John: My history is very similar to yours. The only pain early on was infrequent cramps. Now that my legs are almost totally disabled however, I experience sporadic pain in certain joints – I.E., knees, ankles, hips, and occasionally my feet. There is no pattern, no unusual activity, just everyday living in a wheelchair. Inquiries at my ALS Clinic have resulted in my doctor suggesting that arthritis or something not related to ALS and resulting from minimal leg activity is to blame. So a glass of water and ibuprofen are on my nightstand for those times when the pain disrupts my sleep. The frequency this solution is once or twice a week. I am reminded of a friend’s definition of the letters we see everyday; ALS equals Adjustable Life Style. It’s been accurate for the last four years! Howard