Hi, I'm a 36 year old woman. I've been having worrying symptoms for a few weeks now. It started with cramping in right thigh and calf muscles, with an aching right arm. These symptoms were accompanied with twitching all over my body.
A couple of weeks ago, the muscle between my right thumb and forefinger was noticeably twitching for a few minutes which then lead to my thumb and finger involuntarily moving by themselves for a dull day. This stopped. But ever since my whole arm, hand and fingers have been aching and cramping.
I sleep terribly and wake up very stiff in the morning. My legs ease up a little once I'm up and about, but always have heavy, aching legs and body wide twitching. My arm constantly aches and it's getting more difficult to get my hands into a fist position.
I've seen my GP. He carried out some tests on my legs and said all was normal. No brisk reflexes etc. he has referred me to a neurologist.
My worry is that these symptoms are the start of als. Can it present in this way and can als still be possible with a normal clinical exam?
A couple of weeks ago, the muscle between my right thumb and forefinger was noticeably twitching for a few minutes which then lead to my thumb and finger involuntarily moving by themselves for a dull day. This stopped. But ever since my whole arm, hand and fingers have been aching and cramping.
I sleep terribly and wake up very stiff in the morning. My legs ease up a little once I'm up and about, but always have heavy, aching legs and body wide twitching. My arm constantly aches and it's getting more difficult to get my hands into a fist position.
I've seen my GP. He carried out some tests on my legs and said all was normal. No brisk reflexes etc. he has referred me to a neurologist.
My worry is that these symptoms are the start of als. Can it present in this way and can als still be possible with a normal clinical exam?