Hi coya,
My symptoms length are hard to tell because I was pregnant last fall and Had my girl in Nov. But I did notice a real tiredness and breathing issues set in around end of summer. My calf felt funny.(I thought varicose vein or something). Anyway, I think it has been about 6-9 months that i can tell. I then get a colon infection and was in the hosp. so that was even harder to tell. In the beginning (dec) I had optic migranes, then I felt like every joint in my body hurt. I thought I had arthritis for sure. MY feet/ankle and hands/wrists and knee.
Alot of heel pain. THe thing that got me to the nuero was that my thighs felt weak and I developed a twitch (pull and release) in my hand. It happen when I feed the baby so I really thought it was nothing. Then they exploded to all over my body. I had some level of weakness proio but hard to tell. The twiching is now more like a pulse feeling. some I can see and some I cant see, some I can feel and some I cant. I am alot weaker now then before. I am not clinical weak, but I am having hard time. I can do things but my muscles burn or ache form it.
so, I guess to answer you Yes both! I had mild almost un-notable weakness, then twitching since march and now more severe weakness for my comfort level. I also have thinning out of muscle. the only one that they will say foresure is on my left hand b/w thumb and finger---that is bad, as it is a classic als spot. I can still use that hand but it feels funny. MY whole left leg is thinned out.
I hope all you have is twitching!
take care
april