Thank you for the post. I really don't know any more. Your tendons are not visible under flashlight at all, without it it is best visible on pic 4 when you don't have your hand stretched. But yes, they are visible on your hand also! On mine is it quite more visible especially the middle one looks terrible big (or the muscles around it are so none

). If calm down enough (my friend will bring me one Xanax altough I have never taken any such pills except before colonoscopy) I will post my hand, but I think you will say how visible tendons does he have. I fear becaue on the right they are not so visible and hand feels more muscular also. My wife has both hands quite similar.
How do your hands look like in reality? More like in pic 1 or 4? I mean you see tendons in palm if you have your hand stretched or not? When not stretched they can be seen somehow on my other hand also (but much less), but when s tretch right hand they are not visible at all, on the left they are more visible than your picture 6 which is where you had your hand stretched.
So you think if this would be atrophy around my tendons (I am not so anatomically good that I know which actions trigger this muscles) I coudln't do push ups? But I have palm on my hand when I do them, I guess this muscules do not need to work then.
I have hard time believing I could have this forever. Tendions on my left hand are more visible than the skin lines the palm readers read ;-/
Thank you for clarifying what is a internal tremor, didn't know the word. I am not 100% sure I have this as it is night and I can not know if it can be seen, but I guess it CAN, as I can FEEL IT if I tough my arm with the other hand, I can feel it. But yes, it feels like some kind of vibration, light shaking, something like that. It is not twitch I know. But I woke up today because of this shaking and when I realised where I am and what is happening I got few twitches in the arm

So they can happen at night also, but yes, I was awake by then, so I can not know if I twitch during sleep. I guess not much, as it would wake me up.
BUT WAIT! The first, deadly twitch in in finger, that DID come when I slept and woke me up, not once but whole night. I have put finger behind my back not to twitch, I could still feel it but it was a little better because didn't move my finger

So you are telling me that at night ALS sufferers do not twitch or shake or vibrate?
I was doing pushups but the twitches started before that, few days before, they are not connected to my pushups.
I do have some signes of carpal tunnel (the pain in 3 fingers) and ulnar nerve (the sleep related tingling, numbness in my last 2 fingers sometimes).
Now my palm hurst becuse I have done ultrasound and massage and ice therapy on it (maybe there is some other reason), but now tendions bother me even more as I started to FEEL THEM one by one.
On ALS forums I saw some patients also got twitches over whole body and that there is also stifness and pain. I have all three (stifness of the last 2 fingers goes on and off even middle of the day, I had it just little before).
I will go to the doctor I don't mean to just whine. But it doesn't take so fast to get all appointments in y country it is a long time wait usually. I mean, when you are so depressed it could be ALS one month can mean a difference between sanity and insanity I guess.
This "internal tremor" came one night and never stopped at nights (I feel it almost every night, but family doctor was able to explain me why only at night WHY and didn't look concerned) and twitching finger came on sunday and ... it stopped for now... but other mucles started. That is feeding my anxiety, thing start suddenly and do not stop any more.
In reallity I do not know how ALS twitches work, I've seen youtube videos they look just like my arm, but of course I don't know are this constant or once in a while, do they twitch for months and then muscle is gone or is it like 2 days like my finger and the muscle is gone or what :-/
I do feel weak in left hand but it feels more like pain weakness not muscle weakness, it is just my thought but... But I could test arms quite good with pushups as my arms do not hurt me. Now I can think how weak am I to be able to do only 10 of them, but what I want to say is I can do them and I do not feel significally weaker in the left arm when doing it. A little, because my right arm is stronger, but it didn't how can I say, it didn't distubed me here and I am sure if it was very weak I would have noticed, I am alerted 100% unfortunately.
So about atrophy around tendons I don't know, about twitches I don't know, about this tremor I don't know, but I don't feel muscle weakness. As I said, I do have great trouble opening jar with left hand so I rather do not do it, but I understand the pain stops a persons strength. I had this problem on my right hand few months back and is better now, but I also couldn't open glass, my wife helped me and now it is ok on the right. Well, not 100%, I just found out I have hard time pressing with index finger also, it hurts me 10cm BELOW wrist on this main tendon that is visible in the inner part of the arm. Wierd. I keep telling myself this is no ALS striking my other hand now. Because I am telling to myself that if you have problem in one arm it can be something there, if you have problem in both must be a systemic disease and ALS is systemic. I have RA indications but one good thing is I am so bother with ALS that I don't dear RA at all

Although it is a bad disease you can still have hope.