Hello. As I drove back from vacation last week, I noticed left bicep having several noticeable episodes of very visible "twitching." These twitches are something I have seen on my arms throughout my life (I am 46), so I didn't think much it, other than to note how pronounced it was. A few days later, I noticed the arm feeling "tingly", like it was just about to fall asleep or just coming out of being asleep. The arm continued to "not feel right." Then, my left leg began the same. Twitching pulses on the calf and a tingly feeling, sometimes almost a "burning" sensation.
So, by Christmas (after reading all kinds of stuff on line) I was pretty much freaking out. Cold sweet, nausea, inability to focus on ANYTHING else. Flat out terror, to be honest.
My wife took me to the ER where I told the doctor my story, complete with how terrified/panicked I now was and that I feared I have ALS. She listened attentively, and conducted a series of neuro tests in the room. She had me walk forward and backward on my heels and tiptoes, hold my arms out straight, push against her, both in and out, balance on one leg, walk straight line, etc. She also tested my reflexes. She said that my I "passed 100%." She also sent me for a CT scan and blood work.Blood work all came back fine and CT scan showed only a sinus infection.
She said she wasn't too worried that I "had anything serious" and told me to make appointment with my PCP. She feels some of this may be anxiety and potentially influenced by my sporadic use of Adderall (which I am to discuss with PCP). She also said she might consider MS, but wouldn't think ALS as I have tingling, sleepy, burning sensations, which to her does not suggest that condition.
I understand that these symptoms CAN be related to panic/anxiety (which I have long dealt with). What I DON'T understand is how anxiety can make my right hand start to shake after 30 seconds of holding my Kindle when my right hand can hold for so much longer. I do have an appointment with my PCP, but in the meantime,I am simply gong out of my mind.