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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How to know if my on and off fasciculations and muscle twitching are signs of multiple sclerosis?

Query: Hello doctor, I am a 27-year-old female. I do not drink or smoke, and I am not overweight. I am having on and off fasciculations all over my body for the past year. Also, I started noticing little jerks and twitches of leg, arm, and lips. I am COVID positive now, and all my nerve issues are more ...  Read Full »

Dr. Aida Quka

Answer: Hello, Welcome to icliniq.com. I understand your concern, and I would explain that your symptoms are not suggestive of MS (multiple sclerosis), but they may indicate benign fasciculation syndrome. I would recommend performing the following tests: 1) Complete b...  Read Full »

When should you worry about your shoulders twitching?

Query: Hello doctor, I am highly concerned about my muscles twitching in my bicep, shoulders, quadriceps, hamstrings, calves, and forearms. I am having this twitching for a week. They stop when I get up and move. But at rest, they are continuously twitching one after the other. I know that these can be ca...  Read Full »

Dr. Aida Quka

Answer: Hello, Welcome to icliniq.com. I understand your concern. Muscle twitching could be related to different etiologies like insomnia (sleep disorder), dehydration, increased consumption of coffee, straining physical activity. Other possible causes to consider would be deficiency of vitamin D or vita...  Read Full »

Does twitching always mean amyotrophic lateral sclerosis (ALS)?

Query: Hi doctor, I have a tight feeling in my left calf for a month with some tingling that I can see. I feel some other tingling as well. The onset is sudden in case of tightness or when I am in bed uncomfortably. I have faced no issues of weakness yet. I have been doing calf raises and such to check t...  Read Full »

Dr. Abhaya Kant Tewari

Answer: Hi, Welcome to icliniq.com. You have complained of tightness in the left calf for a month. Secondly, you have mentioned tingling, which you can see likely to be fasciculations (twitching of individual fibers seen), which gives you the fear of ALS (amyotrophic lateral sclerosis). It is not ALS as A...  Read Full »

Why do my left hand and foot feel weak?

Query: Hello doctor,I am a 25-year-old male. I am 6'1 inches by height and 131 lbs by weight. I am twitching in lower extremities, cramps, feeling weakness in the left hand and leg, and comparatively less so on the right side. The left-hand feels hard to use, but I can still use it. It looks like the left...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. I would like to know some further information about your symptoms. Since when you started to have these symptoms? Also, please describe your symptoms in sequence, like what were the first symptoms and involved which body part? And then it progressed to which body par...  Read Full »

Are muscle twitches related to the COVID vaccines?

Query: Hello doctor, I received the Novavax clinical trial COVID vaccine two months back. A few days later, I woke up, and my arms fell asleep. Well, shortly after that, muscle twitches started in my arm, then lower arm, hands, calves, thighs, lower back, and cheeks below my ear. They happen sporadically ...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. I would like to know some further detail about your symptoms: 1. The muscle twitches at mentioned body parts happen simultaneously or occur at a different location at different timings? 2. Are these twitching increasing with time, or is it the same or decreasing wi...  Read Full »

Does having an acetylcholinesterase level of 12174 U/L risky?

Query: Hello doctor, I am a 57-year-old male with a height of 180 cm and a weight of 88 kgs. Can a high acetylcholinesterase level in the blood cause fasciculations, cramps, excess sweating, sometimes watery eyes, muscle weakness, or atrophy? The above symptoms started approximately three years ago and ha...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. Mild to a moderately high level of acetylcholinesterase can be found in many conditions such as thyrotoxicosis, schizophrenia, hypertension, acute emotional disorders after a concussion injury. Markedly elevated levels can be found in nephrotic syndrome and through g...  Read Full »

What could be the reason for fasciculations in the hand with lower back pain?

Query: Hello doctor, The symptoms I have been experiencing for the past five months worry me a lot, so I would like to get your opinion on the subject. Here is the chronology of my symptoms: Seven months back, I had a pressure in my left chest that makes me go to the emergency room. There is nothing on th...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. As you mentioned, all your reports (attachment removed to protect patient identity), including MRI (magnetic resonance imaging) of the brain, MRI of the spine, NCV (nerve conduction velocity), and EMG (electromyography) has been normal. And your doctors have not foun...  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 dsDNA antibody.  Read Full »

Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. 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 photosensitive rash...  Read Full »

What is the cause of my persistent twitches all over the body?

Query: Hello doctor, About one month ago, I started to get twitches all over my body. Everywhere from my toes and fingers to backs of my thighs, neck, and torso. They feel like small little zings and are present all day long. I have no idea why the twitching is happening. Things I have considered, I have ...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. I would like to know some further details about your symptoms: Are these twitches visible by eyes? Or these only felt by you without being seen by eyes? Have you noticed what triggers these twitches? Like when being more anxious, empty stomach, cold weather, smoki...  Read Full »

Are my muscle fasciculations pointing towards 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 c...  Read Full »

Dr. Aida Quka

Answer: Hello, Welcome to icliniq.com. 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 th...  Read Full »

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