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Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5275
Experience:  Neurology & Int Medicine (US Trained): 20 yrs experience
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I am a 20 year old and am having concerns about ALS. I have

Customer Question

Hello, I am a 20 year old and am having concerns about ALS. I have been having muscle fasciculations and cramps in my calves, foot, and right hand. I have no weakness or noticeable atrophy but I had an EMG done on my legs which came back clean but I know EMGs sometimes have to be done multiple times. My biggest concern now is my primary care physician noticed hyyperreflexia in my left knee. Should I still be concerned about ALS?
Thanks,
James
Submitted: 1 year ago.
Category: Neurology
Expert:  Dr. Bob replied 1 year ago.

At your age you really should not worry about ALS at all, especially with a normal EMG. Fasciculations and asymmetric reflexes are very common in the general population and must be interpreted in the context of the entire clinical picture. Fascics are typically associated with fatigue, stress, poor sleep, too much caffeine, etc. They are almost always benign and improve with stress reduction and good sleep.

Expert:  Dr. Frank replied 1 year ago.

Hello Welcome to JA. I will review your statement and reply shortly. Please review this preliminary answer and respond, we can discuss this until you are satisfied. Dr Frank

Expert:  Dr. Bob replied 1 year ago.

Let me know if you have any follow up questions.