Dr. Nene Devavrat Harihar
Neurology
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Patient's 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 magnetic resonance imaging (MRI) of the brain and spine. The doctor said that I had to wait for four months to see a neurologist. I have also suffered vertigo on and off for the last 12 months. I have been stressed for the last two months, but this started after the stress calmed down. Can you kindly help? I am on tablet Nexium and a contraceptive pill.
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? Please revert with answers to the above questions.
Patient's Query
Thank you doctor.
My thyroid is working fine. There is no real weakness and I can see the muscle move when it twitches. It is like my forearm will move when it twitches and my whole thumb moves when it twitches. I feel some weird sensations in both the thumbs and on the top of my hands. My mother has rheumatoid arthritis and fibromyalgia. I have not gotten any cramps.
Hello,
Welcome back to icliniq.com. Good to know about the thyroid results. Since there is no weakness or wasting or cramps this can be a benign fasciculation syndrome. However to be certain you need to get NCS (nerve conduction study) and an EMG (electromyography) done and six-monthly neurological examinations. The causes can be low magnesium, low vitamin D, and low calcium. For treating this, you need to eliminate all caffeine from the diet. I suggest you try tablet Propranolol 20 mg once a day for a month along with tablet Amitriptyline 10 mg every night for a month along with multivitamin supplementation. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Try doing yoga and meditation along with this.
Patient's Query
Thank you doctor,
Should I be concerned about the long wait to see my neurologist?
Hello,
Welcome back to icliniq.com. No, not at all. There are no ominous signs. So there is nothing to worry. You need to get EMG (electromyography) and NCS (nerve conduction study) at that time.
Patient's Query
Thank you doctor,
There is no need to worry about the slight weird sensations on the top of my hands?
Hello,
Welcome back to icliniq.com. Absolutely not. You need to just relax and take a day off or take a vacation. You need to start the medications and we will see how it improves. Consult your specialist doctor, discuss with him or her and with their consent take the medicines.
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Neurology
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