Conversation: The conversation between human and AI assistant.
[|Human|] I have pain and tingling bilaterally in my hands primarily in the distal forearms, wrists, and thenar eminences. My grip does not appear to be weaker and am not having difficulty holding onto objects. A few weeks ago I had these same symptoms but ice massages and nabumotome seemed to help with the pain. I have tried friction massage with very little success. This new flare up occurred approx. 3 days ago. I am also noticing loss of balance on occasions but have not fallen. My biggest fear in life is ALS.
[|AI|]  Hello, Your symptoms are not at all suggestive of or indicative of a motor neuron process (mainly based on the symptom of pain in the distal forearms.  I think what you can benefit from is a good NEUROLOGICAL ASSESSMENT and evaluation.  My first thought based upon your symptoms is to examine the carpal tunnel in both arms and test function of the median nerve though you are noticing any specific weakness in holding onto objects.  It is not unusual for CTS to present as PAIN before weakness. Also, does not typically do this as it does not involve sensory ganglia at all in its outset or presentation. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.