I have painful cramps in my calf and thigh with twitching. What could it be?

Hello,

Welcome to icliniq.com.

I would like to know some details about your symptoms:

1. What is your age?

2. Is your body weight is 30.39 kg with a height of 5.4 feet, or it is the wrong entry in the query?

3. Since when you have hypothyroidism and taking Levothyroxine, and in what dose are you taking it?

4. In which body parts you have twitching?

5. Have you noticed trigger factors or situations when these twitchings are more?

6. What exactly happens during a painful cramp?

• Which body parts involved in that?
• How long does one cramp last?
• How it subsides?
• Is it getting it better by local massage?

7. Do you have any neck pain or lower back pain?

8. Do you have any difficulty in the control of urine?

9. How is your sleep in a routine?

• Do you get sleepy soon after lying in bed?
• Or it takes a long time?
• Once got sleepy, do you have frequent awakenings during sleep?
• Do you feel fresh on awakening from sleep in the morning?

10. How is your usual mood in day-to-day activities? Happy or toward the sad side (thinking about past events) toward the worried side (thinking about future things or irritable or something else)?

11. How is your appetite?

12. Do you had you any significant weight loss in recent times?

13. Have you undergone any other test (apart from blood work), like MRI (magnetic resonance imaging) brain or spine, NCV (nerve conduction velocity), EMG (electromyography), etc.? If yes, please send it here as an attachment.

It is good that your muscle power is good, and reflexes are normal.

Also, are you able to run and do exercises?

Such cramps and twitching can happen in many conditions like anxiety or benign fasciculation syndrome or benign cramps or hypocalcemia or hypoparathyroidism, or some hormonal imbalance.

Hello,

Welcome back to icliniq.com.

As per your description, it seems that you are very anxious, maybe some underlying anxious personality, and superadded by current thoughts of ALS (Amyotrophic lateral sclerosis).

Such twitching (fasciculation) in body parts can happen due to many reasons like anxiety, or hyperthyroidism, or benign fasciculation syndrome, or cramp fasciculation syndrome, or ALS, etc. Cramps are also very common symptoms, can happen in anxiety or low calcium state or even can happen without a known cause. In your case, as you mentioned that there is no weakness or thinning of any limb and reflexes are fine, I would like to consider the possibility of :

1. Anxiety disorder.

2. Benign fasciculation syndrome.

3. Cramp fasciculation syndrome.

There are no conclusive investigative tests available, which can rule out or confirm it. Diagnosis of ALS is a clinical diagnosis after the patient's clinical findings fulfill the diagnostic criteria for it is diagnosis. ALS is a rare progressive disease, and symptoms and signs can develop with time. But it is inappropriate to have the anxiety of getting ALS just due to twitching and cramp, which are very frequent in other common conditions. However, you can get some investigations to rule out some other organic cause of these symptoms.