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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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 icliniq.com. 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 »

What could cause frequent muscle twitches in quad and calf muscles with no loss of muscle strength?

Query: Hello doctor, I am a 41-year-old male who is 5'10" and in pretty good shape. However, last week while I was sitting on the couch at night I noticed muscle twitches in my quad muscles. I ignored it thinking maybe I walked or exercised more than normal. But since then they have not gone away and I no...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. Such muscle twitching can happen in few medical conditions like anxiety, motor neuron disease, nerve injury, benign fasciculation syndrome, and hyperthyroidism. If you do not have any weakness or muscle thinning, it may be due to anxiety. I suggest to observe it. ...  Read Full »

What could cause random muscle twitching and shaking feeling all over the body?

Query: Hi doctor, I hope you are well and hopefully will be able to answer some of my concerns. For the past three months, I have been experiencing some unusual symptoms which have given me cause for concern. First of all, I am a 28-year-old female. Before three months, I started to experience a sort of ...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I passed carefully through your question and would explain that we can exclude ALS (amyotrophic lateral sclerosis), considering the fact that you have sensory complaints (tingling and burning sensation). From the other hand, this would be an exceptional diagnosis at ...  Read Full »

Is ALS or MS the cause of my symptoms?

Query: Hi doctor, I am a 37-year-old male. I am experiencing some symptoms. I am concerned about ALS and MS. Twelve months back. I started to have pain in my left thumb after applying some force with it. I started to have a similar issue with the right index finger too. My thumb issue persisted but the fi...  Read Full »


Dr. Upendra Kumar Shah

Answer: Hi, Welcome to icliniq.com. Fasciculations are not seen in MS (multiple sclerosis). ALS (amyotrophic lateral sclerosis) occurs with fasciculations accompanied by weakness and loss of muscle mass. They do not subside spontaneously. Pain in fingers on applying pressure indicates tenderness. They are...  Read Full »

Apart from ALS, which other conditions cause muscle twitching?

Query: Hi doctor, I am a 24 year old female. For the last three days, I have noticed continuous twitches on the thenar aspect of my right palm. Today, I searched on the internet and it showed it could be ALS. I am worried. Also, I noticed that my right thenar prominence is a little less than the left. I do...  Read Full »


Dr. Rajyaguru

Answer: Hi, Welcome to icliniq.com. I do not think this to be ALS (amyotrophic lateral sclerosis). ALS will have little more extensive twitches and at times they are visible on the muscle surface and a number of muscles having the flaccid type of weakness. Fasciculation only for three days without an...  Read Full »

I have muscle twitching in my arms, elbows, and nose bridge. Is it a symptom of ALS?

Query: Hello doctor, I am a 37-year-old man. A few years ago, I had terrible anxiety attack and had some strange symptoms like hand tingling and hand cramp, followed by muscle twitching in my arms around the back of my elbows and other twitching. I wondered whether this could be the start of ALS. I think I...  Read Full »


Dr. Nene Devavrat Harihar

Answer: Hello, Welcome to icliniq.com. After reading through your history, it seems you have some twitching over your entire body without weakness and some sensory symptoms of short duration. All of these point away from ALS (amyotrophic lateral sclerosis). This can be benign fasciculation syndrome or mig...  Read Full »

Why do I have arm twitches that spread to the rest of my body?

Query: Hello doctor, I have had a twitch in my right forearm for three months, causing a jerk in my thumb. Since the last two weeks, it has spread to my right leg and the rest of my body. The majority of my right arm is affected. I got an EMG done three months back, which was normal. The muscle twitches in...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. I understand your concern. I would like to know some details about your symptoms: Are these twitches visible by eyes, or are they only felt inside? Have you noticed any situations when these twitches get worse? Did you notice any thinning of muscle bulk in any li...  Read Full »

I have intermittent twitching in hypothenar muscle. Should I be worried about ALS?

Query: Hi doctor, I am worried about ALS. I have had a twitch in my left hypothenar muscle intermittently for three weeks or so. Perhaps a few twitches per hour followed by hours of no twitching. I also have twitches in other parts of my body quite regularly though this one is focal and the others are diff...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I read carefully your question and would explain that your symptoms are not typical of ALS (amyotrophic lateral sclerosis). Benign fasciculation syndrome, an electrolyte imbalance or thyroid gland dysfunction could mimic this clinical situation. Coming to this point...  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 icliniq.com. I 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....  Read Full »

Tricep twitching after electric shock. Could it be nerve damage?

Query: Hello doctor, I received an electrical shock last night. The shock did not hurt, just felt it go up my arm and across my chest. I dropped the probe right when I felt it. No burn marks. Afterward, I was having sharp pain in my chest. I went to the ER, doctors did EKG, took blood and urine, said every...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. Your symptoms could be related to an irritated nerve or muscle. For this reason, if the problems persist, I would recommend consulting with a neurologist and performing a nerve conduction study to examine your nerves. Meanwhile, I suggest having some rest and taking...  Read Full »

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