Hello, My name is Cindy and I´m from Germany, so please notice that English is not my mother language. But I need advice and there is nothing comparable with this website in Germany. I twitch for 8 years now. 24 ours a day in my calves and feet. I went through all the fears about ALS most of you know. But the years passed and I got used to the twitches. They never stop and sometimes gets worse in cases of stress or illness. All normal so far. A few weeks ago I woke up in the morning and my left upper arm twitched like hell. Not only one single hotspot, but every time another part of the upper arm. That scares me now because I´m afraid that this a sign for ALS. No twitches on the other arm. Of cource I have twitches all over my body, but only sometimes and never so prominent than in this arm now. Only my calves are twitching 24 hours a day. And now my arm does the same. Did anyone of you made the same experience. I am afraid that all the ALS fears will come up again. It needed a lot of time to get over them and I don´t want to live with this again. Thank you so much!