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Neurology (Expert Forum)
Still Concerned !
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
Still Concerned !
by HELP !, Sep 16, 2005 12:00AM
Hello Doctor, you answered my question posted on 08/25. Thank you very much. As I can do 2 questions, I will try to solve some more doubts because sometimes I continue scared. Thank you in advance.
I´ve read in some articles and forums that many people diagnosised with ALS were runners (marathonists). Like I posted in my first question, I ran one marathon last april (my first one). After it I began with some widespread fasciculations, in may. I had 4 clinical exams (all normal) and 2 EMG´s (normal, but the last one 2 weeks ago found rares fasciculations). In the last days the fasciculations reduced the intensity but when they appear are more frequently in my left calf and right knee. Questions:
1) I am very afraid back to run and do exercices after the articles that I read. Since april I do nothing and gained 30 lbs. Do you think the running can increase the possibity to have ALS ? If yes, is it considerable ?
2) In EMG, the fibrillations and positive waves can appear after fasciculations ?
3) Have you ever seen any person with normal clinical exams and normal EMG (just with some rares fasciculations) progress to ALS ?
4) Are there medications (creatine, vitamin, carnitina,...) that prevent ALS to persons that do exercises ?
5) If fasciculations doesnt´t disappear, do you think is necessary following with my neurologist ?
6) I am trying a lot put this things out of mind but it is hard. Can you give me some advice ?
Thank you again.
I am male, 29 years old. Thank you again.
I´ve read in some articles and forums that many people diagnosised with ALS were runners (marathonists). Like I posted in my first question, I ran one marathon last april (my first one). After it I began with some widespread fasciculations, in may. I had 4 clinical exams (all normal) and 2 EMG´s (normal, but the last one 2 weeks ago found rares fasciculations). In the last days the fasciculations reduced the intensity but when they appear are more frequently in my left calf and right knee. Questions:
1) I am very afraid back to run and do exercices after the articles that I read. Since april I do nothing and gained 30 lbs. Do you think the running can increase the possibity to have ALS ? If yes, is it considerable ?
2) In EMG, the fibrillations and positive waves can appear after fasciculations ?
3) Have you ever seen any person with normal clinical exams and normal EMG (just with some rares fasciculations) progress to ALS ?
4) Are there medications (creatine, vitamin, carnitina,...) that prevent ALS to persons that do exercises ?
5) If fasciculations doesnt´t disappear, do you think is necessary following with my neurologist ?
6) I am trying a lot put this things out of mind but it is hard. Can you give me some advice ?
Thank you again.
I am male, 29 years old. Thank you again.
Doctor's Answer
by CCF-Neuro-M.D.-PW, Sep 18, 2005 12:00AM
1) There is no scientific/medical realtionship between running/exercise and ALS. Fasciculations can commonly occur in normal people without ALS particularly after exercise.
2) rare fasciculations in EMG can be within normal limits
3) not in my experience, the risk is extremely low
4) no
5) it can always be good to follow if you have frequent concerns as frequent reassurance can be helpful in your case. If other symptoms such as muscle weakness, wasting, inability to swallow or blood in the urine or excessive cramping after exercise occur you should see your doctor
6) based on the information you give (although limited by having not seen you) there is no evidence to suggest you have ALS. There is no contraindication or risk to exercise in your case.
2) rare fasciculations in EMG can be within normal limits
3) not in my experience, the risk is extremely low
4) no
5) it can always be good to follow if you have frequent concerns as frequent reassurance can be helpful in your case. If other symptoms such as muscle weakness, wasting, inability to swallow or blood in the urine or excessive cramping after exercise occur you should see your doctor
6) based on the information you give (although limited by having not seen you) there is no evidence to suggest you have ALS. There is no contraindication or risk to exercise in your case.
I am sorry for hijacking your thread. But I have been trying to post a question on here for some time and every time I do, I cant because I get a message stating the limit has been reached for the day. Only one person has posted today. What is the limit, 1? Please respond.
Thanks
Our forums reset to new questions at a different time every day. We do this to give people in all time zones a chance at getting their questions answered.
Often people think that if they try early enough in the morning, they will get their question posted. This is not the case as the forum may be scheduled to reset at noon or later on that particular day.
I hope this answers your questions.
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