Tingling started in bottoms of feet, spread to legs arms and hands. I have muscle twitches all over and occasionally my fingers jerk. Weakness in arms, hands and legs. My left leg feels heavy. Upon waking from a nap, my arms shake. My neck feels tight in front and my throat feels like it's twitching. When sleeping at night will be awakened with a strange feeling in my arms. It feels like the blood isn't circulating right and I need to shake it. It sometimes feels like my knees are tight. I was checked for b12 defiency, normal. Had CT scan, normal. Not a thyroid problem. Does this sound like MS or ALS? Any advice would be appreciated.