I also have fasciculations now for 5 months. Constant 24/7 in calf and sporadic elsewhere. Clinical examinations show no weakness or atrophy but I feel aching around shoulder%2C biceps and calves. I have had 2 EMG. First EMG after 3 weeks of twitching showing clean except for up to 7mV on both ADM bilaterally. Second one done after 4 months did not test ADM but showed clean except for fasciculations on right calf. I have been told BFS but I am still concerned for ALS. Please help with advice on this%3F.

The first twitching was in right calf and was very occasional but it has progressed and is now 24/7 with twitches pinging all over the calf and down to the anckle. One specific spot as well at bottom of calf that sucks in dramatically on twitching every 50 to 10 seconds on average.

The rest of the twitches in hamstrings, thighs, biceps, triceps, shoulder, neck, bottom of thumb, along ADM and stomach and chest are sporadic throughout the day but becoming more consistant.

I am also getting aching now in the right calf as well as the shoulder and arm on right side.

I have been on SNRI for anxiety but this did not help and am now off this medication. I have klonopin to use sporadically when needed at night.

Also strangely my right knee has been weak and painfull for many months if not almost a year but i had not really given it any thought. I can exercise ok and did 20mins on ecliptical today followed by 20 push ups and some bicep curls with 5kg's.

I collapsed for 1st time in my like in january whilst doing breathing exercises i just froze in position in acute pain through my back and chest and my body seized and shut down and i convulsed down hitting my face on the kitchen island. My wife shook me fully awake and went to hospital. all was ok and all tests for heart etc came back normal and they said just standard vegal thing.

Anyhow i am very concerned of ALS and am 40 years old patientold.