Early Signs: Symptoms Not to Be Ignored
The first signs are often almost invisible, such as a gradual decline in muscle strength. Atypical muscle fatigue manifests as increasing difficulty with usual activities: walking, climbing stairs, holding objects firmly. What was once automatic suddenly requires increased concentration.
Two Main Forms of the Disease
BAS mainly presents in two forms:
Spinal form: Affects the spinal cord and is more common in men. Muscle spasms, cramps, and constant fatigue are characteristic.
Bulbar form: More common in women, it affects the muscles of the face and throat, causing speech and chewing difficulties. Approximately 30% of patients suffer from this type of disease.
Often Rapid Progression
BAS usually develops rapidly and inexorably. Most patients experience significant deterioration within three to five years of diagnosis. Muscle deterioration progresses, including that of the respiratory muscles, making every movement difficult. Each case is individual: some experience joint pain or numbness, while others have difficulty speaking or eating. These invisible symptoms worsen the physical burden.
Treatment and Quality of Life
Although there is currently no definitive treatment for Lou Gehrig’s disease (ALS), a comprehensive approach can significantly improve the situation:
