sleepy, do you have a sound sleep? Or you have frequent awakenings? In the attached small video (attachment removed to protect the patient's identity), there looks like no pronation of any hand. It is difficult to judge atrophy by looking at a picture or video (need to be seen physically). Twitching and cramps are commonly by some benign causes (anxiety or hyperthyroidism or benign fasciculation syndrome), but you mention weakness and atrophy of the hand, which may point toward other etiology. I would also suggest you consult a neurologist physically for a detailed neurological assessment (assessment of power or deep tendon reflexes or any atrophy visible clinically or fasciculations), along with getting the mentioned investigations.

Hello,

Welcome back to icliniq.com.

As per your description, your history is a short duration (1 week), and major symptoms look like twitches (fasciculations), cramps, and pain in the shoulder area, along with severe anxiety, which is disturbing sleep. I do not know if weakness and atrophy are really there or you were feeling it due to pain and cramps. With such short history, motor neuron disease is a less dominant possibility. Weakness in neurological terms is assessed by decreased power of holding objects or lifting arm or leg at different joints. A few times patient confuses it with decreased effort due to some pain in the limb. Atrophy, if obvious, can be visible to the patient. But if it is not that obvious neurologist or physiotherapist can look it better way. Atrophy also can develop in particular muscle groups of limbs.