Hi, Please could you help me with advice. I am 21 years and I'm afraid. My symptoms began before 1 year and 2 months. He started fasciculation in the body, legs, feet, hands, face, tongue .. twitched my middle finger and stopped, and after 3 months again, but jerks so that the finger is moved, as if something pulled. This often happens if you do something with firm pressure and then begins to twitch. Left side of the body especially the legs sometimes feel the inside as a vibration or a tingling sensation, I do not know to explain it. More me and twitching the left leg and arm. twitch once the tongue, pass 2 months and again. in my left foot as if they were used to tingling, and even my little toe 2 months ago twitched a little. I was on 2 neurologic examination, and all nerves were normal. about 1 year ago began to hurt me back, took a deep breath when I feel the sharp pain, like something is stopping there. I was at physiatrist and he told me the lady with the left one muscle tone, increased slightly, I am afraid that this is a symptom of als. Please note that this year I sat hunched at my computer, it may be from improper holding the muscle thickened slightly. really hurts when I do the left arm below the shoulder and down. when I've started to move the hand, and shoulder then twitch in the buttocks and left leg, everything is on the left. Is it possible to get me some nerve on the left braked or something and then just hitting the left side? do you think I have als?