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Some people also experience insomnia, anxiety, and depression. They are a rare but serious and incurable form of progressive neurodegeneration. You may be referred to a respiratory team to test your breathing. I couldn't see that being a likely cause, since nothing in my health would back up that theory. Oh yeah, well, yes, that lasted a short while, that aching business lasted just a sort of short while, the aching. This is particularly true as the disease progresses. So you've like nothing saving you at the sides. Each one of their birthdays I forget, I know itll be the last time. I had quite a lot of pain in my neck and shoulders. ALS eventually causes many muscles in the body to become affected. Motor Neurone Disease (MND) | Fact Sheet - Brain and Spine It can feel distressing, as it may happen at inappropriate times. It was my friends, colleagues and family who supported me during this time. And of course the doctors laugh this off, because there are about a hundred causes of cramp, and they basically say, 'Come back if you get anything worse'. My shoulder gets patted and my cheek and hand are stroked; on occasion, people ask how is she? right in front of me, and once someone patted my arm and told me Id done really well after I had performed the astonishing feat of drinking a cup of tea. Then I was getting the shakes like, like holding stuff with the drill and like and I was finding it harder to pick things up, like bricks and that, and that was, that was the first symptoms like. It started off really - I was in front of the telly pract-, you know, lifting some weights and I found that oddly for a right-handed person I could lift more weight with my left hand than I could with my right. However, this could also be due to an injury or another condition. If swallowing food, drink or saliva starts to cause coughing or gagging, it's particularly important to get this checked. It's not clear why this happens. [2] It is thought that environmental, toxic, viral, or genetic factors may be involved.