Fasciculations concerns

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DMS

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Learn about ALS
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Hello
I am awaiting an appointment with a neurologist because I am worried about ALS. My right leg over the past two months seems more tired than my left after doing yoga balance poses, which is unusual. My right toe has been twitching for the past 6 1/2 months, it isn’t persistent but it’s several times a day. It doesn’t seem to be an issue if I stand at my desk while working, but I feel it most when I’m laying in bed or sitting on the couch.
Lately, just within in the past two months the front bend of my right foot has fasciculations. A couple weeks ago I took a 1 mg Xanax because I had myself so worked up and worried that it actually stopped the fasciculations for the most part. Now two weeks later out of the blue yesterday the front bend of my right foot started fasciculations again and it went up the right side of the bottom half of my leg. I took a .25 mg Xanax and that helped alleviate the fasciculation. Today I feel very minor fasciculation on my lower right leg. But not as severe as yesterday.
Could this be ALS? All these issues are on the same side. Does taking Xanax as a muscle relaxant treat ALS fasciculations? Or would Xanax not matter if this was ALS?

I forgot to mention that I also find I cannot hold yoga balance poses as long as I used to on my right leg. I can still do the poses but my leg gets tired quicker than my left. Could this be early onset ALS? Or does it literally just happen where one day I just won’t be able to balance on my leg?
One other symptom is when I’m sitting on my desk chair I sometimes sit with my heels lifted and my toes down on the ground. In the past two months when I do this my right leg starts to bounce really fast. As soon as I set my foot down it stops. Thoughts?
 
Hello-

Please make sure to read this: Important - READ BEFORE POSTING! Answers to common concerns about possible symptoms It should reassure you.

My hope is that you have not jumped over a general practitioner and decided on your own that you have a neurological problem. Have you had a clinical assessment? Have you tried postural changes and physiotherapy? Twitches are incredibly common and can mean so many different things, from nutritional deficiency, muscle overuse, viral infection and so on- ALS would only be considered once everything else has been eliminated.
 
I did see my general practitioner in August when the toe twitches started. He did bloodwork and said everything looked OK. I had an MRI last month of my brain and lumbar and everything looked OK there too. So he referred me to a neurologist because he said it’s better to see a specialist since he doesn’t feel that he can help me anymore.
 
Any further thoughts on the front bend of foot issues or xanax helping when my leg feels weak? Is that any indication of ALS?
 
Twitching means nothing without clinical weakness. Since ALS twitching is a sign of dying motor neurons xanax would not help that. Feeling weak is not clinical weakness
 
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