Amyotrophic lateral sclerosis (ALS)
See your GP if you experience the initial symptoms of motor neurone disease , such as a progressive, usually painless, weakness of grip.
After an initial examination, they may refer you to a brain and nervous system specialist (a neurologist) for a further opinion and possibly tests.
Diagnosing motor neurone disease can be difficult during the condition's initial stages because many of the early symptoms can be caused by other more common health conditions such as:
Motor neurone disease is usually diagnosed by a neurologist based on the symptoms and a physical examination.
There's no single test for motor neurone disease, but the diagnosis is often obvious from a persons symptoms and physical examination by a neurologist. Various tests may be used to rule out other possible causes of the person's symptoms if they seem likely. Tests may include:
There are many reasons why there may be delays in diagnosis. It may be that the initial symptoms aren't thought to be serious, or they're not recognised as being related to the nervous system so a neurologist isn't initially consulted.
Sometimes, the diagnosis of motor neurone disease is clear without the need for further tests. However, confirming a diagnosis can sometimes be time-consuming even for an experienced neurologist, who occasionally needs a period of observation to be sure, particularly in cases where the condition progresses slowly. Motor neurone disease can only be diagnosed if the symptoms are clearly getting worse (progressive).
Being told you have motor neurone disease can be emotionally devastating and the news can be difficult to take in at first. Many people diagnosed with the condition go through the classic stages of the grieving process. These are:
If you've been diagnosed with motor neurone disease, talking to a counsellor or a trained clinical psychologist may help combat feelings of depression and anxiety .
It's not unusual to have thoughts of taking your own life, although very few people with motor neurone disease go on to do this. You shouldn't be concerned about discussing any such thoughts with your doctor.
Taking antidepressants or medicines to reduce anxiety may also help as you move through the stages of the grieving process. Your care team will be able to advise you about this.
Motor neurone disease is a rare condition where parts of the nervous system become damaged. This causes progressive weakness, usually with muscle wasting.
The symptoms of motor neurone disease can be varied to begin with, before getting progressively more widespread.
Motor neurone disease occurs when specialist nerve cells in the brain and spinal cord called motor neurones progressively lose their function. It's not clear why this happens.
See your GP if you experience the initial symptoms of motor neurone disease, such as a weakened grip or weakness in your shoulder, ankle or hip.
There's no cure for motor neurone disease, but treatment can help relieve symptoms and help to slow down the condition's progression.