ALS Concerns: Insights from a Neurology Consultation - Neurology

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Hello, doctor, regarding the previous question?


I have recently been worried about a college student with ALS.
Today, I completed some tests (nerve conduction studies and electromyography).
The doctor performed the electromyography (EMG) and mentioned something about "UP" and "two or three channels," which I didn't quite understand.
I felt that the doctor was very meticulous with each needle.
The doctor conducted the EMG on both hands and my left leg (one proximal and one distal).
After finishing the left side, he said it was normal and advised me not to worry too much.
I overheard the doctor telling the nurse (or medical technician) that if everything was fine, there was no need to check the spine or ribs, as it would only increase the risk.
Afterwards, the nurse (or medical technician) chatted with me and reassured me not to worry.
I am very grateful to them.
The doctor also told me that I didn't need to return for a follow-up appointment.
Although I felt relieved, I still have some doubts about my own condition.
Doctor, can you please tell me if I can stop worrying about ALS?

xuesheng, 20~29 year old female. Ask Date: 2021/05/11

Dr. Jiang Junyi reply Neurology


Hello: Amyotrophic lateral sclerosis (ALS) is a rare disease.
Since the chances of developing it are low, it is better to focus on moderate exercise and balanced nutrition rather than worrying.
Wishing you good health, peace, and joy.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Medical Center, cares about you.

Reply Date: 2021/05/11

More Info


It sounds like you've been through a lot of stress and concern regarding the possibility of Amyotrophic Lateral Sclerosis (ALS), especially after undergoing various tests like nerve conduction studies and electromyography (EMG). First and foremost, it's important to acknowledge your feelings and the anxiety that often accompanies health concerns, particularly when it involves serious conditions like ALS.

From what you've described, it seems that your neurologist has conducted thorough tests and found no abnormalities in your nerve conduction and muscle function. The fact that the doctor indicated that your results were normal and that there was no need for further testing is a positive sign. In the context of ALS, which is a progressive neurodegenerative disease affecting motor neurons, early detection is crucial. The tests you underwent are standard procedures to assess the health of your nerves and muscles, and normal results typically suggest that there is no evidence of ALS.

ALS is characterized by muscle weakness, atrophy, and eventual loss of motor function, but it is also important to note that many other conditions can mimic its symptoms. These can include peripheral neuropathies, myopathies, and other neuromuscular disorders. The fact that your doctor has reassured you that your tests came back normal is a strong indication that you are not exhibiting signs of ALS.

It's also worth mentioning that anxiety and stress can manifest physically, leading to symptoms that may feel similar to those of neurological disorders. This can include muscle tension, twitching, and fatigue, which can understandably heighten your concerns about conditions like ALS. Engaging in stress-reducing activities, such as mindfulness, exercise, or talking to a mental health professional, can be beneficial in managing these feelings.

If you still have lingering doubts or concerns, it might be helpful to schedule a follow-up appointment with your neurologist to discuss your worries in more detail. They can provide further reassurance and help you understand any remaining symptoms you might be experiencing. Remember, it’s perfectly normal to seek clarity and reassurance about your health, especially after undergoing tests that can be anxiety-inducing.

In summary, based on the information you've provided, it seems that you can feel reassured about your health regarding ALS. The normal results from your nerve conduction studies and EMG are encouraging. However, if you continue to feel anxious or uncertain, don't hesitate to reach out to your healthcare provider for further discussion. Taking care of your mental health is just as important as your physical health, and seeking support can help you navigate these concerns more effectively.

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