Common "Fasciculation" queries answered by top doctors | iCliniq


The sudden, short, involuntary muscle fiber contractions are known as fasciculation or muscle twitching. Most minor muscle twitching is of less concern. However, it can occur in healthy people due to less severe causes like increased caffeine intake, stress, inadequate sleep, physical activity, nutritional deficiency, local irritation (eye twitching), nicotine, certain drugs, dehydration, etc. After that, they resolve on their own. More severe causes include Lou Gehrig's disease, muscular dystrophy, etc. Treatment to ease the symptoms includes corticosteroids, muscle relaxants, and neuromuscular blockers.

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I have fasciculations, which are visible, but are not associated with muscle thinning. What could this be?

Query: Hello doctor,I have fasciculations that occur a few times a day which lasts from a few seconds up to a few hours. It stops when I move the muscle. I have no weakness, but recently a neurologist diagnosed me with ulnar mononeuropathy in my elbow. What could this be? Please help.Thank you.  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I understand your concern. Fasciculations have so many etiologies which include - Any denervation of muscles such as neuropathy, nerve injury, spinal cord injury, or nerve root injury. Anxiety. Motor neuron disease or ALS (amyotrophic lateral sclerosis). Extre...  Read Full »

I am having continuous twitching in my right bicep. Kindly help.

Query: Hi doctor, I have been having continuous twitching in my right bicep where the tendon meets the elbow. This has been happening for last seven weeks and the vibration of the twitching when I am resting my elbow (say on a table while using a mouse) is quite large enough for my entire arm. I have no as...  Read Full »

Dr. Nene Devavrat Harihar

Answer: Hi, Welcome to If the nerve conductions and EMG (electromyography) have come clean then there is nothing to worry about. Fasciculations are generally considered significant only if they are associated with weakness or wasting. Do these occur only in a particular position?   Read Full »

I have twitching symptoms all over my body. Why?

Query: Hello doctor, I am 31-years-old, and I have started having symptoms of twitching all over my body. I did a quick internet search and met with some scary answers. I do not have any weaknesses. I am still very strong, but I have a balance issue only when I stand. I can run and walk just fine. I have t...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know some further details about your symptoms: 1) Have these twitches started in the past ten months, or have they been present even before? And how frequent are these twitches? 2) These twitches occur in which body parts? 3) Are these twitches vis...  Read Full »

I suspect having benign fasciculation syndrome. Please help.

Query: Hi doctor, I am a 42-year-old right-handed internist and hospital administrator. Around seven months ago, I developed fasciculations. I underwent an MRI (magnetic resonance imaging) brain, cervical spine examination, and EMG (electromyography) twice, and all were negative except for some spondylos...  Read Full »

Dr. Seyedaidin Sajedi

Answer: Hello, Welcome to I have read the query, and I can understand your concern. I am so sorry that you are experiencing a combination of neurological problems. Meanwhile, I am glad your widespread fasciculations are compatible with BFS (benign fasciculation syndrome) clinically and elect...  Read Full »

My muscle fasciculations are worsening. Is it ALS?

Query: Hello doctor, I have some symptoms that worry me a lot. I have been having muscle fasciculations all over my body (hands, arms, feet, legs, chest wall, glutes, knees, and cheek), every day, multiple times, for about half a year. Recently, (for about two weeks) they have worsened and I twitch almost ...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I read carefully your question and would explain that your symptoms do not seem to be related to ALS (amyotrophic lateral sclerosis). Besides, at your age, this diagnosis would be exceptional. I agree with your doctor that benign fasciculation syndrome seems to be the...  Read Full »

Is an elevated level of dsDNA antibody a risk factor for lupus?

Query: Hi doctor,I have nerve pain, fasciculations, and headaches. I am currently on Lisinopril 20, Amlodipine 5, Paxil 20, and Remeron 15. My blood report shows that I have a dsDNA antibody.  Read Full »

Dr. Anshul Varshney

Answer: Hi, Welcome to Anti-dsDNA positivity implies that it is probably lupus. I suppose you have positive ANA (antinuclear antibody). Now, I need the following answers: 1. I need a detailed history of your symptoms. 2. Do you have any oral ulcers? 3. Do you have any photosensit...  Read Full »

Is small fiber neuropathy a concerning issue even if all reports are normal?

Query: Hi doctor, About 10 months ago after a workout, I had pins and needles on the left side of my body. After months of MRIs and EMGs, I got a skin biopsy that showed you gave small fiber neuropathy. Before I knew this, I got a deep tissue massage and started getting fasciculations. They had calmed dow...  Read Full »

Dr. Prakashkumar P Bhatt

Answer: Hello,Welcome to have studied your data. 10 months ago, I have a sudden onset of tingling on the left side after workout but with normal MRI (magnetic resonance imaging) brain and spine which means the stroke is less likely.Later you noted random twisting of muscles (fasciculations) wi...  Read Full »

Should I be worried about my tongue twitches?

Query: Hello doctor, I am having twitches on my tongue and I am really freaking out about them. I looked online and ALS pops up all over the place. I have twitches all over my body that do not bother me at all, but the tongue is really freaking me out. I had them in March and then they went away after a f...  Read Full »

Dr. Prakashkumar P Bhatt

Answer: Hi, Welcome to Tongue muscles twitching are due to many causes and ALS (amyotrophic lateral sclerosis) is rarest of them. Do you have any weakness in limbs, unable to type on a keyboard, difficulty in using hands or walking? Any history of thinning of limb muscles? If no, then no ne...  Read Full »

I am a 43-year-old male with a history of mild anxiety and controlled hypertension. Over the past three months, I have been dealing with persistent muscle twitching. Why?

Query: Hello doctor, I am a 43-year-old male with a history of mild anxiety and controlled hypertension. I have been experiencing persistent muscle twitching for the past three months, and it has become mentally exhausting. I have given a detailed account of my symptoms. Three months ago, I noticed a rando...  Read Full »

Dr. Seyedaidin Sajedi

Answer: Hello, Welcome to I have carefully reviewed your history and the results of your laboratory tests (attachments removed to protect the patient's identity). I understand that continuous muscle fasciculations can be deeply distressing, as it raises concerns about potential links to ALS (...  Read Full »

I am a 60-year-old who experienced twitching above the left breast and I am also taking medications for blood pressure. Please help.

Query: Hello doctor, I have a question about an unusual sensation I experienced recently. I had a twitching and spasm above my left breast, which I believe to be in the pectoral area. It occurred just once, and I have never had it happen before. I am currently taking blood pressure medication and have a ...  Read Full »

Dr. Vandana Andrews

Answer: Hi, Welcome to I can offer some general information. Twitching or spasms in the chest area can have various causes, and it is important to consult with a healthcare professional for a proper diagnosis. That being said, there are a few potential explanations for your symptoms. Musc...  Read Full »

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