Hi all - first let me say I am impressed by the compasison and helpfulness all of you show on this website. I have not yet been diagnosed, but am terrified. My symptoms started with weakness in the right hand, especially the ring finger and pinkie. I am a legal secretary and typing is becoming extremely difficult. Had the full range of MRIS, all normal. Had an EMG and the results were abnormal with respect to the motor AND sensory nerve. The neuro said the problem seemed to be coming from the brachial plexus region. The neuro also said it could be early stage ALS. My PT, and chiropractor believe I have thoracic outlet syndrome. Both ALS and TOS are diagnosed by process of elimination. I also have fasciculations in the hand, and now in both feet. I haven't really noticed weakness anywhere else, although, as you all know, the mind can make you think you are weak when you really are not. I can still climb stairs, no stumbling, no speech problems, or drooling. I am also hyperreflexic, but only in the right arm. I have exhausted all PT allowed by my insurance company and my first appt. with a psychiatrist is tomorrow. If the ALS doesn't get me, the stress will. I guess my question is.............if the sensory nerve is affected, could ALS still be possible? I have another EMG scheduled in September. I am terrified. Also, I sleep on my side,and when I yawn, (but ONLY when I yawn), in while on my side, my fingers curl. I have also gone to a cardiothoracic surgeon who says the symptoms seem consistent with TOS, but wants me to have more physical therapy, which I cannot get. Any input from anybody?