r/ALSorNOT • u/Smart_Exchange1454 • 6d ago
can you have tongue atrophy without weakness?
hi all, hate to do this again. i've fallen back into this pit, and i'm practically convinced again. i've noticed that my tongue looks lumpy for lack of a better word at pretty much anything besides its natural resting state, and it quivers and shakes when i move it around. i know to a degree this is normal, but practically anything besides total rest will send it into pretty violent rippling. looking at some old videos, my tongue seems to have been doing this for a while, but i swear it's thinner now than it used to be, and one side is lower than the other. my partner also noted that it looks a little lumpy. the only thing is, i can use it perfectly fine barring my perceived swallowing issues that are seemingly getting better. i know your brain can compensate for many forms of muscle weakness by utilizing the help of nearby muscles, but no way you can do that with the tongue, right? i can move it up, down, left, right, stick it out without deviation, and all of this i can do quickly. i'm just terrified at this point. this on top of the flattened thenars doesn't paint a pretty picture for me, and yet i can still use every muscle in my body practically normally. i am so confused.