One side is usually more affected. Paralysis eventually may be virtually complete, except for the muscles of the eyes. Anal and bladder muscles and function are not usually affected. Diagnosis is made by a neurologist through a physical examination, a thorough patient medical history, and neurological testing. While it is true that there is no cure for ALS, much can be done to help the patient live with the disease.
Treatment aimed at relieving symptoms can be very effective.
Generally, patients should continue usual daily activities, stopping before they become fatigued. Patients should be encouraged to set their own limits of exertion, and to plan how they will use their energy and strength. The physician will probably suggest exercises, including breathing exercises, to strengthen unaffected or less-affected muscles. These exercises are not vigorous or tiring, but are intended to help maintain mobility and prevent joint stiffness and muscle contracture. Various devices such as foot-drop braces, hand splints, limb supports or wheelchairs enable the patient to remain as independent as possible.