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No 10/3/89, Ground Floor AB Road, Street No. 2, near Pillar, Royal Colony, Mehdipatnam, Hyderabad, Telangana 500006, India
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ALS (SLA) Care at DR Care —
Muscle weakness, slurred speech or trouble swallowing? Get a careful neurological evaluation
Weakness that keeps getting worse, a hand that drops things, or speech that sounds different can be frightening, and the internet rarely helps. At DR Care, our doctors take the time to examine you properly, rule out the many conditions that look similar, and, if ALS (also called SLA or motor neurone disease) is the cause, build a care plan around you and your family.
- Detailed Neurological Exam
- EMG/NCS & MRI Guidance
- Ruling Out Look-Alikes
- Therapy & Nutrition Support
- Breathing Care Planning
- Family & Caregiver Support
- Unhurried consultations
- Plain-language explanations
- Support for you and your family
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Your reference number
57 Branches
Accessible quality care, anytime
44 L+ patients treated
Building trust, one patient at a time
300+ Doctors
Experienced doctors with successful track record
110+ Treatments
Holistic treatments that fit your budget
25+ years
Compassionate, trusted care
— Understanding the condition —
What does ALS (SLA) really mean?
ALS (amyotrophic lateral sclerosis), called SLA in Italian and motor neurone disease in many countries, is a condition in which the nerve cells that control voluntary muscles gradually stop working. As messages stop getting through, muscles become weaker and thinner over time.
It affects strength, movement, speech, swallowing, and eventually breathing. Sensation is usually spared, and thinking and memory remain normal in most people. Many other conditions can look like ALS, and several of them are treatable.
“ALS cannot currently be cured, but it can be managed. Care focuses on slowing progression where possible, relieving symptoms, and keeping people comfortable, independent, and well supported.”
— Know the symptoms —
Common early signs of ALS
ALS often begins in one area and gradually spreads. Twitching and cramps alone are usually harmless; ALS is suspected when they come with progressive weakness.
Weakness in hands or arms
Clumsiness, a weak grip, dropping things, or trouble with buttons.
Tripping or foot drop
A dragging foot, or difficulty climbing stairs or rising from a chair.
Muscle thinning & twitching
Visible wasting, twitching under the skin, cramps, or stiffness.
Slurred speech
Slow or slurred speech, or a change in voice.
Difficulty swallowing
Choking on food or liquids, or drooling.
Breathlessness
Later on, especially when lying flat, with poor sleep and morning headaches.
— Causes & look-alikes —
What causes ALS, and what can look like it?
The exact cause of ALS is not fully understood. Because treatable conditions can look similar, doctors rule them out before reaching a diagnosis.
Age
Most often diagnosed in middle age and later, though it can occur earlier.
Family History
A smaller number have an inherited form; genetic counselling may be offered.
No Single Cause
No single cause is proven for most people. Nothing you did is to blame.
Nerve Compression
Pressure on the spinal cord or nerve roots in the neck or lower back.
B12 & Thyroid Problems
Vitamin B12 deficiency, thyroid disease, and metabolic problems.
Other Nerve & Muscle Disorders
Myasthenia gravis, neuropathies, or inflammatory muscle disease.
Infections & Medicines
Some infections, including HIV, and medicine side effects.
Stroke & Brain Conditions
Especially when speech and swallowing are affected.
— Our approach to ALS care —
Care built around you and your family
We look for treatable causes first, and if it is ALS, coordinate care that supports comfort, safety, and independence.
1. Unhurried Conversation
When symptoms began, how they changed, and how speech, swallowing, breathing, and daily life are affected.
2. Neurological Examination
Testing strength, muscle bulk, tone, reflexes, sensation, speech, and swallowing.
3. Supporting Tests
EMG/NCS, MRI, blood, breathing, and swallowing tests, mainly to rule out other causes.
4. Team Care & Follow-Up
Medicines, therapies, nutrition, and breathing support, adjusted as needs change.
— Why choose DR Care —
Neurological care that puts you first
We listen first, explain what we think is happening in language you can follow, and only suggest tests and treatments that make sense for you.
Time & Respect
You will not be hurried. These conversations are difficult, and we go at your pace.
Honest, Clear Answers
What we know and what we do not, with no promises that cannot be kept.
Careful Diagnosis
We look for treatable causes first, and will not label you without being sure.
Whole-Person Care
Movement, speech, swallowing, breathing, nutrition, and mood, looked at together.
Support for Your Family
Family members are welcome at every visit, and we answer their questions too.
Help With Decisions
We help you think through options and plan ahead, so your wishes guide your care.
DR Care
Neurology & ALS Care
When to see a doctor —
When should you consult a doctor?
- Weakness in a hand, arm, leg, or foot is getting worse over weeks to months
- You have muscle twitching together with weakness or muscle thinning
- Speech or swallowing changes are not improving
- You trip often, or a foot catches or drags
- Already diagnosed? We also offer second opinions and care planning.
- Sudden one-sided weakness, a drooping face, or slurred speech may be a stroke: go to hospital now.
- Also for severe breathlessness, choking that will not clear, blue lips, or confusion.
— Your care journey —
What to expect at DR Care
A clear, structured path from your first consultation to the care that is right for you.
During Your Consultation
A careful, unhurried history
Bring old reports, scans, and a list of medicines.
A detailed neurological exam
Strength, reflexes, sensation, speech, and swallowing.
Tests that rule out look-alikes
EMG/NCS, MRI, and blood tests, as needed.
Honest explanations
Diagnosis can take time; we keep you informed at each step.
Your Ongoing Care
Medicines & symptom relief
Medicines that may slow progression, and relief for cramps, saliva, and more.
Physio, occupational & speech therapy
To keep movement, communication, and swallowing as safe as possible.
Nutrition & breathing support
Diet advice and breathing care, discussed well in advance.
Emotional support & palliative care
For you and your family, alongside other treatment.
— Take the first step —
Take the first step toward clear answers and support
You do not have to face this alone. At DR Care, our team is here to examine you carefully, explain honestly, and support you and your family at every stage.
— Patient stories —
Families who felt supported
You Don't Have to Face It Alone
Family members are welcome at every visit, and we answer their questions too.
— Is this the right place for you? —
Who we often help
People with progressive weakness, muscle thinning with twitching, slurred speech, or swallowing difficulty, and those already diagnosed, can consult DR Care.
01
Hand or arm weakness
Weakness that is getting worse over time.
02
Tripping or foot drop
A foot that catches or drags.
03
Thinning with twitching
Muscle wasting along with twitching or cramps.
04
Speech or swallowing changes
Slurred speech or choking that is not improving.
05
Weight loss with weakness
Unexplained weight loss alongside weakness.
06
Family history of ALS
Wanting assessment or genetic counselling.
07
Diagnosed patients
Needing a coordinated care plan.
08
Second opinions
Wanting a careful, independent review.
— Questions patients usually ask —
Common concerns, honest answers
Yes. SLA is the Italian abbreviation for Sclerosi Laterale Amiotrofica, which is the same condition as amyotrophic lateral sclerosis (ALS), also called motor neurone disease (MND) in many countries. In some parts of the world, it is also called Lou Gehrig’s disease.
Usually not. Twitching and cramps are very common and are most often harmless. ALS is considered when twitching comes with muscle weakness and wasting that are getting worse. If you are worried, an examination can tell you a lot.
There is no single test. A neurologist makes the diagnosis by examining you and using tests such as EMG and nerve conduction studies, MRI scans, and blood tests, mainly to rule out other conditions. It may take time, and sometimes repeat examinations are needed to be sure.
There is currently no cure. However, some medicines may slow progression a little in certain people, and good supportive care can help with symptoms, safety, and quality of life. Research is active, and your doctor can tell you about developments that may apply to you.
Care usually combines medicines, physiotherapy, occupational therapy, speech and swallowing therapy, nutrition support, breathing support when needed, emotional support, and palliative care. Different people need different things at different times, and your plan is adjusted as your needs change.
Most people with ALS have no family history. A smaller proportion have an inherited form. If someone in your family has ALS, you can speak to your doctor about genetic counselling and whether testing is appropriate.
In most people, thinking and memory stay normal. In some, there can be changes in behaviour, planning, or language, and these can be supported. Please tell your doctor if you or your family notice changes.
Go straight away if there is sudden weakness on one side with a drooping face or difficulty speaking, severe breathlessness, choking that does not clear or an inability to swallow saliva with fever, blue lips, confusion or extreme drowsiness, or a fall with injury.
— Inside our clinic —
A space designed for your comfort
Clean, calm and welcoming, so every visit feels comfortable and private.
— SECTION LABEL: PATIENT STORIES —
REAL STORIES. REAL EXPERIENCES. TRUSTED CARE
Hear directly from our patients as they share their personal experiences with Dr Care . Every story reflects a unique healthcare journey, compassionate support, and the importance of personalized care.
— Our clinic locations —
FIND A CENTRE, NEAR YOU
Calm, private and comfortable clinics across every location. Tap any branch to get directions.