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ok that makes sense. It was after a couple of hard days. Can ALS start in the knees? Like I said my left leg has been weird for a while. Can ALS start in the knee cause I think thats where the problem is coming from. it feels a little weak and it always wants to lock straight it seems. The strength seems to be fine but its just a little off. So I was just wondering if anybody had symptoms in the knees first? Thanks for the time.
 
Hon--ALS doesn't affect your joints--a stiff knee is NOT ALS.
 
Hey Everyone,
Just had another question for you. When someone has leg weakness what does this mean? How did it start? did you wake up one morning and felt a big difference from the day before? I'm having a little trouble with my left leg and I cant really put my finger on whats going on with it. It feels like it might be weak all over not just in one spot my knee is still wanting to lock back so it might be the muscles around the knee I dont know. I have been getting muscle twiches and a little cramping nothing major though and my foot is noticably colder than my right foot a lot! When I walk I limp a little and dont know were that came from. So does ALS always start in the toes,fingers, ankles, first? I just cant find the pattern of these things. I know everybody is affected different but has anyone had these feelings or signs before? And are the twitching muscle bad? and do the cramps hurt a lot? Thank you so much for your time and knowledge! KP
 
Hi

Maybe someone else will come along and answer, too.

Joint issues aren't ALS. WEAKNESS isn't a 'feeling' it's an inability to do something.

Now, the issue with your foot being colder than the other can be caused from all sorts of things--including circulation issues.

When my legs cramp--I'm close to screaming with the pain from them. I have to get up and walk immediately.


If all of us that have answered you haven't allayed your fears, we aren't going to be able to. You need to see a neurologist and have a neurological exam.

Ignore the twitches---they can even be caused by stress. I twitch--but the only reason I know it is because once in a while I'll glance down and see the muscle jumping--I don't feel it at all. I feel the jerks--which happen out of nowhere--but not the twitching--other than twitching in my chin and my eyes

Firefighting, if I recall correctly, is very strenuous. If you're able to work, I would think ALS would be highly doubtful.

The tremors you noted in your first post in your hand can also be lots of things.

ALS needs: weakness, atrophy and progression.

I have no idea if ALS has started in the knee for anyone here--but I tend to doubt it. I'd think calf and thigh muscles would be more common, but I'm no expert.

Hoping you find some answers that will put your worries aside
 
Hey Everyone,
I hope you had a good holiday! I was wondering if symptoms of ALS can start in the shoulder? and progress from there? My Doctor still doesn't think I need to see a neuro even to ease my mind cause he says there is no evidence of muscle atrophy or real weakness. But a neuro would do a emg and find any evidence of nerve damage right?
 
Hey Everyone,
I hope you had a good holiday! I was wondering if symptoms of ALS can start in the shoulder? and progress from there? My Doctor still doesn't think I need to see a neuro even to ease my mind cause he says there is no evidence of muscle atrophy or real weakness. But a neuro would do a emg and find any evidence of nerve damage right?

Why would you want an EMG if there is no clinical weakness or atrophy in the shoulder? What evidence is there of nerve damage in your arm?

And, no, ALS onset in the arms doesn't usually begin in the shoulder and work down -- it starts in the fingers or thumb and works up the arm. I suppose any type of onset is theoretically possible, but some are far less likely than others.

If you need your mind eased, consider some form of counseling.
 
Limb onset ALS usually begins with DROP FOOT (meaning you have difficulty picking it up, not merely a mild limp) and /or THENAR ATROPHY
(The muscles that keep your thumb in control shrink and wither away, leaving a shriveled-like appearance to your hand, and serious issues with grip).
From what I've heard so far, you have absolutely nothing to worry about.
ALS CAN start anywhere on the body, but generally follows the aforementioned typical progression.
Alastor
 
Hey trfogey,
I would want a EMG to see if there is any early signs of nerve damage. There is no visable weakness or atrophy anywhere that the doctor and I can notice. I wanted to ask you a question so I'm glad you replied trfogey. My doctor did do some blood work to test for antibodies for ALS and they came back "negative" but is this a accurate test? and does ALS have antibodies?
I guess I'm just scared as I'm watching my close friend quickly going down hill! But, he is much stronger than I. His attitude is something for the books let me tell you. Anyway maybe counseling is something I can try but to have someone sit there and ask me "How does that make you feel?" after everything I say is not the way I want to spend my afternoon if you know what I mean.
Thanks for your time
 
Hey Alastor,
I just noticed how young you are! I'm really sorry to read about your diagnosis! was your symptoms limb onset? and when did you first notice something was wrong? thank you for your reply
KP
 
oh ya something else I wanted to add my liver enzymes have been slightly elevating over the past few years. I have read people with ALS have the same problem or... does that have to do with the medication they take for ALS doing damage to their liver? I also had the elevated cratine kinase but they came back down to normal so this is the type of sh@* that kind of puts fear into me. So I hope you understand where I'm coming from. But you know better than me so any constructive critisism from you would be better than a couch visit! thanks again
 
Hey trfogey,
I would want a EMG to see if there is any early signs of nerve damage. There is no visable weakness or atrophy anywhere that the doctor and I can notice.

Let me put the flaw in your thinking into a perspective that's easy to grasp. Your chances of getting and dying from colon cancer are somewhere around 20 times higher than your chances of getting ALS. Are you planning to demand a colonscopy from every six months just so you can catch the cancer early, even though the current guidelines call for one colonscopy every ten years unless other tests indicate a problem?

I wanted to ask you a question so I'm glad you replied trfogey. My doctor did do some blood work to test for antibodies for ALS and they came back "negative" but is this a accurate test? and does ALS have antibodies?

I think you must have misunderstood what your doctor said. To my knowledge, there is no "antibody" test for ALS. If there was, diagnosing ALS would be a lot easier.

I guess I'm just scared as I'm watching my close friend quickly going down hill! But, he is much stronger than I. His attitude is something for the books let me tell you. Anyway maybe counseling is something I can try but to have someone sit there and ask me "How does that make you feel?" after everything I say is not the way I want to spend my afternoon if you know what I mean.
Thanks for your time

If you are that scared of having ALS, then you need to spend several, if not many afternoons "on the couch". Seriously. Your odds of dying or being horribly mangled or crippled in a traffic accident are literally dozens of times larger than those of getting ALS, yet I imagine you'll jump in a car without a second's hesitation. Why so much concern over ALS?

oh ya something else I wanted to add my liver enzymes have been slightly elevating over the past few years. I have read people with ALS have the same problem or... does that have to do with the medication they take for ALS doing damage to their liver? I also had the elevated cratine kinase but they came back down to normal so this is the type of sh@* that kind of puts fear into me. So I hope you understand where I'm coming from. But you know better than me so any constructive critisism from you would be better than a couch visit! thanks again

Here's a bit of constructive criticism for you: stop reading about ALS diagnostic procedures and the lab values that ALS patients have on common medical laboratory tests. A huge variety of conditions can cause the same results on those lab tests and are far more common in the general public. And remember: people who have ALS also have other common conditions -- heart disease, high blood pressure, diabetes, arthritis, etc. -- along with their ALS and sometimes the unusual lab values are related to those conditions or to medications taken for those conditions.

In fact, it's probably wise that you stop reading about ALS altogether. You don't need to know the gory details about ALS to help your friend. All you need to understand is how to help him get things done in spite of his physical limitations. There are plenty of sites out there where you can learn about helping the motor-disabled -- spinal cord injury sites and the like -- so you can learn ways to help your friend without including ALS in the mix.

At this point, your fear of ALS has you so blinded to reality that you aren't making sense of what you are reading, so more reading about ALS will just get you more confused. So, do yourself a favor, pull your head out of your colonoscopy port and get on with your life. You're not helping your friend with this obsession.

Good luck.
 
I don't really know why i have so much concern! I see car accidents all the time and have seen lots of people die! and although its a tragic death they go right away for the most part! I guess I'm scared cause I dont want my family to see me wither away slowly just to meet my ending when they are old enough for it to really make an impact on their life. I'm the kind of person that when its my time take me know! So I would rather the car accident without hesitation.
I like your words and way of thinking, I read a lot of your posts and people dont really know how to take you sometimes! But I'm the same way and expain things like you do. You are one of the best knowledgable people on here though so your words are heard.
I guess this subject is a little weakness for me.
Maybe its just the friend thing! But my wife and I are going to take care of him. she is a nurse and I'm a medic so we accepted the challange. He's like a brother to me and all this sh*$ hit me a once.
So again thank you for the good honest words! "I'm still not going to the couch!"
 
You've already been to the couch and don't know it!

Good luck to you and your friend! Thank you for being there! Your courage will serve you well.
 
You say that you are 'still not going to the couch' with what sounds like macho pride.

Unfortunately, you are already 'going to the couch' ( this forum ) but, as well-meaning and as sympathetic as this group is, no one here is able to treat you professionally. The 'couch' here has no springs and the stuffing is coming out. We can watch while you procrastinate and repeat your fears over and over again but we can't do more.

You have an obvious disability which is mind-numbing anxiety. Why not treat that? If you are overwhelmed already, good luck coping with your friend and all that caring for him will entail. See a counselor if only to help your partner and your friend with ALS. It sounds like they are coping with enough without having to deal with your anxiety.
 
macho pride! If this were the case for me I wouldn't have posted here in the first place. Pride has nothing to do with it. Its fear from a father and husband stand point. I came here to ask questions and get people's opinion's on my fears. Im not asking for a diagonosis from anybody here. Just a person trying to compare with people that share the same.
 
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