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Oldfriend1

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Learn about ALS
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Derry
...and I apologize for that, but I've been extremely worried about what has taken place these last few months and I'm another (which I know you see a lot of) person who has myself absolutely convinced my symptoms are als.

I am 31 years old, and by reading through many old threads, I realize that I fall into the "most likely to become anxious, but least likely to be a candidate" category. I am not trying to waste anyone's time, and I just want to say I am truly inspired by all of you who have received a diagnosis of ALS or know someone who has.

There are a couple factors I will first admit to: 1. I was rehired by a previous employer in August of last year and started back up at a rather stressful job. 2. I know I often do not get enough sleep.

That being said, I'd like to go back to when the most alarming symptoms began.

1. Around October or so, I noticed a mild buzzing (like a cell phone) that would occasionally happen in my leg leg. Around that same time, I also noticed strange sharp pain in the areas surrounding my left elbow. My job can be physical at times, and I only noticed these symptoms during those times...at first.

2. Not long after these symptoms, I noticed a strange tightness/discomfort in my inner thigh/groin area. Once again, this was left sided. Over the course of a month or so, I had pretty constant tightness/discomfort, especially when lying/sitting in certain positions, which seemed to spread across my lower ab/pelvic area. It all seemed connected, and I still have those symptoms unfortunately. I saw a doctor about this, who thought it was sciatica and gave me injections that didn't work. I noticed twitches in my left calf, and also woke up one night with an extremely painful left calf cramp.

3. Over the course of the next month or so, the left leg buzzing got worse and more persistent, and the tightness/discomfort of my left groin/thigh spread up the left side of my torso up to the rib cage, which is most noticeable when I try to lie on my side. It tends to twitch after I attempt lying on the side.

4. Fast forward to Jan, and now I have a feeling in my left shoulder and down my arm that I will describe as a mixture between a dull ache and limb fatigue (burning/soreness) that I have at many moments throughout the day. At this point, I wasn't monitoring how much I used the arm, so I can't support that it was brought on due to activity. Some serious twitching begins in the right shoulder. This, along with the discomfort in my abs/groin, and buzzing, twitching in my left leg, had me worried, but I tried to continue working/living as normally as possible.

3. Feb - My RIGHT leg starts bugging me. I drive a fairly decent distance to work and back each day, but I'm used to driving a lot, so the fact that my leg (particularly the areas around my ankle) became so fatigued so quickly really had me worried. Early in the month, I wake up to another painful calf cramp. This time it's the right leg. Fatigue continues while driving, along with all the other symptoms I mentioned. Pain/tightness in my neck muscles including upper traps, mainly on left side with pain down the arm.

4. March - Twitching is happening more frequently and more often. This past Thursday at work both of my legs became extremely fatigued. Granted, I was on my feet a lot, but still. Then, I had to drive down to class, which was nearly 2 hours driving. While at class, twitching is happening everywhere...and I mean everywhere. I start to notice it in my RIGHT bicep, especially when leaning and resting my head on that hand/arm. The neck pain is now noticeable on the right side, with the pain doing down the arm. I woke up Friday with more of a sharp pain from my right side neck muscles down my arm whenever I moved my neck towards or away from the shoulder. My legs were still quite fatigued and painful, particularly around the ankles. I left work early to go to the doctors. He did a strength test, which seemed to go well (although walking on my heels tired me out quickly). I asked about a neurologist, but he told me a physio guy might be better (and he did mention that they would do an EMG). He told me I wasn't really painting an MS picture for him, but he decided to order some blood work (including Lyme) and an MRI of my brain, which I am waiting to get approved by my insurance. He recommended we wait and see the MRI results before deciding about the referral. I spent most of last night freaking out and of course googling all of symptoms. My wrists became fatigued much quicker than usual just from typing.

At this point, everything is twitching, but I'm not sure I'd call it random twitching, like with BFS. The muscles tend to twitch when I try to use them or lean on them, though there are times when it seems like rapid fire throughout the body. Not to mention, I have a pretty significant tremors. When I lean on any one limb when lying down, if I try to move into a sit-up position, snake position, or push-up position, the tremors are extremely noticeable. I've had a mild tremor when holding certain positions for years, but this is different. I woke up with some tightness, pain, and mild fasciculation in my left calf, and my right leg (around the ankle) still feels pretty fatigued, though not as bad as the last couple days. I need to do some driving today, so we'll see how that goes. Some twitching around my neck/traps, with tightness as well.

At this point, I am a mess. I have basically given myself a diagnosis before getting all the facts. I realize that. I still need the MRI. I still need the EMG. At this point, I do not seem to show actual clinical weakness. So I'm sure everyone on this forum is going to wonder why I am bothering to do this yet. I guess the biggest thing that concerns me is that this all started in specific areas and branched out. It didn't feel random at all....and it's been getting worse. That does seem to point to ALS at least to some extent based on my....googling (I know...bad idea). I FEEL like my body is failing me, but I realize there's a difference between that and my body ACTUALLY failing me.

As I said at the beginning of what is turning out to be a pretty terrible novel (my apologies for that), I have been under a ton of stress at work. People keep telling me that stress can REALLY take a toll on the body. I also realize I do not consistently get enough sleep. Take last night, for example. I am currently typing this on about 4 1/2 hours of sleep. Maybe these are contributing factors. Perhaps, and I certainly hope so.

Any thoughts you guys have would be appreciated, though I realize it's hard to get to deep into this conversation without the proper testing. Thankfully, I just typed a ton and it doesn't SEEM like my wrists are as tired as they were yesterday. Maybe that's a good sign.

Thank you all so much! I'm done rambling for now....I promise!
 
Friend, thanks for all the details. I agree literally with every sentence you wrote. Your doctor seems to have a good handle on this. For the record, I am not a doctor.

While reading through your details, I kept thinking "what makes this guy think he has ALS?" If you think you might have ALS, then it appears that Google is really, really messed up.

You described feeling a lot of things, especially pain and feeling fatigued. But ALS destroys the MOTOR nerves, and doesn't involve "feeling" this way or that.

You mentioned a lot of muscle cramping, tightness, twitches and tremors. Those secondary problems come from a lot of very common conditions. ALS is rare.

For details to help in understanding why none of this is ALS, see the sticky post we have stuck to the top of this subforum. It's titled NEW MEMBERS, READ THIS BEFORE POSTING, or something like that.

The short answer is: No ALS there.

Don't worry about it. Don't waste time on it. Enjoy your life. Improve your diet, vitamins, exercise, sleep, and fluids. Keep your doctor appointments. But don't worry about any fatal diseases. Ain't gonna happen.
 
Hello ♥ Atsugi, thank you for the words. They definitely are encouraging, and it's nice to see many of my symptoms don't necessarily scream ALS.
Unfortunately, I'll admit I am still obsessing over this thing. Tasks are becoming more difficult by the day. Walking leaves my legs so tired that I need to sit down constantly. That's not helpful in my career. My wrists become tired just holding an light item for a short time. Heck, even holding up an empty hand. Something is seriously wrong and it's taking me out of being able to live my life. The twitching in my foot was so bad today that I couldn't sleep. Typing is actually kinda weird now, especially in my right hand. If it's not als, then I need to figure out what it actually is, and soon. This is definitely scaring me.
 
Friend, you've probably done enough research on ALS to know that the symptoms you listed in this most recent post would point AWAY from ALS.

I'll agree that something is indeed wrong: The fact that you're still on an ALS site this morning--instead of working on inding out what this is--is evidence that you're not thinking straight about this. My friendly advice to you now is: Get in to see your therapist or have your GP adjust a med or something, and get to work on the right problem.
 
I appreciate the words, but I am struggling here. Eating was weird today. I can barely hold up my arms (especially the right) without severe fatigue. It seems more difficult using my right arm than my left, and that includes opening and closing a fist. My back and upper trap muscles are extremely tight from sitting/lying in almost any position. The fact that the symptoms moved from limbs on one side to limbs on the other has me equally concerned. Unfortunately, after reading several accounts from people who were diagnosed, I am still convinced.

I know, I know...you've tried to tell me. I promise this is the last time I will post here until I have test results. Those tests can't happen soon enough. I need to figure this out.
 
Sorry to double post (and I know I promised I wouldn't), but a lot of my symptoms that are said to not point to ALS have been mentioned by people with ALS in these videos:

< Link removed by Moderator. Fundraising links not allowed. >

One lady even had the buzzing in her foot. Plus the twitching, cramps, achy muscles....everything I've been experiencing. It has me very concerned. I can't get my mind off of this. I had my MRI today, so we'll see where that leads.
 
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Friend, I would be wary of any collection of ALS stories you find that are not moderated or put into context by people who understand ALS. Very often those sites will give a totally atypical presentation of a rare variation just as much authority as a peer-reviewed, verified, and fully explained case of ALS. That leads to misinformation.

Your recent post says you're suffering from a severe fatigue feeling from holding your arms up. That could be lots of things, but is unlikely to be ALS related. If it were ALS, I would expect that A) raising the arm would be difficult or impossible, and B) there would be no feeling associated with it.

You see, in normal, everyday life, a muscle that is overused will start to "break down" and feel weak, tired, burning. But in ALS, the muscle isn't getting the "go" signal from the brain, so it doesn't DO any work to be tired from!

And did you say that both arms are involved? Not very ALS-like.
Did I read correctly that the pain and weakness moved from one side to the other? That's even weirder. This sounds like a muscle problem, not a nerve problem.
 
I am also losing my right hand/wrist. The fingers and wrist are tighter than the left. It is harder to open and close a fist in that hand. It takes more effort to squeeze, and noticeably so. Back spasms from sitting in positions for very little time. At this point, I almost want my MRI results to tell me it's something else so I know it's not ALS.
 
When are you seeing your doctor?


I am also losing my right hand/wrist. The fingers and wrist are tighter than the left. It is harder to open and close a fist in that hand. It takes more effort to squeeze, and noticeably so. Back spasms from sitting in positions for very little time. At this point, I almost want my MRI results to tell me it's something else so I know it's not ALS.
 
Should know MRI results by tomorrow. GP appt next Friday, the 25th.
 
I'm back again...so the brain MRI came back normal...I've been to the docs a few more times since then and they really haven't helped too much. Trying to get in with a physiotherapist and a neurologist soon. The twitching seems like it's maybe a little better, but the burning fatigue and tightness has gotten worse. Driving is difficult...even typing. When I tighten my triceps, my right tricep is nice and firm/toned, but my left side doesn't want to tighten much at all. It's just kinda flabby...which is visibly noticeable, and also to the touch. I know there have been some sensory symptoms involved, but I can't help but remain worried about this. Thank you all for your patience with me.
 
A physio is an excellent idea. They know the mechanics of your body and can help you set goals and analyse your stride, measure strength, etc. Highly recommended. If your focus is on improving health and rehabilitation, you will benefit immensely. Physios can also mark baseline strength and function and help you track your muscle development and function month to month. Really good plan!
 
Agree that a pt will be able to evaluate you and probably tell you a lot about why things are happening. I have been fascinated at how quickly they have zeroed in on my issues and explained exactly why things were happening ( not the medical cause, but the way weakness affects my gait)

I looked at your local hospital neuro staff. They all seem to have had good fellowship training but since you are so close I would be tempted to see a neuro at one of the Boston teaching hospitals. I always recommend MGH but Brigham and BI are strong too. I am not suggesting rush to an ALS clinic but they have general neuros as well as the many specialists. If the neuro confirmed a neuro problem that needed specialized attention ( and the differential is wide open) they could facilitate a referral
 
It is looking highly likely that I will soon be receiving a diagnosis of chronic Lyme disease and co-infections. In short...not ALS. The symptoms have waxed and waned too much anyway. I really appreciate everyone taking the time to read my posts and respond. I'm extremely grateful. Take care, everyone!
 
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