I also have distal atrophy, I think if I get diagnosed with mnd it will be ALS, I am under watch right now. I was at
the ALS specialist on Tuesday, He gave me a script for some more bloodwork for a couple of very rare things and he said I will see you in the fall. As of 3 months ago my emg's were still basically normal, no spontaneous activity.
When my knees 1st buckled, I wasn't even thinking anything nueromuscular. I thought it was from wear and tear
I did alot of walking pounding on the cement outside for exercise to keep in shape after I had my kids since I didn't have the time to go to the gym. I even walked 5 miles a day when I was pregant.