Good morning all. I have posted here a few times on my fears of als. For 6 months I've been feeling weird feelings in my hands and especially my left wrist and forearm. I've seen seven neuros two being als specialists who all say no way do I have als. I had an emg that confirms severe carpel tunnel and an MRI of my brain and cervical spine which state severe multilevel spondylosis between c5 and c7. I know I have serious atrophy and pain in my hand,wrist and forearm but here's the strange part. I told my physical therapist about my issues he then brought out a grip strength meter. The meter goes to 200 and on my right hand I squeezed a 160 psi and my left I squeezed 155 psi. He said I have not seen anybody with a grip strength like that and there's no way I would have a grip strength like that if I had als in my hand or forearm. I know als follows a progressive course and someone correct me if I'm wrong but first there is true weakness then atrophy then twitching. So my question is if I am atrophic would there be noticeable strength loss.