1])
- Weakness in the Foot, Ankle, or Leg
For some people, ALS starts in the lower limbs.Neurological Conditions
Possible early signs include:
Difficulty lifting the front of the foot
Repeatedly catching the toes while walking
An ankle that feels unusually weak
Increasing difficulty climbing stairsHealth Conditions
Mayo Clinic lists weakness in the legs, feet, or ankles among common early presentations. ([Mayo Clinic][1])
- Frequent Tripping or Falling
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Unexplained trips and falls can occur when leg or foot muscles become weaker.Medical Literature & Resources
Someone who previously walked normally may begin:
Stumbling on flat surfaces
Catching a foot on rugs or steps
Losing balance more often
Having trouble with routine walking
ALS is only one of many possible causes of frequent falls. Joint problems, medications, vision changes, inner-ear disorders, peripheral neuropathy, and
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other neurological conditions can cause similar symptoms. ([Mayo Clinic][1])
- Muscle TwitchingNeurological Conditions
Small involuntary muscle twitches, known as fasciculations, are commonly associated with ALS.
They may occur in areas such as the:
Arms
Shoulders
Legs
Tongue
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However, muscle twitching
