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
1min 4sec home-news-image

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 Shi Xiang
Neurology
1min 17sec home-news-image

Does amyotrophic lateral sclerosis cause leg soreness?

Patients with amyotrophic lateral sclerosis (ALS) may experience leg pain, but leg pain is not the primary clinical manifestation of ALS. The early main symptoms of ALS include muscle atrophy and limb weakness. As the disease progresses, patients will further experience general muscle atrophy and weakness, which may manifest as difficulty in swallowing, speech problems, and respiratory difficulties. As the disease progresses, if the patient experiences extreme muscle atrophy and limb weakness, they may experience leg pain during movement, but this symptom is not specific. Therefore, when symptoms such as muscle atrophy and limb weakness occur, the possibility of ALS should be considered, and patients need to undergo timely examinations such as electromyography and muscle biopsy to confirm the diagnosis. If the patient also suffers from leg pain, other conditions such as sciatica and osteoporosis should be considered, and further examinations like bone density tests and lumbar disc magnetic resonance imaging should be conducted to clarify the diagnosis.

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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.

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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 Shi Xiang
Neurology
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Does amyotrophic lateral sclerosis skip generations in inheritance?

Amyotrophic lateral sclerosis (ALS), also known as motor neuron disease, may possibly be inherited through generations. The exact cause of ALS is still not very clear, but there is a certain genetic predisposition. Patients with ALS gradually experience symptoms such as limb weakness and muscle atrophy. As the disease progresses, it will eventually lead to difficulties in speech, swallowing disorders, and breathing difficulties, resulting in the patient losing the ability to take care of themselves independently and requiring full-time care from others. Currently, ALS is an incurable disease. The treatment available to patients includes medications to nourish the nerves and systematic rehabilitation training. However, this treatment can only improve the symptoms to a certain extent and enhance the quality of life but cannot stop the progression of the disease. Eventually, the patient will be confined to bed.