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Muscle cramps pain and twitching in Legs fearing ALS

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For last 2 years have had on off problems with muscle cramps, pain and twitching mainly inLegs although twitching has been all over. Last episode started 3 months ago. Pain in legs getting worse regular twitching, mainly in legs, but also in other parts of body. Have had several appts. With private neurologist, the last one 2 months ago. EMG a year ago clean. GP has put me on sertraline and am having a course of CBT. Really struggling to cope with the pain, convinced myself I have ALS. I think all my doctors are fed up of me, but I need to know what is causing all this pain. Hands do not appear to be affected. If anyone has any advice I would be grateful

Category: Family Physician-GP

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Category: Pediatric Neurologist
Dr. Sudhir Kumar is online now

Expert:  Dr. Sudhir Kumar replied 4 Days.

Thank you for your query at DoctorSpring.

I can understand your discomfort on account of leg pain, and the anxiety of having ALS or some other serious neurological illness. However, I would like to reassure that your symptoms are not suggestive of ALS, and a normal EMG earlier is also reassuring.

The possible causes of pain in legs could be a peripheral neuropathy (due to vitamin B12 deficiency). I presume you have no diabetes or thyroid problems, which could also cause peripheral neuropathy.

Other cause could be restless legs syndrome, symptoms occur mostly at night, but can also occur in day time.

Finally, vitamin D deficiency should also be ruled out.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)

Patient replied :

I forgot to say I was diagnosed with low vit d last year it was 17

Expert:  Dr. Sudhir Kumar replied 3 Days.

Thank you for getting back.

Vitamin D deficiency would be partly responsible for your symptoms such as leg cramps, pain, fatigue, weakness, etc. So, if it is still low, you could take vitamin D supplements and get it corrected.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

Dr. Sudhir Kumar
Category: Pediatric Neurologist
Senior Residency, Fellowship: DM, Neurology, CMC, Vellore, 2001
Junior Residency: MD, Internal Medicine, CMC, Vellore, 1998
Medical School: MBBS, Christian Medical College, Vellore, 1995
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