Uncertain if this warrants a EMG test. Any experts?

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Muffinman1988

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Hi All,

Firstly I respect the helpfulness people here gives, to worrisome folks troubled with Suspected symptoms. Not surprisingly, I'm here because I recently noticed some and I need some advice if it's a cause of a concern. Thanks in advance.

So, it's my Left Tricep muscle group. About a month ago, I felt a general wobbly weakness in my proximal arm when I lean on my left, while palm facing down. I ignored it as general weakness. Fast forward, for the past week, I started having twitches once or twice a day when tricep at rest. And when I use my arm for daily uses like texting and lifting light load, I can physically see and feel a torrent of fasiculation on the tricep. It stops the moment I stop using my arm.

So my question is, does ALS fasiculation/tremor only happens when it's at rest, or ALS fasiculation/tremor also can happen when muscles are semi tensed?

The semi tense muscles when it fasiculate, it felt like a rapid firing of nerve signals gone wrong and rumbling quickly beneath the skin.

Weakness is present as a diff arm holding the same weight doesn't present wobbly limbs.

Can the experts show some light here?

Thank you
 

Nikki J

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Twitching happens in many ways in ALS. Twitching also happens for many reasons , most of them benign.

You should see a physician and have your perceived weakness evaluated to see if it is clinical and to see if other clinical findings exist. You should then follow his/ her recommendations for testing or treatment. If the exam shows problems the doctor might order an EMG which looks for many things not just ALS.

You should not go in asking for a specific test. The best approach is what is wrong with me? Once the doctor examines you and presents a plan if your fears are not addressed you can ask about ALS but going in with I am afraid of ALS and want an EMG would limit the visit unnecessarily
 

Vincent

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Clinical weakness presents as a muscle that will not contract. When I walk, my left heel hits the ground and my forefoot slaps the ground. I can concentrate on slowing the transition from heel strike to foot flat but it will not happen. The tibialis anterior muscle will not contract to slow the process. It hasn't worked since the summer of 2011. It doesn't hurt, it doesn't even feel different. It just does not work. It doesn't work better on some days, that muscle is dead and not coming back. Hope that helps. Kind of bleak, but that is my life now.

Vincent
 

Muffinman1988

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Dear Nikki and Vincent,

So much appreciation with your replies and knowledge. It must be tough to reply a lengthy msg to help educate.

i Guess I am just worried my weakness is progressive and that right now it's not totally limp yet on my left arm. I'm trying to do some exercise hopefully can help improve the weakness. If no improvement, then I Guess it warrants a specialist visit.

And I Guess for those living in Anxiety, please stay strong as much as I'm trying to as well.

Thanks,
Kai
29yo Chinese
 

Nikki J

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If you have not seen a physician you should. There are many things that could cause your symptoms and some would respond to timely treatment. This is not a binary situation- ALS or nothing. You could potentially cause harm by exercising the wrong way or by delaying
 

Lkaibel

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I think Vince’s description of “ just not working” is perfect.

It’s an odd and very characteristic thing for even another person to observe. It’s not swollen, it does not hurt, it is visibly normal it just does not work. A lot of neurological and non neuro conditions are full of sensations like feeling weak, tingling etc. ALS is special in that it’s not.

Best wishes finding out what’s going on.
 
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