Hello. I Have A Couple Of Questions, And Know I
I have a couple of questions, and know I may sound foolish, or worrisome. Recently, I've noticed some weakness in my arm. For awhile, I've noticed random "twitches" I guess you could call them, all over my body in my muscles. They are painless and brief (usually last 1 second or less). Over the past few months, I've noticed that I appear to be a bit weaker at the gym, I'm still able to do everything I used to, just seem a bit weaker. I also have just started to notice a strain like tingling or sensation in one of my legs (the same side as my arm that's weak). It is most apparent when I try to make circles with my ankle. I am a runner, and have been able to run, though I have a strain in my knee(the opposite side), and other than that haven't noticed many issues with it. Over the past year or so I've also noticed that I've become more clumsy, and tend to drop things like my cellphone more frequently. My knees also buckle occasionally, causing me to drip until I catch myself. This hasn't happened in awhile though. I've read online about ALS and that the beginning symptoms are usually very subtle and sometimes unnoticeable. I'm a hypochondriac and always assume the worst when I get any symptoms, and it then consumes my thoughts and I think I'm dying. I know the likelihood of this disease (as my family keeps assuring me) is not very high, but I did have a friend that died from a rare form of it when she was 21, and I couldn't imagine going through it. I have a physical exam scheduled with my primary care doctor for next week, as I'm hoping he would be able to give me some peace of mind and would be able to tell if something was wrong with me or not. As a note, this has not affected my daily activities, and I'm still able to do everything I usually do, and I'm walking fine, and talking fine that I can tell. My one concern with my knee was that my one leg was weak so my body was favoring it causing my other knee to get hurt, and for some reason my mind flocked to ALS. I don't like thinking this way, as I know it's not likely, but I also know it's possible, and I'm looking for any advice and opinions I can get. Thank you
I have a couple of questions, and know I may sound foolish, or worrisome. Recently, I've noticed some weakness in my arm. For awhile, I've noticed random "twitches" I guess you could call them, all over my body in my muscles. They are painless and brief (usually last 1 second or less). Over the past few months, I've noticed that I appear to be a bit weaker at the gym, I'm still able to do everything I used to, just seem a bit weaker. I also have just started to notice a strain like tingling or sensation in one of my legs (the same side as my arm that's weak). It is most apparent when I try to make circles with my ankle. I am a runner, and have been able to run, though I have a strain in my knee(the opposite side), and other than that haven't noticed many issues with it. Over the past year or so I've also noticed that I've become more clumsy, and tend to drop things like my cellphone more frequently. My knees also buckle occasionally, causing me to drip until I catch myself. This hasn't happened in awhile though. I've read online about ALS and that the beginning symptoms are usually very subtle and sometimes unnoticeable. I'm a hypochondriac and always assume the worst when I get any symptoms, and it then consumes my thoughts and I think I'm dying. I know the likelihood of this disease (as my family keeps assuring me) is not very high, but I did have a friend that died from a rare form of it when she was 21, and I couldn't imagine going through it. I have a physical exam scheduled with my primary care doctor for next week, as I'm hoping he would be able to give me some peace of mind and would be able to tell if something was wrong with me or not. As a note, this has not affected my daily activities, and I'm still able to do everything I usually do, and I'm walking fine, and talking fine that I can tell. My one concern with my knee was that my one leg was weak so my body was favoring it causing my other knee to get hurt, and for some reason my mind flocked to ALS. I don't like thinking this way, as I know it's not likely, but I also know it's possible, and I'm looking for any advice and opinions I can get. Thank you
I don't think it's ALS.
Detailed Answer:
Hello and welcome to "Ask a Doctor " service.
I have read your query and here is my advice.
ALS is a progressive condition and its symptoms worsen with time.
Since you noticed the symptoms over one year or so, I don't think that ALS is the condition that is causing them because in a year the disease should have progressed significantly.
In the other hand, ALS is very rare in people younger than 40 years old.
The hallmark symptom of ALS is weakness of muscles that progresses and muscle atrophy noticeable as the disease progresses.
In your case, there is no significant weakness, no muscle atrophy, you have no difficulties with everyday activities.
So, in my opinion, yours is not a case of ALS.
Excessive exercising, anxiety, etc. may cause such symptoms.
Hope you found the answer helpful.
Let me know if I can assist you further.
I don't think it's ALS.
Detailed Answer:
Hello and welcome to "Ask a Doctor " service.
I have read your query and here is my advice.
ALS is a progressive condition and its symptoms worsen with time.
Since you noticed the symptoms over one year or so, I don't think that ALS is the condition that is causing them because in a year the disease should have progressed significantly.
In the other hand, ALS is very rare in people younger than 40 years old.
The hallmark symptom of ALS is weakness of muscles that progresses and muscle atrophy noticeable as the disease progresses.
In your case, there is no significant weakness, no muscle atrophy, you have no difficulties with everyday activities.
So, in my opinion, yours is not a case of ALS.
Excessive exercising, anxiety, etc. may cause such symptoms.
Hope you found the answer helpful.
Let me know if I can assist you further.
Other reasons besides ALSmay cause muscle weakness.
Detailed Answer:
Welcome back.
As I mentioned before, ALS is very unlikely to be found in people before their fourth decade of life.
Genetic forms of ALS tend to be found in youth and are very rare.
Since you go to gym strained muscles for example may feel weakened.
Hope I helped you.
Take care.
Other reasons besides ALSmay cause muscle weakness.
Detailed Answer:
Welcome back.
As I mentioned before, ALS is very unlikely to be found in people before their fourth decade of life.
Genetic forms of ALS tend to be found in youth and are very rare.
Since you go to gym strained muscles for example may feel weakened.
Hope I helped you.
Take care.
Gardasil vaccine is not found to cause ALS scientifically.
Detailed Answer:
Hello again.
As I mentioned before, there may be other reasons for some muscles weakness besides ALS.
Gardasil vaccine is not found to be linked significantly statistically speaking with ALS or other serious complications.
Furthermore, there is a ten years gap between the vaccination and your current issues, so, it is very unlikely that this could be a possibility.
Hope this helps.
Greetings.
Gardasil vaccine is not found to cause ALS scientifically.
Detailed Answer:
Hello again.
As I mentioned before, there may be other reasons for some muscles weakness besides ALS.
Gardasil vaccine is not found to be linked significantly statistically speaking with ALS or other serious complications.
Furthermore, there is a ten years gap between the vaccination and your current issues, so, it is very unlikely that this could be a possibility.
Hope this helps.
Greetings.
Yes, it is a positive sign.
Detailed Answer:
One of the aspects of the ALS symptoms and damages is that there is interfering with every day activities.
So, it is a positive sign that you have no problems of this nature.
Wishing you good health.
Yes, it is a positive sign.
Detailed Answer:
One of the aspects of the ALS symptoms and damages is that there is interfering with every day activities.
So, it is a positive sign that you have no problems of this nature.
Wishing you good health.
Answered below.
Detailed Answer:
Welcome back.
One year is a long period when it comes to ALS, the typical symptoms should be clear by now.
It is clear that anxiety is playing a major role in your symptoms, so, try to calm down.
I think the upcoming medical evaluation will clear your doubts.
Take care.
Answered below.
Detailed Answer:
Welcome back.
One year is a long period when it comes to ALS, the typical symptoms should be clear by now.
It is clear that anxiety is playing a major role in your symptoms, so, try to calm down.
I think the upcoming medical evaluation will clear your doubts.
Take care.
Physical exam
Physical exam
EMG and nerve conduction study should be done.
Detailed Answer:
At this point, I think an EMG and nerve conduction study should be done for two reasons;
1- To evaluate any nerve entrapment that may cause the weakness.
2- To ease your mind.
Hope I helped you so far.
Greetings.
EMG and nerve conduction study should be done.
Detailed Answer:
At this point, I think an EMG and nerve conduction study should be done for two reasons;
1- To evaluate any nerve entrapment that may cause the weakness.
2- To ease your mind.
Hope I helped you so far.
Greetings.