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Dr. Andrew Rynne

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I had some concerns about weakness in my arm, specifically

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Dr. Bruno Mascarenhas

Neurologist, Surgical

Practicing since :2000

Answered : 803 Questions

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Posted on Sat, 9 Feb 2019 in Headache and Migraines
Question: I had some concerns about weakness in my arm, specifically forearm area, as well as my leg as well. None has affected my daily life or anything, just there. Also have had muscle twitches for awhile , just brief ( a second or less), all over my body. Periodically throughout the day. I recently had a physical exam, and sort of hinted at my concerns to my PCP, and noted that I was worried about ALS. He didn’t do any further exam, and said he doesn’t think I need an EMG or anything. Should I believe this, or should I get a second opinion?
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Answered by Dr. Bruno Mascarenhas 14 hours later
Brief Answer:
You need a Second Opinion and Further Tests

Detailed Answer:
Dear Sir,

Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.

Your symptoms are
1. Weakness in the arm, specifically forearm area
2. Weakness in the Legs
3. Muscle Twitches

All these mean you need to have further evaluation in form of
1. MRI Spine
2. Nerve Conduction Study
3. EMG

Please get an second opinion

Hope you found the answer helpful.

If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.

Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.

-oOo-

PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.

PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Bruno Mascarenhas 1 hour later
Okay. Do you believe this could be related to ALS?
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Follow up: Dr. Bruno Mascarenhas 44 minutes later
I don’t have any difficulty going to the gym or doing everyday activities. I’m just anxious. I know it’s rare, and I’m hoping that my doctor was right. They said it’s more common to show up with twitches in the mouth and hands, which I don’t have currently.
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Follow up: Dr. Bruno Mascarenhas 7 hours later
My family keeps assuring me I’m fine as muscle twitches are common and occur for many reasons. There’s nothing visually wrong with me, and I’m able to do all Normal, and haven’t noticed any setbacks at the gym either. I just have I’ll ess anxiety and I worry about a lot
doctor
Answered by Dr. Bruno Mascarenhas 13 hours later
Brief Answer:
We need investigations to confirm or rule out ALS

Detailed Answer:
Dear Sir,
As already told, we need Investigations to either confirm or rule out ALS
History alone is not enough to rule out the disease
Regards
Bruno

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Bruno Mascarenhas 27 hours later
I seem to be getting stronger at the gym. That’s a good sign isn’t it?
doctor
Answered by Dr. Bruno Mascarenhas 3 days later
Brief Answer:
We need investigations to confirm or rule out ALS

Detailed Answer:
//I seem to be getting stronger at the gym. That’s a good sign isn’t it?//

Dear Sir

You getting Stronger at Gym does not Rule out ALS
As already told, we need Investigations to either confirm or rule out ALS
History alone is not enough to rule out the disease

Regards
Bruno

(
Please note :
I have given by professional opinion as a Neurosurgeon
)

Above answer was peer-reviewed by : Dr. Raju A.T
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