Twitching Due to ALS: Causes?

Do people with ALS get twitches from things like physical movement/activity, stress, caffeine, etc., or is the twitching only caused by the nerve cells/muscle deteriorating?

I'm asking this because a lot of times I notice that I will twitch after some kind of vigorous movement, in the muscles that I was using
 
Not to put words in Ezecon75's mouth, but I do think he meant to complete his thought that it is very common with BFS to get twitching with lots of activity. Several things point to the fact that with ALS the twitching is fairly constant and is accompanied by weakness.

So, not to worry.

ariza_z2021
 
yeah, that's what I was wondering.

so the question was, would it be true that physical activity does not exacerbate twitches in ALS since ALS twitches are caused by something else? because neuro's always describe BFS as having "triggers", but with ALS, they usually don't say anything about

I don't remember having any noticeable twitches as a response to muscle movement prior to my onset of twitching

My twitches started as an annoying twitch in my elbow (which now I've learned that it usually twitches whenever I apply pressure to my arm that would excite the muscle, such lifting dumbells, or say pushing the hand against a wall)

that said, on the bad twitching days, I could probably "make" certain muscles twitch on command.
 
I don't know why, but I get terrible increases with twitching with lack of sleep/caffine/stress combinations. I am not a faithful to hard workouts, but I can say my neuro said his bfs started after a 5 mi. bike ride.
For whatever reason, something inside us gets triggered with certain activities/outside factors and away we go.

This is my 10th month of this and I can really see a direct correlation when the above factors get added in.

Hope that helps.
ariza_z2021
 

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