Progressive weakness in hands and walking difficulty

Main symptoms (progressive)

Weakness in both hands

Difficulty controlling movements

Difficulty closing the hands

Started in left hand, then affected right hand

Feet also affected → difficulty walking

Occasional loss of balance

Sensory symptoms: tingling, internal heat sensation

Pain: sometimes present

Other symptoms present: tremor / muscle stiffness / speech or swallowing difficulty (as you confirmed)

Symptoms are getting worse over time