<s>[INST] MY SISTER AGE IS 38 YEARS. SHE IS SUFFERING FROM MOTOR NEURON DISEASE .BOTH HANDS ARE DAMAGING, SPECIALLY FINGERS AND THUMB ,PAIN IN JIONTS, DIFFICULTY IN WALKING, EATING FOOD DIFFICULT,SOME TIME VOMITING CONDITIN [/INST] HI, Welcome to health care magic.com It is a progressive condition so there is weakness and pain in your muscles.diagnosis is mainly clinical .... treatment focusses on relief of symptoms.this involves a variety of health professionals including neurologists,speech language pathologists,occupational therapists,dieticians. Thanks for the service. Wish you a good health REGARDS DR.PUNEETH </s>