
Had Electromyogram. Having Weakness In Leg With Anxiety. Have Amyotrophic Lateral Sclerosis

I would agree with your GP and your neurologist
Detailed Answer:
Hello Mrs XXXXXXX
Thank you for writing to us with your health query, and I apologize for the delay in writing back to you.
Since your problem was neurology related general practitioners like me hesitate to pick it up hence the delay.
I have gone through your problems carefully, and I can understand your anxiety and concern for health. I can relate to your problems as I suffered similar condition during my medical school and underwent every conceivable test that was available and it turned out to be benign fasciculations, that was the final diagnosis after an year long search for some cause.
The culprit in most such benign cases is coffee. So if you consume coffee regularly, I suggest you stop it completely or reduce it drastically and see how it goes, and another thing to keep in mind is to exercise regularly.
In your case too, I feel there could be no major problem and ALS can not be the problem as ALS is a debilitating condition where in the disease progresses rapidly and you know very well that that is not the case with you.
Another cause could be minimal intervertebral disc bulges irritating the nerves, this can be ruled out by an MRI of the lumbo-sacral spine.
You need to relax and stop worrying about serious causes for your problem, thinking more about these muscle twitches itself precipitate the issue, and anxiety is a major contributing factor for such muscle twitches.
If you read this answer of mine carefully, you will see that I am getting somewhere, the problem could be anxiety further made worse by coffee intake or it could just be nothing at all.
You need to get over it at some point, indulge yourself in activities which divert your attention from this issue and you will notice that the frequency has suddenly gone down. Exercise regularly, decrease coffee and if you are smoking that also needs to be stopped.
I hope this answers your question, please do write back if you have any more questions for me, I would be more than happy to help you.
Wishing you good health and stress free life.
Warm regards.
Dr. Yogesh. D

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