Discussions that mention lexapro

Amyotrophic Lateral Sclerosis (ALS) board


Hello, I am a healthy (I think) 24 year old male with some concerns. I recently posted a message and since then, about a week now, my right arm and right leg feel like they are weak, however they are in fact able to lift as much weight or anything like that. I am not uncoordinated or anything but the muscles "feel" weak, almost like a tickling feeling, sometimes there is occasional shooting pain in the calf muscle and my right wrist is pretty sore (possibly a joint injury from lifting?). My concern is I saw a neurologist last week who did a thorough neuro exam and found no weakness or atrophy. I did not have the weak feeling, but I was having muscle twitches for 2 1/2 months without any other symptoms following panic attacks and persistant worrying about my health in August. I have been on Lexapro since then and has helped my anxiety some but I just cannot seem to get the thought of having a terrible disease out of my head. With that siad, I really do feel the twitches at times and I really do feel the weakness but I am so torn as to whether or not its serious. My neuro at the Cleveland CLinic was so confident I was healthy aside from anxiety he did not want to do an EMG or any other test. Is it just a coincidence that right after my neuro exam I suddenly feel this percieved weakness? I admit I still thought I had ALS even after he told me I did not. Finally, when I wake up in the morning my muscles feel fine, even the twitching, but it is as the day goes on that these feelings progress. I do not know if this is indicative of "waxing and waning". I do not see any atrophy and the twitching has always been at rest mostly and very random, including the eyes. Right before my neuro exam and ever since I have been constantly doing heel/toe walking and running and lifting with my legs and arms to make sure I have strength. Final Note: Would it be possible for this percieved weakness to just pop up out of no where after reading about ALS and actually be ALS, or am I a hypochondriac?? Please help I am a wreck!!!!!
Quote from cramerb535:
Hello, I am a healthy (I think) 24 year old male with some concerns. I recently posted a message and since then, about a week now, my right arm and right leg feel like they are weak, however they are in fact able to lift as much weight or anything like that. I am not uncoordinated or anything but the muscles "feel" weak, almost like a tickling feeling, sometimes there is occasional shooting pain in the calf muscle and my right wrist is pretty sore (possibly a joint injury from lifting?). My concern is I saw a neurologist last week who did a thorough neuro exam and found no weakness or atrophy. I did not have the weak feeling, but I was having muscle twitches for 2 1/2 months without any other symptoms following panic attacks and persistant worrying about my health in August. I have been on Lexapro since then and has helped my anxiety some but I just cannot seem to get the thought of having a terrible disease out of my head. With that siad, I really do feel the twitches at times and I really do feel the weakness but I am so torn as to whether or not its serious. My neuro at the Cleveland CLinic was so confident I was healthy aside from anxiety he did not want to do an EMG or any other test. Is it just a coincidence that right after my neuro exam I suddenly feel this percieved weakness? I admit I still thought I had ALS even after he told me I did not. Finally, when I wake up in the morning my muscles feel fine, even the twitching, but it is as the day goes on that these feelings progress. I do not know if this is indicative of "waxing and waning". I do not see any atrophy and the twitching has always been at rest mostly and very random, including the eyes. Right before my neuro exam and ever since I have been constantly doing heel/toe walking and running and lifting with my legs and arms to make sure I have strength. Final Note: Would it be possible for this percieved weakness to just pop up out of no where after reading about ALS and actually be ALS, or am I a hypochondriac?? Please help I am a wreck!!!!!


You know from reading your post you sound like me to a tee. Except for my percieved weakness is in my leg. It comes and goes and I go around sprinting up the stairs and walking on my toes and heels. I even have my wife hold my leg down and lift it just to prove I can do it! I had an EMG and it came out clean as well as the test. I am 34. For what it is worth here is what I have learned about ALS.

1. Twitchs are atypical in the begining of ALS.
2. Usually starts with triping or dropping things.
3. The weakness is usually in a muscle group and not a single muscle
4. Weakness is profound and not something you would not notice.


That being said anxiety can make anything seem worse and stress can cause us to seem to have almost any problem. I know because I do it to myself all the time. If you are really worried about it still I would insist that your Dr. do an EMG and if he won't get another one. Like I said I just had an EMG and they are pretty conclusive and I am still wondering in the back of my head. I know I shouldn't but I do. Best of luck and God Bless
Quote from cramerb535:
Hello, I am a healthy (I think) 24 year old male with some concerns. I recently posted a message and since then, about a week now, my right arm and right leg feel like they are weak, however they are in fact able to lift as much weight or anything like that. I am not uncoordinated or anything but the muscles "feel" weak, almost like a tickling feeling, sometimes there is occasional shooting pain in the calf muscle and my right wrist is pretty sore (possibly a joint injury from lifting?). My concern is I saw a neurologist last week who did a thorough neuro exam and found no weakness or atrophy. I did not have the weak feeling, but I was having muscle twitches for 2 1/2 months without any other symptoms following panic attacks and persistant worrying about my health in August. I have been on Lexapro since then and has helped my anxiety some but I just cannot seem to get the thought of having a terrible disease out of my head. With that siad, I really do feel the twitches at times and I really do feel the weakness but I am so torn as to whether or not its serious. My neuro at the Cleveland CLinic was so confident I was healthy aside from anxiety he did not want to do an EMG or any other test. Is it just a coincidence that right after my neuro exam I suddenly feel this percieved weakness? I admit I still thought I had ALS even after he told me I did not. Finally, when I wake up in the morning my muscles feel fine, even the twitching, but it is as the day goes on that these feelings progress. I do not know if this is indicative of "waxing and waning". I do not see any atrophy and the twitching has always been at rest mostly and very random, including the eyes. Right before my neuro exam and ever since I have been constantly doing heel/toe walking and running and lifting with my legs and arms to make sure I have strength. Final Note: Would it be possible for this percieved weakness to just pop up out of no where after reading about ALS and actually be ALS, or am I a hypochondriac?? Please help I am a wreck!!!!!
This is not a medical statement and I am not calling you a hypochondriac because that definition fits people who enjoy poor health not those who are afraid of it, but Sometimes when we are worried about a situation that we feel we can not face, we will develop physical symptoms that will actually occur in places that describe what is going on. For instance, if a man feels he has too many "burdens on his back" his lower back may very well spasm and cause him to have to focus his attention off the perceived problems. I hear you talking about weakness and twitching arms and legs etc, the body may be talking about a real problem that you feel you are too "weak to handle" This is not really all that deep a description, but quite often we do transfer our thoughts, beliefs and fears into body symptoms. I do it all the time with shoulder and neck strain. The problem is real it is not imaginary, it may just be hurting you in a different place than the problem is.
Quote from cramerb535:
Hello, I am a healthy (I think) 24 year old male with some concerns. I recently posted a message and since then, about a week now, my right arm and right leg feel like they are weak, however they are in fact able to lift as much weight or anything like that. I am not uncoordinated or anything but the muscles "feel" weak, almost like a tickling feeling, sometimes there is occasional shooting pain in the calf muscle and my right wrist is pretty sore (possibly a joint injury from lifting?). My concern is I saw a neurologist last week who did a thorough neuro exam and found no weakness or atrophy. I did not have the weak feeling, but I was having muscle twitches for 2 1/2 months without any other symptoms following panic attacks and persistant worrying about my health in August. I have been on Lexapro since then and has helped my anxiety some but I just cannot seem to get the thought of having a terrible disease out of my head. With that siad, I really do feel the twitches at times and I really do feel the weakness but I am so torn as to whether or not its serious. My neuro at the Cleveland CLinic was so confident I was healthy aside from anxiety he did not want to do an EMG or any other test. Is it just a coincidence that right after my neuro exam I suddenly feel this percieved weakness? I admit I still thought I had ALS even after he told me I did not. Finally, when I wake up in the morning my muscles feel fine, even the twitching, but it is as the day goes on that these feelings progress. I do not know if this is indicative of "waxing and waning". I do not see any atrophy and the twitching has always been at rest mostly and very random, including the eyes. Right before my neuro exam and ever since I have been constantly doing heel/toe walking and running and lifting with my legs and arms to make sure I have strength. Final Note: Would it be possible for this percieved weakness to just pop up out of no where after reading about ALS and actually be ALS, or am I a hypochondriac?? Please help I am a wreck!!!!!


Cramer - you need to relax. You mentioned your age and life is just beginning for you. I have PLS - and has disabled me within the last 4 years. I'm always positive and I feel wonderful. It's all about how you handle things. I suggest that you find a different doctor and get a second option. If a new doctor tells you that you don't have ALS - then get on with life and quite thinking about it. You will be a much happier person. Good Luck. :)