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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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 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 ...  Read Full »

I feel like a muscle gets pulled when I lift the left side of my lip. Please help.

Query: Hi doctor, While lifting my left side of my lip, I feel to have muscle pulling. It is present only on the left side of my nose. My face and mouth are not drooping. I cannot see any red or white spots and there is no pain. I feel weird. It got started before a week and I do not smoke.  Read Full »

Dr. Akmal Abdelmalek

Dentist, Orthodontist

Answer: Hi, Welcome to Your symptoms look strange. If your lip moves involuntarily, then you can have a muscle twitching due to intake of more caffeine. If you have tingling, then it can be an early sign of recurrent herpes infection. But it lasts for a few days before the appearance of vesic...  Read Full »

What causes muscle twitches and heart palpitations?

Query: Hello doctor, I am an 18-year-old male. My weight is 70 kg. I have had muscle twitches all around my body and heart palpitations for around six months. Recently I have had a general weakness in both of the triceps that sometimes migrates into my forearms. I have also experienced anxiety and depress...  Read Full »

Dr. Hitesh Kumar


Answer: Hello, Welcome to I would like to know some further details about your symptoms: 1. Since when you started to have these twitchings? Are these since six months only? 2. In which body parts you get these twitches? 3. Are these twitching increasing with time, or is it the same or dec...  Read Full »

What could be the cause for cramps and twitching in the calf and thigh?

Query: Hi doctor,I have cramps in my calf and thigh for three months. Now I have twitching in my legs. I am anxious regarding ALS. Does this twitching occur constantly in ALS? Will it disappear while moving? Currently, I am taking Levothyroxine.   Read Full »

Dr. Gursimran


Answer: Hi, Welcome to Kindly mention your age. Please mention whether these cramps occur on one side or both sides of the thigh and calf. Twitching in ALS (amyotrophic lateral sclerosis) occurs inconsistently and it usually appears while we tap the muscles. You can have many more symptom...  Read Full »

Are muscle twitching in arms, legs and shoulders with balance problem symptoms of ALS?

Query: Hi doctor,I am concerned regarding the symptoms of ALS. I have muscle twitching in my right leg, foot, calf, thigh, and knee. Along with tingling and popping sensations, I have a weakness-type feeling in my right leg and foot. Kindly go through the attachment. I also have twitching in my left arm, s...  Read Full »

Dr. Aida Quka


Answer: Hi, Welcome to I have gone through the attached photo (attachment removed to protect patient identity). Your EMG (electromyography) is normal. We can exclude ALS (amyotrophic lateral sclerosis) in your case. It is necessary to do some investigations to rule out the possible cause....  Read Full »

Why am I experiencing an intermittent twitching sensation in the upper left chest area?

Query: Hi doctor, For two days now, I have had a twitching sensation in the upper left chest near the breast. It is intermittent and lasts 5 to 10 minutes. Sometimes the twitch can be similar to pulse or jerking or can be sporadic jerking with multiple twitches. The twitching is painless. Few times today,...  Read Full »

Dr. Vivek Pillai


Answer: Hi, Welcome to Thanks for the detailed description of your symptoms. If not for the finding of wall motion abnormality on perfusion imaging, I would have dismissed the sensation as just a musculoskeletal issue. The problem is also complicated by the finding of LBBB (left bundle branch...  Read Full »

Is my twitching due to amyotrophic lateral sclerosis?

Query: Hi doctor, About two weeks ago, I started having twitching in the front of my right calf. The next four days, it began to spread to my left calf and thighs. Sporadically I will get them on peck, shoulder, triceps, back near the armpit, and shoulder blade. My lower body nearly always twitches, whi...  Read Full »

Dr. Aida Quka


Answer: Hi, Welcome to I understand your concern and explain that a normal EMG (electromyography) excludes ALS (amyotrophic lateral sclerosis). The lack of weakness too. For this reason, I think that your symptoms are related to anxiety. Nevertheless, I would recommend checking thyroid hormon...  Read Full »

Will BFS result in constant and repetitive twitching in the hip area?

Query: Hi doctor,I have both diffuse and localized muscle fasciculation for five months now. I have muscle fasciculation localized to my hip area. It twitches into small muscle fiber. Sometimes I cannot feel it. I consulted a neurologist before two months. A clinical examination was done. I have done blood...  Read Full »

Dr. Abhaya Kant Tewari


Answer: Hi, Welcome to Fasciculation occurs in seventy percent of the population. You can have fasciculation without any weakness, atrophy, or other symptoms. BFS (benign fasciculation syndrome) is a possibility. It is common in medical care workers and people with psychiatric disorders. Anxi...  Read Full »

Why do I keep getting muscle twitches, especially after I masturbate?

Query: Hi doctor, I am a 19-year-old male, my height is 6'2 and weight is 314 lbs. I have been dealing with muscle twitching for several years. I have been to a doctor and a neurologist, and they have not been able to find the reason for my issue. I get seven to eight hours of sleep a night, and I do not ...  Read Full »

Dr. Hitesh Kumar


Answer: Hi, Welcome to I would like to know some further details about your symptoms: Since when you started to have these twitchings? How many years? In which body parts you get these twitches? As you mentioned, it has been since many years, are these twitching increasing with time or is...  Read Full »

Why do I get twitches all over the body after the COVID vaccine?

Query: Hello doctor, I got the Novavax COVID vaccine. Since I had the vaccine, I had bad arm pain. But the scary thing that happened was I had muscle twitches throughout my body on calves, both shoulders, forearms, hand, eyelid, and head for the past five days. What can cause this, and should I be worried...  Read Full »

Dr. Aida Quka


Answer: Hello, Welcome to Your symptoms could be related to the adverse effects of this vaccine. Do you have any limb weakness, difficulty walking, or numbness in your limbs? I recommend trying some Alprazolam to help improve your situation. If you cannot buy this drug (as it needs under ...  Read Full »

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