Muscle weakness. Als (amyotrophic lateral sclerosis) is a nerve disease that causes increasing muscle weakness (eventual paralysis). There can be difficulty moving the toes or lifting up the foot. Then the feet, ankles, and legs get weaker. The hands get weaker and can become uncoordinated. Problems with speech & swallowing show up. Patients are usually in the 40-60 year-old range. 90-95% of ALS occurs randomly.
Weakness no pain. Limb weakness and tongue fasciculations. No sensory symptoms with it. Painless.