Developed muscle twitching and shaking all over the body. Could it be something serious?

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 internal vibration or shaking feeling all over my body. I still have this symptom today, there have been only a few days where it has disappeared completely. It also seems to get worse at night when trying to sleep. I have also developed random muscle twitching across my whole body; it comes on randomly and sporadically anywhere on my body. My final symptom which can vary on and off is muscle pain in all my limbs particularly my forearms and a sort of burning tingling sensation in my hands and feet. I have been searched online; it has given me the possibility of amyotrophic lateral sclerosis (ALS). I am now absolutely terrified that I have this disease. My general practitioner (GP) has done some muscle blood tests, and the only thing that showed up was a severe vitamin D sufficiency for which I am now on tablets. I do not think I have any muscle weakness, atrophy, etc. Do you think it could be a severe disorder or hopefully something treatable? I am a relatively healthy person I have diagnosed hypertension for which I take Ramipril. I am now taking prescribed vitamin D. Thanks for taking the time to read my concerns your opinion would be most appreciated. Many thanks

Hi doctor,

Thank you so much for putting my mind at rest. Unfortunately here it would be difficult to get referred to a Neurologist for tests as my doctor thinks I am fine. What bothers me most is this internal trembling and the pain in my limbs. Do you think low vitamin D could be the cause? Thank you so much for your help. Amyotrophic lateral sclerosis (ALS) terrified me, but I feel better now.