Back in 2007 I noticed that I could not move left big toe, at the time I didn’t know but this was the first sign. In the next year I begin to loose muscle in my left leg calf, this concerned me and my family physician. After a lot of MRI’s, catscans and emg’s, it was clear that I had a lower motor neuron problem. I have no UMN signs, reflexes are diminished or normal. I have an extremely high arch in my left foot, very similar to what occurs in CMT. In April of 2008 on my first visit to the neurologist, (previously I went to spine specialist and physiatrist (MD’s)), after a 20 minute exam I was diagnosed with ALS. Over the next 2 years I went to the MDA clinic and the University of Kansas medical center. Was told it could be monomelic amyotrophy and it could be a variant of CMT even though my nerve conduction tests did not support this. After fours years with very little progression I am officially diagnosed with Adult SMA. We now believe my father has this also and his father had it too, we always thought they had a severe case of rheumatoid arthritis. It has been a long journey to get this diagnosis, I am sure everyone can relate.