walking.
Persistent or worsening walking difficulties should be assessed by a healthcare professional.
3. Muscle Twitching
Small, involuntary muscle movements, known as fasciculations, can occur in ALS. They may be noticed in the arms, legs, shoulders, or tongue.
However, muscle twitching is very common and can occur with stress, fatigue, caffeine consumption, or other conditions. Twitching alone is not a reliable indicator of ALS.
4. Muscle Cramps
Some people with ALS experience painful muscle cramps, sometimes before more noticeable weakness develops.
Cramps are also common in people without neurological disease,
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