Continued:
I do not know how this is going to turn out for me, but just be aware that people who assert that ALS only presents as focal weakness have not done the research. 10% present with generalized weakness and 25% present with bulbar symptoms. So only 65% have an initial acute problem with a specific hand/foot, which can then be EMGed pretty reliably. The other 35% are a lot trickier to diagnose. Also, atrophy, when widespread (not focal), does not show initially as dramatic dents in the body. Muscle will initially be infiltrated with fat, so the tissue will get softer and the muscles moderately weaker over time.
Again, I have not been diagnosed, but all other realistic possibilities have been eliminated at this point.
I do not know how this is going to turn out for me, but just be aware that people who assert that ALS only presents as focal weakness have not done the research. 10% present with generalized weakness and 25% present with bulbar symptoms. So only 65% have an initial acute problem with a specific hand/foot, which can then be EMGed pretty reliably. The other 35% are a lot trickier to diagnose. Also, atrophy, when widespread (not focal), does not show initially as dramatic dents in the body. Muscle will initially be infiltrated with fat, so the tissue will get softer and the muscles moderately weaker over time.
Again, I have not been diagnosed, but all other realistic possibilities have been eliminated at this point.