I feel pinching in my legs, which spreads to the rest of my body. Could it be due to ALS?

Hello doctor,

My symptoms began a month ago with pinching in my legs, which spreads to the rest of my body. It was a mild feeling of pins and needles, burning, and itching. I also felt muscle weakness, especially in my arms, as well as overall fatigue. I had blood tests that revealed that my vitamin D levels were 15 nmol/L or 6ng/ml. I was put on vitamin D supplements 3000 IU per day for the first week, and half the pins and needles feeling went away. But now they come back here and there as well as some tingling in my feet and hands.

But what is more concerning for me is that I have had muscle twitching all over my body. Right now, I can see fasciculation in the palm of my hand and neck, and it is scaring me about ALS. I also feel shakiness in my hands and arms.

Also, something very odd happened; my pinky dropped in my right hand. It looks like an ulnar claw at relaxation, but I do not have any pinching, burning, or pain in my hand or arm that is consistent with ulnar nerve paly or entrapment. I can still extend my pinky and abduct, adduct it with no problems. What could this be due to?

I have spoken to two GP's, and none want to recommend a neurologist. My anxiety has been through the roof. The second GP put me on a higher vitamin D dose. Do you think it could be ALS?

A full blood test was done and revealed no issues with thyroid, B12, magnesium, calcium, iron, or phosphorus. Only vitamin D was severely deficient.

Hi doctor,

Thank you for your reply.

Is this all due to severe vitamin D deficiency? How would you explain the pinky drop? I am not sure what is going on there and very scared of ALS.