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fromitaly

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Hello everyone and thank you in advance for your replies,
Sorry if my english isn't perfect. I'll try to be as clear as possible
From the beginning og August i have been suffering from generalized pain after moving some heavy weights it could be a coincidence cuz the pain started 1 week later. The pain in mainly my right shoulder and my right bicep. Sometimes i feel pain in my palm, my elbow, my neck. My right leg is also bothering me with frequent cramps during the night and when i walk it feels tight and heavy (is that what you call spasticity?). I tried to do some squats the other day and my quad started buzzing after 3 squats and became sore. Could this be that my muscles are weak and i am overusing them?
When i lift the same thing with my right arm it feels much heavier than with my left arm. and after some second my arm starts to shake.
I went to the neurologist, she did a routine check of my four limbs and she noticed a slight hyporeflexia in my legs. And adviced me to do an emg on my four limbs and and ultrasound of my shoulder. The ultrasound came back perfect, the doctor couldnt explain the shoulder pain and heavy feeling. The other neurologist who performed my emg checked only my right arm in my deltoid, tricep, sovraspinatus, first dorsal between bones, and the finger extensor and she said everything was fine.
Then my Gp sent me to a physiatrist who said the muscles in back are very tense and cause nerve inflamation which causes pain.
Some days after i did my emg because my palm was hurting a little when doing simple tasks I noticed some holes/dents that look like atrophy inside my palm when i put my finger on the hole and move my index i can feel the bone and the tendon moving, my left palm is more meaty and with no dents. When i use my phone the area where the dent is starts hurting like there is no flash to protect the tendons and bones. This area is 2cm x 0,5cm.
Thoughts? Does it look like atrophy to you?
 

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KarenNWendyn

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Pain as you describe is not a feature of ALS.

Hyporeflexia points away from ALS.

Your EMG was fine.

You don’t have ALS. That’s great!

Hopefully the physiatrist gave you some suggestions and referred you for physiotherapy.

This link will hopefully answer any additional questions you may have and explain more why you don’t have ALS.

https://www.alsforums.com/forum/do-...-common-concerns-about-possible-symptoms.html
 

fromitaly

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Thank you Karen.
Could you please say what you think about my pictures.
I have another question, something i don't understand about how the EMg works, if the weakness was in my bicep, but the neurologist sticked the needle only in my deltoid and forearm would she still be abe to detect it? Or if the atrophy was in my inner palm but she only checked between thumb and index, would she be able to detect it?
Thank you for the stickie link, it is reassuring!
My brother in law lost his mother to Als, he doesnt want to speak much but he got me worried and said go to a neurologist and do an EMg that's why i panicked
 

ShiftKicker

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Requesting assessment of photographs by a stranger online is not appropriate. An examination in person with a doctor is your best bet as they can also assess function and how your muscles look in use. You have been cleared via EMG and a clinical exam. People on an online forum can't do better than that!

Best of luck in your search, but this forum for folks with ALS is not the place for you- that possibility was eliminated by your doctors. That is good news.
 

Vincent

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What I see in your pictures is called |Dupuytren Nodules look it up. I have had it for years, not at all ALS related.
Vincent
 

fromitaly

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Thank you Vincent.
I lloked it up but it seems like the nodules you mentioned cause problem on the 4 and 5 finger (anular and little)- Am i wrong? My main problem is the index and the midle one.
 

KarenNWendyn

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You can still get inflammation leading to scarring on any of the finger tendons on the palm. It just happens to be most common on the 4th finger tendon.

To answer your original question, your pictures do not suggest atrophy.

This has nothing to do with ALS. We’ve already told you we don’t believe you have ALS, so asking us further questions is not appropriate.
 
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