* Drop objects more often
* Have difficulty turning keys
* Struggle to button clothing
* Cannot grip objects as firmly
* Have trouble writing or using utensils
The weakness typically becomes progressively more noticeable rather than appearing once and disappearing. Hand weakness and clumsiness are among recognized early symptoms of ALS. ([Mayo Clinic][1])
## 2. Weakness in the Foot, Ankle, or Leg
For some people, ALS starts in the lower limbs.
Possible early signs include:
* Difficulty lifting the front of the foot
* Repeatedly catching the toes while walking
* An ankle that feels unusually weak
* Increasing difficulty climbing stairs
Mayo Clinic lists weakness in the legs, feet, or ankles among common early presentations. ([Mayo Clinic][1])
## 3. Frequent Tripping or Falling
Unexplained trips and falls can occur when leg or foot muscles become weaker.
