I have had tremors in both hands for quite some time but within the last year at times I can not write my hand writing at times is unreadable. Also recently double vision on a few occasions, my left eye still is blurred more. At times my hand will lock up so to speak, also have trouble sleeping or staying asleep. My voice sounds hoarse some times worse. In the last six months I have also had terrible hip pain, and terrible muscle spasms in bothe legs and feet that will wake me up. I have recently found myself not tracking right at work- I loose my train of thought. Also recently ringing in both ears. I have been tested for myasthenia- bld work negative. also have more headaches than normal, as i have had migraines which started at age 20. At times I don t make sense- I will say things that do not relate to the conversation. The thing that bothers me most is the tremors in hands, at times I can not paint my finger nails, or pluck my eyebrows. I am a 57 yr old female - I did have a MI 4yrs ago due to arterial spasms- as my artery spasmed during my angiogram. I am on a calcium channel blocker and wear nitro patch 24 a day- also use into when need to. I have low blood pressure which at times goes pretty low. I have a neuro appt in a month as that is the soonest I can get in. Is a Parkinson s work up. The way to go or should I be concerned about other issues? Thank you. I should say there is hx. Of ALS on my mothers side, she has lost 5 1st cousins, and recently a 2nd however all male.