My symptoms started about a year ago in my left hand twitching in my thumb weakness cramping. Recently I noticed some muscle wasting in the top of my hand. I can not move my thumb as if to give a thumbs up. I can't spree my fingers apart and when I straighten my hand my pinky and ring finger stay slightly bent. I had an EKG and nudge conduction test done and am scheduled for surgery for my ulner nerve in elbow wrist and a nudge graft. I would be fine if this were the end of it but when having the Emg the dr kept asking about my neck. I have no pain in my neck and no loss of sensation in my hands there was something that showed up on the Emg. They scheduled the surgery before the mri of my cervical spine because the dr did not want to wait because I could potentially loose the muscle permanently. I am diabetic and asked if it could be peripheral nuropothy but the surgeon was quick to say no. He said something to the effect that this was more severe. At that point I stopped I think I was afraid to ask but now I wish I had. I am going to call on Monday to see if he will rule als out or not. I should have just asked.