Q. Can muscle twitches in my hands and legs, chillness in my feet, and chest pain be GBS syndrome?

Answered by
Dr. Florilyn Joyce Chulsi Bentrez
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 04, 2021

Hello doctor,

I am a 19-year-old male. And I have been experiencing muscle twitching in my hands and legs for more than three months. And I also have occasional chest pains. My feet are too cold even when I am in a hot shower. I had my Johnson and Johnson COVID-19 vaccine 16 days ago.

I read about a rare autoimmune syndrome (GBS), and I am really worried.

Kindly help.



Welcome to

Thank you for the query.

Kindly answer me the following to help you better;

1) Do you have any weight loss?

2) Do you have weakness in the hands and feet?

3) Do you have difficulty in breathing?

I suggest you do ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), nerve conduction study, and electromyography. Meanwhile, you can take tablet Pregabalin 75 mg once daily and vitamin B complex once daily for ten days.

Take care.

Hello doctor,

Thanks for the reply.

I have had fasciculations for three to four months. And yes, I lost about 5 to 6 kg. But I was on a diet and going to the gym almost every day, so it was on purpose.

About the weakness, I have periodic muscle pain in my leg and arm. I can lift heavy things without any issues. And no breathing issues.

Shall I delay the tests that you have mentioned?




Welcome back to

Yes, it is acceptable to delay the test if the present condition is post-vaccination neuropathy. But for the fasciculations, you need to undergo nerve conduction study and electromyography as soon as possible.


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