So, Iīve been obsessing about this ALS-crap for what seems to be ages and then some. Iīve taken a big step against it today, and made arangements to start CBT, physiotherapy, psychological counseling (basically just examining why Iīm wired this way). I have an apointment with a neurologist comming up, but was adviced against going since my doctors couldnīt find anything abnormal at all and they believe it would just intensify my belief in ALS.
Nevertheless, I have managed to get over most of my symptoms by going on oh so many long and intensive MTB-rides. Most symptoms have significantly lessened or completely disappeared. But, I have some problems (that arenīt actual symptoms) still apparent. One of the most annoying is the tension in my face, it has caused my facial expression to be all but gone. I is actually physically hard for me to even smile Could anxiety or depression cause that? Or could my initial fear of Parkinsonīs have been correct (masked facial expression is more or less a cardinal sign of PD)?
Then thereīs this thing about my face that keeps bugging me. As of latelly, i.e. since I got convinced I have ALS, noticed that my face is rather asymetrical. My cheeks have quite a noticeable difference in muscle/fatty tissue, and when I tense my face (make a face) I can notice two very distinct dents in my right cheek (maybe 3-4mm in diameter and maybe 1mm deep), but they arenīt noticeable when I donīt tense up my facial muscles. What could this be? Could it have been there all the time I had severe acne when I was a teenager, and took some quite heavy medications (isotretinoin) against it. Could that in someway have aletered my fatty/muscle tissue permanently?
I also feel like one corner of my mouth is drooping (and it looks like it might be a little), could it somehow be due to tension in face?
Iīm trying really hard to think logically about this, so please, any input would be greatly appreciated.