Muscle Twitching

Muscle twitching, otherwise called muscle fasciculation, is an involuntary contraction of muscles. The common causes of muscle twitching are dehydration, stress and anxiety, after physical activity, too much caffeine intake, cigarette smoking, nutritional deficiencies, and drug overdose. Muscle fasciculations are also seen in severe conditions like amyotrophic lateral sclerosis (ALS), damage to the nerves, muscular atrophy, etc.

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My right ulnar nerve has slightly deviated, and I am worried if it is causing muscle twitching. Please suggest.

Query: Hello doctor, I have some questions in regards to some symptoms I have had recently. Two years back, I had a twitching feeling around my body, such as my forearm, face (cheeks), eyebrows, and fingers. Occasionally in my biceps and shoulders. The twitching was very random and could be two days in my ...  Read Full »

Dr. Seyedaidin Sajedi

Answer: Hello,Welcome to I can understand your concern.A comprehensive clinical examination is critical because fasciculation would be a grave sign only when it is accompanied by weakness, atrophy, or clinical signs of upper motor neuron involvement. The results of your electromyography (EMG) r...  Read Full »

What causes my several episodes of muscle twitching at random places?

Query: Hello doctor, I am contacting you regarding some symptoms I have been having lately. I am a 30-year-old male. I take no medication. My height is 181 cm, my weight is 133 kg, and I am generally overall healthy. Before one and half years, I had several episodes of muscle twitching. The muscle twitch...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello,Welcome to understand your concern and would explain that your symptoms do not seem to be related to any serious neurological disorder. The fact that your symptoms stopped for a short period is indicative that anxiety could be the cause. Anyway, I would suggest performing some bl...  Read Full »

What could be done for constant jaw clicking in an 18-year-old female?

Query: Hello doctor, I am an 18 year old female, and I have been experiencing a lot of jaw clicking constantly throughout the day, for the past five months. It is only located on the right side of my face. It is not painful, but after consecutive months of constant jaw clicking, it has become a nuisance. ...  Read Full »

Dr. Ashish Jayanand Chandwadkar

Answer: Hi, Welcome to According to your complaint, I guess you should monitor your electrolyte and mineral levels. If it is due to muscle twitching, the cause can be either neurological or due to low levels of calcium or other minerals. If there is a bone clicking in the jaw, which gives a cre...  Read Full »

I have muscle jerks in both my shoulders at night. Can they be hypnic jerks?

Query: Hi doctor, I was diagnosed with BFS six months ago after having an EMG that was normal. Recently I have been waking up at night and then when I am about to fall back asleep and roll over I get these crazy muscle jerks in both my shoulders. It has been happening almost every night. My doctor said I a...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I understand your concern and would explain that your symptoms are not suggestive of hypnic jerks. I would recommend performing a cervical spine X-ray in order to investigate for a bulging disk in the cervical vertebral column. I would also recommend checking vitam...  Read Full »

I am experiencing a twitching feeling in my legs, arms, and sometimes chest. What could be the reason?

Query: Hello doctor,I have been suffering from twitching in my legs and arms for about a week. Sometimes, I can feel the same in my chest and body. When I wake up every morning, my arms and legs feel like I have done work out, although I have not.I have had nerves and back issues as far as weight training....  Read Full »

Dr. Hitesh Kumar

Answer: Hello,Welcome to would like to know some details about your symptoms. Kindly revert with the following information.1. Is the twitching visible or only felt from inside?2. Do you have any muscle thinning in the leg or arm?3. Have you had pain in your legs or arms these days?4. Do you fe...  Read Full »

I have twitching in my legs. Do you think it is ALS?

Query: Hello doctor, I have a question about twitching in my legs.  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to Muscle twitching can be related to differential medical disorders: Neuropathy (nerve damage) Thyroid gland dysfunction. Electrolyte imbalances. Muscular disorders. Epilepsy (seizures) or central nervous system disorders. Benign fasciculation syndrome, etc. ...  Read Full »

Does twitching in the calf muscle mean I have amyotrophic lateral sclerosis?

Query: Hello doctor, I am a 25-year-old female and I am afraid I have ALS. This started with twitching in my right calf muscle two months ago and that has now spread to everywhere. A clinical exam showed slightly asymmetrical brisk knee reflex, and it is brisker on the right leg where it bothers me, not ...  Read Full »

Dr. M. A. Toyeb, Nazma Parveen

Answer: Hello, Welcome to I can completely understand your concern. First of all, ALS (amyotrophic lateral sclerosis) is a condition which requires time to diagnose especially when it is in the initial stages. You said you experience twitching in your muscles. Do you have any other problems...  Read Full »

Are my asymmetrical thighs related to intermittent twitch in my legs, calves, and thighs?

Query: Hi doctor, I have an intermittent twitch in both legs, calves, and thighs. I think it happens when I am anxious or stressed at work. But I am not sure how long I had the twitches and, it worsens if I focus on it. I searched online about ALS and just also noticed that one of my thighs is 1.5 to 2 cm ...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello,Welcome to understand your concern. I would like to explain that your symptoms could be related to anxiety or benign fasciculation syndrome. Anyway, I suggest the following:1) Check vitamin D, vitamin B12 plasma levels, and thyroid hormone levels for thyroid gland dysfunction.2) ...  Read Full »

Is ligament laxity a side effect of Sevoflurane?

Query: Hi doctor, I am a 36 year old female. My height is 164 cm and weight is 48 kg. I was healthy with fine ligaments. Two years back, I had spine surgery for a herniated disk at the level of L5/S1. Soon after the operation, I got something like sleep myoclonus. The neurologist said that as benign, but ...  Read Full »

Dr. Vivek Chail

Answer: Hi, Welcome to I have read through your query in detail. Please find my observations below. Myoclonus or muscle twitching is a known side effect of Sevoflurane use, and it is not a serious concern. Sevoflurane does not cause laxity of ligaments. Very common side effects of Sevofluran...  Read Full »

I have twitching and cramps in the muscles. Can this be amyotrophic lateral sclerosis?

Query: Hello doctor,I am a 26-year-old female. About four years ago, I woke up one day and noticed that I had twitching in my thumb. It has progressed rapidly to every muscle in my body even places I did not know could twitch were twitching. It has not gotten any better. In fact, right now my right thumb i...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know some details about your symptoms: 1. Apart from twitching, do you have weakness or thinning of any muscles? Are these twitchings visible by eyes or only felt inside? 2. Do you have any sensory symptom like tingling, burning, pins and n...  Read Full »

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