Hello @rjs64 and welcome to Mayo Connect. We are a community of patients and caregivers who support one another on our journeys. If you have done much reading here, you will have seen people advise you to "Stay away from Dr Google" - he will just scare and confuse you.

First, let me say you can let go of your fear of ALS since all the findings say your strength and endurance and your emg's appear normal - those are the first signs of it, before fasciculations.

Once disease is ruled out, you need to start considering lifestyle, sleep, diet, beverages, smoking (by you or around you) and environmental factors. Don't conclude, or let anyone tell you, that it is "all in your head" - here is a reason you hurt.
Sue

I assume these have been checked, but certain vitamin & mineral deficiencies and an overactive thyroid can cause your symptoms.
So can a lingering virus, even a mild case. Or stress - a new job, residence, kids moving in or out, loss of a friend or relative.
Or it could be an allergic or inflammatory response to something in your home or office - even as simple as a change in detergent, a new pet, new car, carpet or furniture "off gassing" chemicals. Or a gas or carbon monoxide leak in home, care or workplace...

Now it is time to play detective and look at other causes for the pain. What have your doctors suggested as the next step?