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So I Have Been Backwards And Forwards On This Site

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Posted on Sun, 8 Nov 2020
Question: So I have been backwards and forwards on this site about the same worry and I have got different answers that contradict which has fueled my anxiety of ALS! can someone please help to put my mind at rest, if you are a doctor that has already picked up this query then I apologise. sporadic cramps in one leg for 3 months. Twitching of same leg 5 weeks only at rest. NO muscle weakness...…. have been to GP he look at my legs and tested strength.... all ok . is there anyone that can stop me worrying ?? thank you
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
So I have been backwards and forwards on this site about the same worry and I have got different answers that contradict which has fueled my anxiety of ALS! can someone please help to put my mind at rest, if you are a doctor that has already picked up this query then I apologise. sporadic cramps in one leg for 3 months. Twitching of same leg 5 weeks only at rest. NO muscle weakness...…. have been to GP he look at my legs and tested strength.... all ok . is there anyone that can stop me worrying ?? thank you
doctor
Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
You have no problems with muscle control.

Detailed Answer:
Hello again.

I have read your new question and here is my explanation.

I see that you are worried since you got some different answers for your questions.

It is true that the ALS may debut with different symptoms and different combination of symptoms, but , I think is not your case.

I say this because if someone will try to include in one sentence the nature of the ALS, in my opinion this sentence should be: progressive loss of muscle control.

So, just cramps and some twitching ( that may be linked to thyroid dysfunction, anxiety, drugs adverse effects, etc.) without any muscle control loss or weakness does not mean that you suffer from ALS.

Hope this helps.

Feel free to ask if you have further questions.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
You have no problems with muscle control.

Detailed Answer:
Hello again.

I have read your new question and here is my explanation.

I see that you are worried since you got some different answers for your questions.

It is true that the ALS may debut with different symptoms and different combination of symptoms, but , I think is not your case.

I say this because if someone will try to include in one sentence the nature of the ALS, in my opinion this sentence should be: progressive loss of muscle control.

So, just cramps and some twitching ( that may be linked to thyroid dysfunction, anxiety, drugs adverse effects, etc.) without any muscle control loss or weakness does not mean that you suffer from ALS.

Hope this helps.

Feel free to ask if you have further questions.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Erion Spaho (37 minutes later)
Thank you for that confirmation. you have put it into very clear terms for me I appreciate it
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
Thank you for that confirmation. you have put it into very clear terms for me I appreciate it
doctor
Answered by Dr. Dr. Erion Spaho (30 minutes later)
Brief Answer:
Glad I helped you.

Detailed Answer:
Welcome back.

Good to see that I helped you.

Take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
Glad I helped you.

Detailed Answer:
Welcome back.

Good to see that I helped you.

Take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Erion Spaho (2 days later)
does the twitching stay constant. I do not experience it whilst walking around , I am just really worried because it is only in one leg. I am really worried everytime I point my toe or stand on tip toe the cramp appears in my calf
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
does the twitching stay constant. I do not experience it whilst walking around , I am just really worried because it is only in one leg. I am really worried everytime I point my toe or stand on tip toe the cramp appears in my calf
doctor
Answered by Dr. Dr. Erion Spaho (2 hours later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Hello again.

The twitching, for example, may indicate benign fasciculations syndrome.

Cramping may happen due to fatigue, electrolyte imbalance, impaired blood flow, etc.

Since there is no progression, there is no reason to think about ALS.

Hope this helps.

Take care.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Hello again.

The twitching, for example, may indicate benign fasciculations syndrome.

Cramping may happen due to fatigue, electrolyte imbalance, impaired blood flow, etc.

Since there is no progression, there is no reason to think about ALS.

Hope this helps.

Take care.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Erion Spaho (39 minutes later)
thank u by progression do you mean weakness? with an imbalance could the cramp be localised and lastly does the twitching continue whilst moving sround in typical ALS fasticulations?
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
thank u by progression do you mean weakness? with an imbalance could the cramp be localised and lastly does the twitching continue whilst moving sround in typical ALS fasticulations?
doctor
Answered by Dr. Dr. Erion Spaho (16 hours later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Welcome back.

As we discussed before, ALS may start with a number and a pattern of symptoms, but its characteristic is a progression over time to loss of muscle control.

So, since there are no problems with muscle control or any weakness, then there is no progression.

Localized twitching and cramp may be justified by the impaired blood flow of that area for example.

Hope this helps.

Greetings.



Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Welcome back.

As we discussed before, ALS may start with a number and a pattern of symptoms, but its characteristic is a progression over time to loss of muscle control.

So, since there are no problems with muscle control or any weakness, then there is no progression.

Localized twitching and cramp may be justified by the impaired blood flow of that area for example.

Hope this helps.

Greetings.



Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. Erion Spaho (2 days later)
I am seeing my GP today can you please say if this twitching would be constant even when I move as it goes when I start to walk around
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
I am seeing my GP today can you please say if this twitching would be constant even when I move as it goes when I start to walk around
doctor
Answered by Dr. Dr. Erion Spaho (13 minutes later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Hello again.

The twitching related to benign fasciculation syndrome, for example, is present when the muscle is at rest.

The twitching disappears with the movement in such a case.

So, if it goes away as you start moving, it is more likely the benign fasciculation syndrome the underlying cause of the twitching.

Hope this helps.

Greetings.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Hello again.

The twitching related to benign fasciculation syndrome, for example, is present when the muscle is at rest.

The twitching disappears with the movement in such a case.

So, if it goes away as you start moving, it is more likely the benign fasciculation syndrome the underlying cause of the twitching.

Hope this helps.

Greetings.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. Erion Spaho (26 hours later)
does the twitch in ALS stay constant when when moving
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
does the twitch in ALS stay constant when when moving
doctor
Answered by Dr. Dr. Erion Spaho (3 hours later)
Brief Answer:
Answered below.

Detailed Answer:
Welcome back.

Muscle twitches in ALS tend to be persistent.

They also tend to spread with time.

Hope this helps.

Take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
Answered below.

Detailed Answer:
Welcome back.

Muscle twitches in ALS tend to be persistent.

They also tend to spread with time.

Hope this helps.

Take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Erion Spaho (18 hours later)
I saw my GP on Monday. Ahe did a full clinical exam. Checked my body for any atrophy. tested all muscle strength arms legs hands feet. Asked about swallowing and speech. tested reflexes and babinski test.. All was fine . would she have picked something up?
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
I saw my GP on Monday. Ahe did a full clinical exam. Checked my body for any atrophy. tested all muscle strength arms legs hands feet. Asked about swallowing and speech. tested reflexes and babinski test.. All was fine . would she have picked something up?
doctor
Answered by Dr. Dr. Erion Spaho (44 minutes later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Hello again.

All these clinical signs evaluated by your Doctor, are an important part of ALS diagnosis.

Since your Doctor didn't found anything suggestive for ALS, this a good thing.

I'm sure if there was any doubt your Doctor will have noticed it.

Hope I helped you.

In good health.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Hello again.

All these clinical signs evaluated by your Doctor, are an important part of ALS diagnosis.

Since your Doctor didn't found anything suggestive for ALS, this a good thing.

I'm sure if there was any doubt your Doctor will have noticed it.

Hope I helped you.

In good health.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Erion Spaho (2 hours later)
thank u
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
thank u
doctor
Answered by Dr. Dr. Erion Spaho (2 hours later)
Brief Answer:
You are welcome.

Detailed Answer:
Glad I helped you.

Feel free to ask if you have further questions.

In the future, you can ask me directly at: http://tinyurl.com/DrSpahoAnswers.

Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
You are welcome.

Detailed Answer:
Glad I helped you.

Feel free to ask if you have further questions.

In the future, you can ask me directly at: http://tinyurl.com/DrSpahoAnswers.

Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Erion Spaho (19 hours later)
One of the drs on here said that mucsle weakness can be 6 months after onset of twitching and cramping does he mean loss of control? Surely I would have experienced something to do with weakness of atrophy signs by now. That is reason I am so anxious even after having seen the GP I wonder if I have not noticed the weakness yet?
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
One of the drs on here said that mucsle weakness can be 6 months after onset of twitching and cramping does he mean loss of control? Surely I would have experienced something to do with weakness of atrophy signs by now. That is reason I am so anxious even after having seen the GP I wonder if I have not noticed the weakness yet?
doctor
Answered by Dr. Dr. Erion Spaho (9 hours later)
Brief Answer:
Answered below.

Detailed Answer:
Hello again.

Cramping does not mean loss of control.

There are no exact timeframes for muscle weakness or other symptoms to be present, the core problem with ALS is that the condition is progressive, and the main feature is loss of muscle control.

Muscles control loss in ALS mainly consists on tripping, losing things from the hands, etc.

So, I don't think yours is a case of ALS.

Hope this helps.

Take care.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr. Erion Spaho (0 minute later)
Brief Answer:
Answered below.

Detailed Answer:
Hello again.

Cramping does not mean loss of control.

There are no exact timeframes for muscle weakness or other symptoms to be present, the core problem with ALS is that the condition is progressive, and the main feature is loss of muscle control.

Muscles control loss in ALS mainly consists on tripping, losing things from the hands, etc.

So, I don't think yours is a case of ALS.

Hope this helps.

Take care.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Dr. Dr. Erion Spaho

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Practicing since :2004

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So I Have Been Backwards And Forwards On This Site

So I have been backwards and forwards on this site about the same worry and I have got different answers that contradict which has fueled my anxiety of ALS! can someone please help to put my mind at rest, if you are a doctor that has already picked up this query then I apologise. sporadic cramps in one leg for 3 months. Twitching of same leg 5 weeks only at rest. NO muscle weakness...…. have been to GP he look at my legs and tested strength.... all ok . is there anyone that can stop me worrying ?? thank you