A member asked:

Lou gerhig disease can u have painless muscle twitches when at rest. and aching neck and shoulders and neck cracks and creaks? ?

A doctor has provided 1 answer

Yes, but: Lou Gehrig's disease is predominantly associated with weakness and muscle atrophy, and the fasciculations are associated with the rest. If you lack weakness, possibly the muscle twitches are benign fasciculations. The neck issues may be associated with degenerative changes, and ALS doesn't cause neck arthritis.

Answered 5/24/2015

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