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Dutchie

Member
Joined
Nov 12, 2013
Messages
25
Reason
Learn about ALS
Country
NL
State
Noord - Holland
City
Hilversum
Hey guys,

I follow this forum for about a year now and didn't know if I should post my story in this topic, but I am a little concerned. Good thing to know: I do not think I do have ALS, but clinical research shows high neuron problems, they thought it was suspicious. Clinical research is related to PLS, but because of my age they got doubts. Because of the progression I feel and the insecurities I decided to write this down in this topic, because here it seems you can talk about it.

This are not my own speculations, but noted by several doctors and neurologists.

My story starts about 8 years ago, when I started to get cramp/stiffness in my upper legs. I wasn't worried at all. I was playing football and I had to stop with that, but I was sure I would return to the football game again. This was a start of an awful period for me. The cramp/stiffness in my legs was getting so heavy that I had to sleep 5 hours every afternoon to get some rest. The cramp appears when I sit, or walk, so actually always. I went from department to department in the hospital, but nobody could find something. I was extremely exhausted, but still hoping for a good ending. In these years the cramp slowly starts to take over the rest of my legs too. When I look back it was a slow progress, but very notable. A year before I could easily play a football match, a year later walking half an hour was a disaster. No doctor could tell me what was wrong with me. Five years of living with these symptoms totally knocked me out. I had to stop with my study and fun stuff too. The cramp/stiffness was so worse that I couldn't even fly for two hours. (example)

In those five years a lot has changed, without even noticing it. It feels like it sneaks into my body. All those 'extra' things I experienced were for me side effects of being so exhausted. For example : talking became harder, I couldn't lift my arms anymore. Everytime the doctors told me how important it was to keep moving, thats what I did all those years. Lots of fysio to try to build something up. After 5 1/2 years I went back to the doctor again, because it only went backwards and i didn't seem to gain any strength at all. After a few stops I ended up with the neurologists from an academic hospital. I have seen neurologists before, so I was not worried that they would find something scary. During my first appointment they told me something is wrong. That they could see the weakness, especially in my speaking. They told me I speak like someone with muscle weakness. Tests with a speech therapist confirms that. My tongue 'lays down like a drunk person' and I speak through my nose. Besides that they noted fasciculations. They tested me on myasthenia gravis, but that was negative. The same appointment some super visors came to check me out. They looked worried and told me that my reflexes were extremely high, and noted hyperreflexia in my upper knee in combination with a high tone... They also noted weakness in my arms and at that time I was also developing a drop foot. ( Nowadays my right foot always swings to the side ). The MRI and EMG were clean. They only saw something strange in my spinal conner cord, but that didn't bother them. A muscle biopsy didn't help also. Conclusion: We do see something is wrong, but we don't know yet what.

At that time the main symptoms were: weakness ( speaking, arms, legs) , hyperreflexia, cramp/stiffness. I had to buy a wheelchair, because after 10 minutes my legs are so weak and stiff.. they feel sour and I drop down my calves..

Now 2 1/2 year later I don't know what to do anymore. It seems to go so slowly…One year ago I found out that my arms are getting weaker.. They are so weak that I can not even spray with a spraycan anymore. I had to ask a friend to spray shaving creme. I can not plug all the plugs in anymore. (Don't know if this is right English). Eating with a knife and a fork at once is very difficult. I can not bring the fork to my mouth with my left arm, so I will move my head to the fork. I never can open bottles, or cans. I can not lift my arms above my head, typing is also very difficult ( took me 3 sessions to finish this topic). The last months my left arm seems to be weaker day after day. I can not hold an object in my left arm, my muscles immediately get in to a cramp. This is a big struggle for me, right now I am typing with one hand. And my hand looks like a crawl, and it is always a little into a fist. Since two years I have to use a wheelchair for walks longer than 20 minutes.

I am just wondering what this could be and if someone recognize this. To me it seems to be familiar with PLS. I hope someone can give me advice and maybe even have some tips for exercises etc.


Short list of things I experience
Stiffness in my muscles ( legs, arms, back(
Extremely tired
Pain in my muscles
Cramp in my muscles, especially my calves
Twitching muscles ( noted by the doctors)
Weak voice and difficulties with talking quite long ( noted by the doctors)
Short list of things I experience
Stiffness in my muscles ( legs, arms, back(
Extremely tired
Pain in my muscles
Cramp in my muscles, especially my calves
Twitching muscles ( noted by the doctors)
Weak voice and difficulties with talking quite long ( noted by the doctors)


Thank you for taking the time to read my topic. I hope someone can give me any advice. I hope I didnt bother you with my story.
 
Hi sorry you are still undiagnosed and having problems. I think the answers you got in your previous threads are still applicable here.

After some thought I decided to move this to the PLS section as this person seems to have a documented UMN syndrome
 
Yes sorry for opening a new topic, my other one is closed. But I really hope someone has maybe some tips for training or what else it could be than PLS, because I am quite concerned...
 
Oh I know you had to start a new thread. No worries
 
Dutchie, you mentioned your age. How old are you? TB
 
I am 23 years old... I understand this is maybe too young for PLS but when I read more patients their story they also sometimes tell that the symptoms started early..
 
Dutchie, have you tested for MS? It can attack at a younger age more frequently. Your symptoms seem similar to mine (PLS) but I have very little (if any) muscle fasciculation (twitching) which is more common with ALS.
 
Thanks for the help. They did check me on MS. MRI of my brain and spinal cord. I can imagine that this is à hard task for doctors. Of course I do not want to have PLS, but after all these years I just want to know it...
 
Dutchie, don't worry about being "hard on the doctors" for doing their job. In fact, if you still don't have a solid diagnosis after all this time, they are FLAT ON THEIR ASS!
 
Dutchie, I'm so sorry for your plight. You have been through the wringer.
I was unhappy with not getting answers, so I traveled all the way across Australia to see a doctor who specialises in Motor Neurone diseases. Is something like this possible for you? I agree things do sneak up on you without noticing, not much fun.
I don't have an answer for you I'm sorry, except to see an MND specialist. PLS is rare, so a doctor with a bit more knowledge in this field would be beneficial.
God bless you on this journey, Janelle
 
Thank you. My age seems to be a problem. In my country there are specialists.. but they think it might go away because I am so young. The only thing is since 8 years it only got worse. I am curious if people here did manage to train and get more strength? I recently bought a hand trainer, I am doing this a few times a day but sometimes it does makes my muscles even more stiff. I hope to see any results.
 
Unfortunately you won't gain strength in the affected muscles.
There are exercises you can do to keep things like your hand going, but over doing it until it's stiff isn't going to help you.
Do you have family support to help you on the road to a solution? A social worker might be able to help. Going it alone is no fun, and you're right, your age works against you.
I don't know what is wrong with you unfortunately, but you do need to get to the bottom of it.
Janelle
 
Hey Dutchie, I no longer have the hand strength to push the button to dispense my shave cream either. However, try a small can of "travel size" shave cream...much smaller and I can do it myself by not wasting my strength trying to hold the bigger can. Just a little suggestion...good luck! TB
 
Sorry to hear your story. Your age is surprising since your first symptoms started when you were 21. The median age for PLS is 51 and that's when I had my first symptom. You are the youngest person with possible PLS that I have heard of. They also tested me for MG and Kennedy's Disease. Your symptoms seem to line up with PLS but in general PLS doesn't cause pain. I do have muscle cramping in my legs but it is not a constant pain. I don't know if you have this in Holland but I would recommend going to a group that specializes in ALS. PLS is so rare that most neuros will never see a case. I go to an MDA/ALS clinic. They were the only ones capable of diagnosing PLS and they had a few other PLS patients.
 
Billbell52, excellent analogy and great suggestion on what professional care Dutchie should pursue. I agree 110%.
 
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