A member asked:

How common is als before 30 with no family history? 28/white/male worried about als due to 2 weeks of muscle twitching, possible weakness in arms/legs

4 doctors weighed in across 2 answers
Dr. Edward Hellman answered

Specializes in Orthopedic Surgery

Not common, certainly, but if you are concerned I would not hesitate to be fully evaluated by a neurologist.

Answered Nov 27, 2017

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Dr. Bennett Machanic answered

Specializes in Neurology

There are hereditary spinal muscular atrophy syndromes occurring from young childhood through late adolescence into early 20's, but this would be very unlikely based upon your history. ALS in your 20's would likewise be unusual. Suspect most likely benign fasciculations, but some other diagnoses might be considered. See your primary doctor and discuss if neurology consult is needed.

Answered May 26, 2022

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