Q. I shake my hands, fingers, legs and muscles of the face every day. Is this a disorder?

Answered by
Dr. Aida Abaz Quka
and medically reviewed by Dr. Sushrutha Muralidharan
This is a premium question & answer published on Nov 26, 2020 and last reviewed on: Jul 24, 2021

Hi doctor,

I think I either have fasciculations or ALS, where I keep shaking some part of my body, which is from my childhood. My hands, fingers, legs, muscles of the face, calf muscles, ankles, eyebrows, etc., keep shaking. I do this all the time I am awake. Is this a disorder? Is there a way I can know what the problem is and how to address this? Kindly give your opinion.



Welcome to

The muscle twitching could be related to different possible causes, like benign fasciculation syndrome, Vitamin D deficiency, electrolyte imbalance, caffeine intake, anxiety, etc. I would exclude ALS (amyotrophic lateral sclerosis), considering such a long period of time and your age. I would recommend performing nerve conduction studies, Vitamin-D and electrolyte plasma levels, thyroid hormone levels, and ENG (Electronystagmography). It would help if you discussed with your doctor the above tests. Avoid caffeine and dehydration. I hope this was helpful. Please get back to further doubts.

Hi doctor,

Thank you.

Is it possible to have a consultation on this issue? Will be great if you could help give the prescription for the tests mentioned above and a scan. Kindly give your opinion.



Welcome back to

You can print this answer and show it to your doctor.

Considering your complaints, I would recommend performing these tests:

1) Nerve conduction studies to investigate for possible neuropathy or motor neuron disease.

2) Vitamin-B12 and Vitamin-D plasma levels for possible deficiency.

3) Thyroid hormone levels for possible thyroid gland dysfunction.

4) Blood electrolytes (calcium, potassium, and magnesium) for possible deficiency.

It would help if you discussed with your doctor the above tests. I would be glad to review those test reports as soon as you can upload them.

I hope this was helpful.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I get muscle twitches in my quad and calf muscles often with no pain. Could this be due to anxiety?

Could this be caused by anxiety ... Such muscle twitching can happen in few medical conditions like anxiety, motor neuron disease, nerve injury, benign fasciculation syndrome, and hyperthyroidism...   Read full

I get tremors in my chin that lasts only for a second. Is it something serious?

From what you mentioned, you most likely have what is called benign fasciculation syndrome which is usually due to stress and anxiety ...   Read full

I have constant muscle twitching in feet and legs with no difficulty in walking. Is it ALS?

.. carefully your question and would explain that your symptoms do not seem to be related to ALS (amyotrophic lateral sclerosis). You should know that there are a lot of benign causes underlying muscle twitching like anxiety, physical activity, th...   Read full


Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»
Importance of Sex Hormones - Types, Functions, Normal Ranges, and Roles
Sex hormones are steroids produced in the body that control sexual development, pregnancy, and overall health. Read belo...  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.