instruction: hi doctor I have recently noticed a lot of wrinkling of my skin on both my thecar muscles of the thumb I just noticed it a month ago I also have a dent or atrophy on the back of my right hand between the little and middle finger I am not sure whether this is new as it seems to appear in a video of myself taken before three months I am a 35 year old male my grip strength seems good I recently did a personal best hang test of minute 20 seconds two years ago my neurologist told me that I had cramp fasciculation syndrome as I had a lot of calf and feet twitchings I am concerned now that I may have mnd please help
output: hi for further information consult a neurologist online