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Neurology (Expert Forum)
ALS, MS, or something else?
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury
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ALS, MS, or something else?
by JanyceK, Jan 13, 2005 12:00AM
In 10/02 woke up in middle of night w/hand cramps&feeling of fullnes in fingers no visible swelling-still some stiffness today when waking but no cramps during sleep.GP pres Vioxx took for 1mo and then switched to celebrex then in 5/04 feet started having foot cramps and I noticed what I call fasciculations. On occasion big toe would move from side to side and 3rd and 4th toes would move up and down.Had a little trouble with words example Clue instead of crew, tickle instead of trickle.Went to neuro 6/04 after exam he could not find anything wrong but said he would do emg just to see if anything showed up as I was concerned about ALS or MS. EMG on left side only was fine also did MRI of brain it was fine.Blood work okay/dx anxiety disorder.presc klonopin which I have yet to try and ambien because I was having trouble on ocas w/sleep.Tryed Ambien on 3ocas dev a rash(doesnt itch) around my ankles where my socks would be,possible reaction to ambien?I walk 3 miles a day and started noticing 5 min after walk I experience what I call popping in backside area it last for 10min and goes away.When laying down w/knees bent on occasion some quivering when I move my legs apart and back together.Some twitches on occasion in outside palm of hand also eyelid,chin that are infrequent.Take 20min hot showers everyday-no effect on any of symptoms.Background:58yrold female w/osteoporosis&scoleosis(double S curve of spine)Had shingles in 11/02 due to stress-rotator cuff tear left shoulder 6/04(2mos of rehab w/full range of motion return)No optic neuritis. Worried about ALS,MS or Parkinson's
Doctor's Answer
by CCF-Neuro-M.D.-CS, Jan 16, 2005 12:00AM
Unfortunately, I cannot make a clinical diagnosis over the internet
occasional twitches like you describe are usually benign/normal
the cramps and toe twitching are not specific for any particulat disorder like MS or ALS, so I would not jump to those conclusions so quickly without further evidence or opinion from a neurologist. Parkinsons tends to start with a tremor on one side of the body, or overall problems with slow movement/stiffness.
Your symptoms could even just be muskuloskeletal in origin, time will tell. You should followup periodically with your neurologist.
Good luck
occasional twitches like you describe are usually benign/normal
the cramps and toe twitching are not specific for any particulat disorder like MS or ALS, so I would not jump to those conclusions so quickly without further evidence or opinion from a neurologist. Parkinsons tends to start with a tremor on one side of the body, or overall problems with slow movement/stiffness.
Your symptoms could even just be muskuloskeletal in origin, time will tell. You should followup periodically with your neurologist.
Good luck
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