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Twitching - Causes, Diagnosis, Treatment, and Prevention

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Contraction in the muscle fibers leads to muscle twitching. Read the article to gain more knowledge about it.

Medically reviewed by

Dr. Hitesh Kumar

Published At April 15, 2022
Reviewed AtApril 23, 2024

What Is Muscle Twitching?

Muscle twitching, also known as muscle fasciculation, is a condition characterized by twitching or small contractions of muscles in the body. The muscles are of different types and are made up of various fibers controlled by nerves. Any stimulation or injury to the nerve may lead to twitching of the muscle fibers. People experience many types of twitches, which are of less concern, but sometimes, they may require immediate medical attention from the doctor.

What Are the Causes of Muscle Twitching?

Many conditions can cause muscle twitching. While some are minor, others are due to some serious underlying condition. Some of the common causes of muscle twitching are as follows:

  • Immediately after any physical activity, lactic acid accumulates in the muscles, affecting the legs, arms, and back.

  • Excessive coffee, caffeine, or any other stimulant consumption may lead to twitching of any part of the body.

  • Sometimes, stress and anxiety can lead to twitching, called nervous ticks. This type of twitching can involve any part of the body.

  • Dehydration can cause twitching in the larger muscles.

  • In smokers, nicotine can lead to twitching more commonly in the legs.

  • Certain nutritional deficiencies like vitamin D, B, and calcium can cause muscle twitching.

  • Specific drug reactions like those consuming corticosteroids or estrogen pills may experience muscle twitching.

  • Eye twitching can be due to irritation of the eye muscles or surrounding areas.

The causes mentioned above are not severe, and affected individuals can recover independently in a few days. However, if an individual is experiencing it after starting any medicine or suffering from any nutritional deficiency, they should consult their healthcare provider. Sometimes, specific causes can be serious, like nerve damage that will require medical attention.

The following are the causes that are of much concern:

  1. Muscular Disorders: Medically, the condition is called muscular dystrophy. It is a combination of various genetic disorders and leads to muscle weakness. Such conditions can cause twitching of the muscles on the face, neck, shoulders, or hips.

  2. Amyotrophic Lateral Sclerosis: It is also called Lou Gehrig’s disease and is a clinical condition characterized by the death of nerve cells.

  3. Spinal Muscular Atrophy: Another clinical condition that injures the motor nerve cells of the spinal cord, known as spinal muscular atrophy, leads to difficulty in controlling the movement of the muscles.

  4. Isaac’s Syndrome: It is a clinical condition that affects the nerves and helps stimulate the muscle fibers, causing frequent muscle twitching.

  5. Lupus: It is not so common, but muscle twitching can be due to lupus. Lupus is a chronic autoimmune disorder that can cause inflammation in the body. Inflammation involving muscles is called myositis.

  6. Multiple Sclerosis: It is another rare neurological disorder that affects the brain, leading to muscle twitching.

Muscle twitching is not an emergency, but the cause can be due to a severe underlying condition and, thus, requires medical attention.

Are Twitching and Spasms the Same?

The involuntary contraction of various muscles causes both the above-mentioned terms or conditions, but there is a minor difference between the two.

A muscle twitching is clinically felt like a short contraction and may occur frequently. It can lead to discomfort in the patient but usually does not cause any pain. On the other hand, a muscle spasm is a condition characterized by prolonged contraction, which may lead to pain. Muscle spasms are usually called muscle cramps and are typically experienced after vigorous exercise.

How Can Muscle Twitching Be Diagnosed?

The diagnostic tests for muscle twitching are described below:

  1. Medical History: When an individual visits the healthcare provider, they will be asked about their symptoms and other medical problems. Also, details about muscle twitching will be asked. For example, the following may be asked:

  • When did the muscle twitching start?

  • How often does it occur?

  • For how much time does it happen?

  • Location or site of twitching?

  • Any other associated signs or symptoms?

  1. Physical Examination: The doctor may perform a physical examination if required after the questioning session.

  2. Diagnostic Tests: Specific diagnostic tests may be necessary to check for any underlying condition. For example, the following tests may be done:

  • Complete blood tests to check for the levels of electrolytes or metabolic disorders.

  • MRI (magnetic resonance imaging) or CT (computed tomography) scan to find structural abnormalities and neurological problems.

  • Assessment of muscles and nerves through electromyography.

Once the diagnosis is made, proper treatment planning may be done, and early diagnosis will help in a better prognosis.

How Can Muscle Twitching Be Treated?

Most of the time, treatment is not required for this condition. It recovers on its own within a few days. But, if an underlying serious medical condition is causing it, an individual may need treatment.

Sometimes, medication can be used to manage the condition, which is as follows:

1. Corticosteroids, for example, Betamethasone.

2. Neuromuscular blockers like Incobotulinumtoxin A.

3. Certain muscle relaxants like Carisoprodol, etc.

Can Muscle Twitching Be Prevented?

Muscle twitching is not preventable, but specific measures can help in reducing the risk of getting it, which are as follows:

1. A balanced diet consisting of all types of nutrients.

2. Adequate sleep for a minimum of 6 to 8 hours.

3. Stress management can be done by meditation, yoga, etc.

4. As caffeine intake causes twitching, its intake should be limited.

5. An individual must stop smoking because it causes twitching and can lead to serious medical conditions.

6. Change the medications. If certain medications are causing the twitching, an individual can talk to their physician about it, so their medication will be changed.

Conclusion:

Twitching is common and resolves on its own, but sometimes it may be due to some underlying condition and requires medical attention. Online medical platforms help in bringing physicians’ consultations to their homes. In addition, they can now know more about this condition by asking a specialist or physician online.

Frequently Asked Questions

1.

How Is Muscle Twitching Treated?

Muscle twitching refers to the uncontrollable minor jerking of muscles in the body. Mostly, the muscle twitching resolves independently within a few weeks. However, the following helps treat the underlying medical conditions in severe cases.
- Botulinum toxin injections hinder the signals that cause muscle twitching.
- The doctor may suggest anti-epileptic medications to control seizures that occur due to nervous disorders.
- Avoid stimulants (caffeine and other drugs).

2.

Should I Be Concerned About Muscle Twitching?

The small involuntary movements of muscle are called muscle twitching. It is usually localized to the hand, legs, or face; it may involve many body muscles. A few are minor and resolve independently. It includes:
- Muscular dystrophy is an inherited disorder that causes muscle weakness, eventually leading to muscle twitches in the face, neck, etc.
- Multiple sclerosis is a disorder of the nervous system that causes muscle twitching.
- Neuropathy - The damage to the nerves causes muscle pain and twitching.
- Autoimmune disorders are caused when the immune system fight against the healthy cells of the body. It may lead to muscle twitches.

3.

How to Control the Muscle Twitching During Anxiety?

The small uncontrollable movements of muscles occur due to various factors. For example, minor muscle twitching happens when you are overstressed or anxious, called nervous ticks. It may affect all the muscles, but the eye muscles are most commonly affected. The twitching lasts for a few minutes and worsens if you are very anxious. It is treated as follows:
- Follow measures that reduce your anxiety levels, such as regular exercise, a healthy diet, proper sleep, avoiding alcohol, etc.
Anti-anxiety medications.
- Follow therapies suggested by psychologists to reduce anxiety.

4.

Does Vitamin Deficiency Cause Muscle Twitching?

The minor involuntary movements of body muscles are known as muscle twitching. Vitamin deficiency is a common cause of muscle weakness and twitching. These muscle twitches do not last long and resolve independently. Follow the listed measures to avoid muscle twitching due to vitamin deficiency.
- Consume vitamin B and D-rich foods (green leafy vegetables, fish, meat,
dairy products).
- Expose yourself to the sunlight, which is a rich source of vitamin D.
- Proper sleep and stress management.

5.

Why Do the Muscles in My Thigh and Knee Keep Twitching?

The muscles in the thigh, face, calves, and knee are the common site for twitching. It mainly occurs due to the following:
- Loss of body fluids (dehydration).
- Vitamin deficiency.
- Stress.
- Excess caffeine.
- Certain medications.
However, they cause minor twitches, and they should resolve within days. The frequent twitches which do not resolve after avoiding the mentioned causes require immediate medical attention, as underlying systemic conditions may cause them.

6.

Do Muscles Twitch Every Day, and Is It Normal?

There is no need to worry about muscle twitches until severe and persistent. It is essential to have a quick appointment with the healthcare specialist for severe muscle twitching due to systemic conditions (autoimmune disorders, muscle or nerve abnormalities). Minor muscle twitching may happen every day due to the following:
- Increased caffeine intake.
- Stress or anxiety.
- Nutritional deficiencies.
- Specific drugs.

7.

Why Do My Muscles Twitch at Rest and Sleep?

Muscle twitches refer to the small uncontrollable movements of muscles in the body. The more commonly affected site includes the thighs, face, arm, hands, etc. Various stimuli may trigger muscle twitching. In specific individuals, muscle twitches are triggered by sleep. It may occur due to an underlying condition called restless leg syndrome. There is an urge to move the legs repeatedly during the night or evening (while resting). Other factors like light, sound, etc., also cause muscle twitching at rest or while sleeping.

8.

Does Dehydration Cause Muscle Twitching?

Dehydration refers to the loss of body fluids due to excessive vomiting, diarrhea, increased sweating, and urination. It is essential to replace fluids to maintain the electrolyte balance in the body. The electrolytes like sodium and potassium are critical in conducting signals that aid muscular movements. The lack of electrolytes due to excessive water loss leads to improper muscular and nerve function. As a result, the muscle contraction occurs involuntarily, referred to as muscle twitching.

9.

Can Muscle Twitching Be Relieved With Ibuprofen?

The minor muscle twitching often resolves within a few days. However, avoiding stimulus, caffeine intake, stress, and anxiety helps quicker recovery. In addition, the doctor may suggest the following medications:
- Muscle relaxants such as Carisoprodol, Methocarbamol, etc., relieve the strain caused by muscle contractions.
- Non-steroidal anti-inflammatory drugs such as Ibuprofen reduce the pain caused by repeated muscle twitching.

10.

How Are Facial Muscle Twitches Caused?

Facial muscle twitches refer to the small contractions of facial muscles. These minor muscle twitches are caused by stress, stimuli (light, irritation, etc.), nutritional deficiency, and certain drugs. The severe and chronic form of facial muscle twitches, known as hemifacial spasms, may occur due to the compression of the nerve (facial nerve) that supplies the facial muscles. For example, a tumor or abnormal mass might compress the adjacent facial nerve. It leads to eye twitching that starts on one side of the face and the pulling of the mouth to one side. The doctor may suggest Botox (Botulinum toxin) injections or surgery treat it.

11.

How to Stop My Facial Muscle Twitching?

The facial muscle twitching is treated according to its cause as follows:
- Stay away from stimuli like noise, irritation, and light.
- Reduce stress and anxiety.
- Avoid certain medications.
- Reduce caffeine intake.
- Consume nutritious foods.
- In severe cases, the specialist may inject Botulinum toxin type A every three to six months or suggest oral medications like Clonazepam, Carbamazepine, etc.

12.

Does COVID Cause Facial Muscle Twitching?

COVID or coronavirus disease is an infectious disease that initiates fever, cough, sore throat, diarrhea, loss of taste, etc. In addition, a recent study found that severe facial muscle twitching known as hemifacial spasm may present a few weeks after contracting COVID-19. The hemifacial spasm causes repeated contractions of the eyelid and cheek muscles. But the exact link between COVID-19 causing facial muscle twitches is unknown. Therefore, the doctor may suggest medications or surgery depending on the cause and the patient’s physical status.
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Dr. Hitesh Kumar
Dr. Hitesh Kumar

Neurology

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