started to fall over the slightest change in the ground, sidewalk, or like you said over a little rock! His primary, family doc sent him to a sports med doc who did an MRIs and EMG. We were scared to death when he said he "DIDN'T THINK HE HAD ALS!!" Yikes...Well, we read about it and were even more frightened. He sent us to a neuro who had one visit just to do a few tests, blood work, and MRIs. In between time, he got more cramps, and the muscle twisting. Then a second visit he did the EMG again and 20 days apart from the first EMG told him he had ALS! We then got a second opinion at the ALS Clinic in Pittsburgh, PA. It was confirmed by the top doc in the area. Of course we were devastated! We had to go on anti-depressants. But now have both reached the point where we have settled down thanks to those little pills! And, we have focused on making the best time