
Do Twitching Of Muscles On Left Foot And Shin Suggest ALS?

ALS very unlikely.
Detailed Answer:
Hello and thanks for using HCM.
I have read your question and understand your concerns.
Just muscles twitching is not enough to diagnose ALS, so ALS in your case is very unlikely, because early symptoms include: difficulty walking, or doing normal activities, weakness of hands and feet, difficulty keeping a correct posture, problems with speech and swallowing.
Conditions related to muscles twitching in your case may be: benign fasciculations syndrome, if you use any drugs (fluorquinolones eg.) may be a side effect, anxiety as well as imbalances of electrolytes in blood.
Other less likely conditions may be muscles dystrophies.
You should have tests such EMG and nerve conduction, blood tests about electrolytes, done in orders to narrow the causes of your symptoms.
Hope this helps. I remain at your disposal for further questions and clarifications.
Take care.


ALS is a multi symptoms condition.
Detailed Answer:
Welcome back.
ALS is a multi symptoms condition. Twitching could be one of early symptoms of ALS. But I would not diagnose ALS when the history is only twitching. You should get necessary tests ( those I've mentioned too) in order to arrive at a conclusion.
Hope this helps.
Best regards


EMG is needed to assess the nature of twitching.
Detailed Answer:
Hi again XXXXXXX
Normal neurologic examination is a very good point against ALS, however EMG is needed to assess the nature of muscles twitching, since (as you report) twitching is obvious.
Hope I helped you understand better your condition.
I remain at your disposal for further questions and clarifications.


ALS is not a single symptom condition.
Detailed Answer:
Welcome back.
Once more time, ALS is not a single symptom disease, furthermore muscles twitching and cramps usually occur spontaneously and in your arms, shoulders and tongue.
Anxiety is a possible explanation of your symptoms.
Wishing you good health.

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