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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Why is my diaphragm twitching?

Query: Hello doctor, I have a trembling or twitching on my side near the diaphragm, roughly around the sixth and seventh rib. It feels like a bubbling sensation, and I can feel it when I hold my fingers to the side.   Read Full »


Dr. Prathap

Answer: Hi, Welcome to icliniq.com. By your description, this appears like a pulsatile mass, because you can feel it with your fingers on the side. It may be in the diaphragm or the lower part of the lung or the liver if it is on right side. But the incidence of such a mass at your age is very rare. ...  Read Full »

How can I rule out ALS?

Query: Hi doctor, About five weeks ago, I started feeling some weakness in my left leg. I have consulted my family doctor and a neurologist. All physical tests showed no actual weakness. There were no other clinical signs and the reflexes were also normal. There is no activity or movement that I cannot do....  Read Full »


Dr. J. Mariano Anto Bruno Mascarenhas

Answer: Hi, Welcome to icliniq.com. The various symptoms you have described are due to L5-S1 moderate broad left paracentral disc protrusion mildly distorted the anterior aspect of the thecal sac and abutting without displacing the traversing nerve roots. When a disc prolapses and compresses the spinal c...  Read Full »

I have started experiencing twitching symptoms all over my body. What could be the reason behind it?

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 icliniq.com. 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 »

What treatment can be had for severe head to toe muscle twitches?

Query: Hello doctor,I have had muscle twitches from head to toe for 12 months. About four weeks ago, my left thumb started twitching involuntarily, and it would not stop even during sleep. This morning, I felt my right thumb start to pain. My blood tests are clear, and so are my MRI of the brain and spine....  Read Full »


Dr. Nene Devavrat Harihar

Answer: Hello, Welcome to icliniq.com. Do you feel any kind of weakness or thinning of the limbs? Do you see the twitching or only feel it? Do you feel any tingling sensations in the limbs? Is there any family history of a similar illness? Are there any thyroid function tests done? Do you have any cramps?...  Read Full »

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 icliniq.com. 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 »

I am 51 years old and have been experiencing muscle twitching. Please suggest some treatment for the same.

Query: Hello doctor, I am 51 years old and have been experiencing muscle twitches several times an hour for almost three to four weeks. I have had no muscle weakness or imbalance. Sometimes, I experience sharp pain, but the muscle twitches last only a few seconds. They happen anywhere on my body, including...  Read Full »


Dr. Abhaya Kant Tewari

Answer: Hello, Welcome to icliniq.com. Thank you for the detailed history. Your reports (attachments removed to protect the patients' identity) suggest that you are suffering from simple benign fasciculation syndrome, characterized by random twitching of muscles affecting various body parts. There is no p...  Read Full »

I have twitching of different muscles. Can I be sure it is not ALS?

Query: Hello doctor, The last week and a half every few minutes, I got a muscle twitch in random parts of my body. My left eye twitches more constantly than that. I have general anxiety and major health anxiety which I am wondering can play a role. I have no muscular weakness at all, and no atrophy from wh...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. Frequent muscle twitches without any muscle weakness or atrophy and normal reflexes can be due to anxiety. The other possibility can be benign fasciculation syndrome. But before labeling this, it is advisable to rule out other possible grave diseases. Let me suggest...  Read Full »

Can I have twitching in my calves because of myokymia and not fasciculations?

Query: Hello doctor, I had twitching in my calves, for which I consulted a neurologist and was diagnosed with myokymia and no fasciculations. Can an experienced doctor say the difference just by seeing it? What is the difference between the two ? Kindly help.  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. Fasciculation is intermittent bursts of contraction and is seen as a single muscle twitch at a time. It can change location within the muscle or can recur in the same area at some intervals, but not rhythmic. Myokymia is...  Read Full »

I have constant muscle twitching in both calves with deranged ANA values. Kindly help.

Query: Hi doctor,I have had twitches in both calves for about nine weeks now. These twitches constantly happen when at rest without any pain, and the twitches are visible in both calves. Sometimes I experience cramps in my feet also. I consulted a doctor and did MRI, nerve conduction study, and an EMG. Eve...  Read Full »


Dr. Mohamad Ali Rida

Answer: Hello, Welcome to icliniq.com. ANA (antinuclear antibody) is a very delicate test and depends on the substrate used for testing. Some laboratories use primate substrate, and this yields a false-positive result. DFS 70 (dense fine speckled antibody) confirms that ANA might be related to an actual r...  Read Full »

I have been experiencing twitching in the front left side of my tongue on and off for two days. What could be the reason?

Query: Hello doctor, I have been experiencing twitching in the front left side of my tongue on and off for two days. What could be the reason? Kindly help.  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I understand your concern. Your symptoms could be related to a pinched nerve (cranial neuritis). I suggest you consult a neurologist for a physical examination and a brain MRI (magnetic resonance imaging). I would also suggest avoiding hot and spicy food, caffeinate...  Read Full »

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