Lou Gehrig's Disease, also called amyotrophic lateral
sclerosis (ALS), a progressive and usually fatal
disorder that attacks the nerves and muscles. ALS is a
progressive, disabling, usually fatal disease.
Walking, speaking, eating, swallowing, breathing, and
other basic functions become more difficult with time.
These problems can lead to injury, illness, and other
complications.
Causes
The progressive weakness that marks ALS is due to
degeneration within the brain and spinal cord of
specific nerve cells that control voluntary movement.
About 5% to 10% of people with ALS have an inherited
form of the disease. There is a possibility that there
is a connection between sporadic ALS and an
overproduction of toxic molecular fragments called
free radicals in the body, an autoimmune response,
viral factors, environmental toxins, or premature
aging.
Symptoms
The first sign of ALS is often weakness in the
hands, and less frequently the feet. Over a period of
months or years, ALS causes increasing muscle
weakness, inability to control movement, and problems
with speaking, swallowing, and breathing. Other
problems may include increasing clumsiness and
difficulty performing tasks that require precise
movements of the fingers and hands. Frequent muscle
twitching may occur.
The weakness slowly spreads to the arms and legs over
a period of months or years. As the nerves continue to
waste away and decrease in number, the muscle cells
that would normally be stimulated by those nerves also
start to waste away, and the muscles weaken.
Treatment
While there is no cure for ALS,
treatment can help maintain strength and independence, manage symptoms, and
avoid complications for as long as possible. Treatment also focuses on providing
emotional support as disability increases.
Physical therapy and occupational therapy can help patients learn how
to work around the weakness and functional disability caused by the disease.
Speech therapy can help maintain the ability to communicate as speaking problems
develop. Various medications may be used to relieve symptoms and make you more
comfortable.