hey, the article clearly says: BROAD DIFFERENTIAL - no.1, then just estimate - radiculopaties are 8 cases per 1000 per year (almost 1 per 100), ALS is 2 cases per 100 000 - do you feel at least 1000 times difference in chances? - no.2 and other so much benign reasons, so WHY did you claimed yourself as only having ALS? I know that anxiety switches criticality off, but please consider that other cases are purely benign and you may have one of them rather than ALS just by stats not saying about the symptom constellations itself.If you have exclusively morning cramps, this may mean most probably either mildest lumbar issues (usually lumbar issues are worsening overnight due to position of lower back), or you have mild circulation issues which cause spasms of micro vessels in the calves, causing cramps in the calves and feet, much like in the cold water.waking up means a real hormonal and homeostasis burst, so no wonder you have daily flareup in the morning.listen, you have 6 years of twitching and light morning cramps which are common for many bening conditions. Nothing more really.