Paul and Jackie
Paul, Everyone is right. It can start anywhere. Everyone is different. The lady I met at the hospital that has ALS (my brother is there to) she was diagnosed 1-1/2 years ago and hasn't had the first twitch.
Jackie. Your husband had twitches for four years diagnosed 2009. I have had arguments with people that said that just was not possible. But my Neuro. summed that up for me. I don't have to disagree anymore. I know!
People reading this-Just because you twitch does not mean you have ALS . You can get them with MS, Anxiety, CIPD And others. CIPD list muscle contractions. Thats why people don't see it when they search muscle twitching. Stay tuned with your body. Go to the doctor if you are that worried. In my situation. I haven't been enough and now its is telling on me.
Lorie