‘I thought twitch was a trapped nerve, the diagnosis brought me to tears’

A fit and active 36-year-old father of three from Dorset, James Smith, found his life take a devastating turn when a twitch in his left arm led to a challenging battle with a rare, progressive, and terminal disorder. Running half marathons to support the Motor Neurone Disease Association in June 2021, James initially brushed off the twitch as a trapped nerve or a byproduct of adrenaline from his runs.

As time passed, the twitch persisted, and his arm began to feel heavier and weaker, prompting James to seek medical help. Initial tests revealed abnormalities in his blood protein levels, leading to a referral to a neurologist. After an inconclusive MRI, an EMG test followed, confirming the presence of Motor Neurone Disease. The diagnosis hit James hard, bringing him to tears and leaving him to face a difficult and uncertain future.

Throughout months of testing and consultations, James ultimately received a diagnosis of limb-onset ALS, a form of MND that affects limb movement before progressing further. Despite the grim prognosis, James remains determined to fight and make the most of every moment with his wife and children. Adjusting to his declining mobility, he has left his career as a barber but continues to support the MNDA through daily walks and public speaking engagements.

Acknowledging the challenges ahead, James emphasises his focus on what he can do rather than what he can’t. With the support of his family, community donations, and charities like the MNDA, he has adapted his home for increased accessibility. Sharing his journey on social media platforms, James inspires others with his resilience and determination to live fully despite his diagnosis.

As James navigates the complexities of his condition, he embodies a spirit of strength and perseverance, shining a light on the realities faced by those living with terminal illnesses. His story serves as a poignant reminder of the power of hope, resilience, and the profound impact of community support in the face of adversity.