Does amyotrophic lateral sclerosis cause numbness in the hands?

Written by Zhang Hui
Neurology
Updated on September 01, 2024
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Amyotrophic lateral sclerosis (ALS) refers to a motor neuron disease. Patients with this disease generally do not experience numbness in the hands, mainly because it primarily affects the motor system and does not impact the sensory system. Thus, the vast majority of patients will not have sensory disturbances or experience clinical manifestations of numbness in the hands. The specific causes and mechanisms of this disease are still not very clear, but they may be related to genetic factors, the toxic effects of excitatory amino acids, oxidative stress, and mitochondrial dysfunction. Symptoms in patients gradually worsen, and respiratory function impairment may also occur. However, so far, there is no effective cure.

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Written by Liu Hong Mei
Neurology
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Do people with ALS feel soreness and pain in their legs when lying down?

People with ALS often experience soreness and pain in their legs when lying down. In patients with ALS, certain neurons in the brain and spinal cord gradually degenerate and die, leading to muscle atrophy, nerve damage, muscle weakness, and stiffness, as if they are frozen. This muscle damage can lead to symptoms such as sore legs, general weakness, and fatigue. Over time, it may also cause difficulties in walking, speaking, eating, choking while drinking water, swallowing, and breathing. This can lead to systemic damage, complications like breathing difficulties, respiratory failure, and ultimately threaten life. The symptoms of leg pain and soreness in people with ALS, when lying down, can be alleviated through acupuncture, physical therapy, massage, and heat application.

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Written by Liu Hong Mei
Neurology
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How to exercise for swallowing difficulties in people with amyotrophic lateral sclerosis

Swallowing difficulties in amyotrophic lateral sclerosis primarily involve exercises for oral muscles. Improvement in the movement of oral muscles can alleviate symptoms of swallowing difficulties. Rehabilitation training for oral muscle disorders mainly includes enhancing the movements of the lips, tongue, and lower jaw. Individuals with amyotrophic lateral sclerosis who have brainstem damage and medullary damage may experience swallowing difficulties, water drinking issues, and cough choking, primarily due to sensory disturbances in the throat. By utilizing temperature and sensory stimulation, the sensation in the patient's throat can be restored, allowing them to perceive the temperature and taste of food, thus reducing aspiration. After brainstem damage, the cricopharyngeal muscle does not open, which can be improved through balloon dilation and medication to enhance swallowing function.

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Written by Liu Hong Mei
Neurology
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Is amyotrophic lateral sclerosis (ALS) contagious?

Amyotrophic lateral sclerosis (ALS), commonly known as Lou Gehrig's disease, is not contagious. It is a genetic disease associated with autosomal dominant inheritance and is not considered an infectious disease. The exact cause of ALS is still unclear. Commonly identified mechanisms include genetic factors, inflammatory agents, excitotoxic effects from amino acids, infections, autoimmune factors, exposure to toxins, and heavy metal poisoning from metals like lead, mercury, and aluminum. Other contributing factors may include a deficiency in nerve growth factors, mitochondrial dysfunction, and apoptosis. These factors may likely be involved in the development of ALS symptoms, but the disease is not communicable.

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Written by Liu Hong Mei
Neurology
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Do people with early ALS have leg pain?

Early-stage ALS (Amyotrophic Lateral Sclerosis) patients often experience leg pain symptoms. ALS is generally caused by factors such as inflammatory reactions, genetic factors, neuronal apoptosis, infection, autoimmunity, and metal poisoning. These factors may lead to the degenerative death of nerve cells, causing muscle atrophy, muscle weakness, fasciculations, increased muscle tone, hyperactive tendon reflexes, and symptoms of muscle fatigue, muscle tension, and muscle pain. In the early stages of ALS, muscle fatigue can occur after activity due to lactic acid not being properly expelled, leading to muscle pain. Treatments such as acupuncture, physiotherapy, and massage can be administered to alleviate these symptoms.

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Written by Zhang Hui
Neurology
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Can amyotrophic lateral sclerosis be relieved?

Amyotrophic lateral sclerosis (ALS) refers to a motor neuron disease, and generally speaking, there are no effective alleviation measures for this disease. Currently, the specific causes and pathogenesis of this disease are not very clear. Various factors lead to the simultaneous damage of both upper and lower motor neurons in patients. Clinical manifestations include muscle weakness, muscle atrophy, and fasciculations. Additionally, patients may experience difficulties with swallowing, choking while drinking water, and speech disorders. In its most severe form, it can affect breathing, leading to respiratory failure. This disease progressively worsens, and the prognosis is generally poor with no effective relief methods available.