I am experiencing a twitching feeling in my legs, arms, and sometimes chest. What could be the reason?

Q. Why am I experiencing a twitching feeling in my arms, legs and chest?

Answered by
Dr. Hitesh Kumar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 02, 2022

Hello doctor,

I have been suffering from twitching in my legs and arms for about a week. Sometimes, I can feel the same in my chest and body. When I wake up every morning, my arms and legs feel like I have done work out, although I have not.

I have had nerves and back issues as far as weight training. I have also suffered from Covid-19 twice. But, I had only mild symptoms like fever, headache, fatigue, and migraine. Also, I was diagnosed with anxiety and depression, but I was able to improve after a month; after that, I started feeling the twitching symptoms.



Welcome to icliniq.com.

I would like to know some details about your symptoms. Kindly revert with the following information.

1. Is the twitching visible or only felt from inside?

2. Do you have any muscle thinning in the leg or arm?

3. Have you had pain in your legs or arms these days?

4. Do you feel weakness in muscle power of the leg or arm?

5. Do you have any walking difficulty?

6. Are you doing the activity with your hand?

7. Do you feel your anxiety symptoms have increased recently? If yes, since when?

8. Are you taking any medications for sciatica, back issues, or anxiety? If yes, please tell names & doses.

Investigations to be done:

MRI whole spine

NCV + EMG all four limbs


Serum Vitamin B12

Serum vitamin D3


Differential diagnosis:

Fasciculations (? Anxiety induced ? Benign fasciculation syndrome)

Regarding follow up:

Revert with above mentioned information for better understanding & further judgement.

Hello doctor,

I visibly see twitching, but sometimes I do not feel them internally. Sometimes I feel like vibration, and other times it is a fast-twitch that gradually stops. There is no thinning of muscles, and I still have strength in my arms, hands, and legs. It just feels like they are tired all the time. I do have pain sometimes in my legs and arms. I have managed anxiety well. At times, I am taking Vitamin B12, Vitamin D, turmeric, ginger, fish oil, and Ibprofunin. I have undergone laboratory tests, and they appeared normal. I just had an inflammation. I believe it was CSR.



Welcome back to icliniq.com.

As per your description, there may be a possibility that it be "Benign fasciculations." However, such twitchings can be anxiety-induced, but you say that your anxiety has been under control. Still, I would suggest you consult a neurologist physically for a detailed clinical neurological examination.

Investigations to be done:

MRI whole spine

NCV + EMG all four limbs


Differential diagnosis:

? Benign Fasciculation syndrome

? Anxiety induced twitching's

? Fasciculation cramp syndrome

??? Motor neuron disease

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