Muscle Twitching

Muscle twitching, otherwise called muscle fasciculation, is an involuntary contraction of muscles. The common causes of muscle twitching are dehydration, stress and anxiety, after physical activity, too much caffeine intake, cigarette smoking, nutritional deficiencies, and drug overdose. Muscle fasciculations are also seen in severe conditions like amyotrophic lateral sclerosis (ALS), damage to the nerves, muscular atrophy, etc.

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I have been experiencing on and off muscle twitching for the past two years. Please help.

Query: Hello doctor, I have been having on and off muscle twitching for the past two years, and having no other symptoms. Could this still be slow progression ALS?  Read Full »

Dr. Hitesh Kumar

Answer: Hi, Welcome to I understand your concern. I would like to know some details about your symptoms: 1. In which body parts, do you have twitching? 2. Are these twitching visible to the eyes? Or only felt inside? 3. Have you noticed any weakness or thinning of some part of arm or leg ...  Read Full »

I have been experiencing pain and twitching in my right leg for some time. Please help.

Query: Hi doctor, I have developed a dull pain in my right leg which comes and goes. There is also a tingling sensation in the whole body sometimes. If I hold something for five minutes my hands start shaking. My MRI shows thecal sac compression at C3 to C7 and L4 to L5. Sometimes I feel a dull pain in my ...  Read Full »

Dr. Hitesh Kumar

Answer: Hi, Welcome to I understand your concern. The MRI (magnetic resonance imaging) findings from the attached reports (attachments removed to protect the patient's identity) show mild degenerative changes only, which may not explain your all symptoms - tingling in the whole body, shaking...  Read Full »

What could cause frequent muscle twitches in quad and calf muscles with no loss of muscle strength?

Query: Hello doctor, I am a 41-year-old male who is 5'10" and in pretty good shape. However, last week while I was sitting on the couch at night I noticed muscle twitches in my quad muscles. I ignored it thinking maybe I walked or exercised more than normal. But since then they have not gone away and I no...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to Such muscle twitching can happen in few medical conditions like anxiety, motor neuron disease, nerve injury, benign fasciculation syndrome, and hyperthyroidism. If you do not have any weakness or muscle thinning, it may be due to anxiety. I suggest to observe it. ...  Read Full »

Why do I have arm twitches that spread to the rest of my body?

Query: Hello doctor, I have had a twitch in my right forearm for three months, causing a jerk in my thumb. Since the last two weeks, it has spread to my right leg and the rest of my body. The majority of my right arm is affected. I got an EMG done three months back, which was normal. The muscle twitches in...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I understand your concern. I would like to know some details about your symptoms: Are these twitches visible by eyes, or are they only felt inside? Have you noticed any situations when these twitches get worse? Did you notice any thinning of muscle bulk in any li...  Read Full »

I have started experiencing twitching symptoms all over my body. What could be the reason behind it?

Query: Hello doctor, I am 31-years-old, and I have started having symptoms of twitching all over my body. I did a quick internet search and met with some scary answers. I do not have any weaknesses. I am still very strong, but I have a balance issue only when I stand. I can run and walk just fine. I have t...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know some further details about your symptoms: 1) Have these twitches started in the past ten months, or have they been present even before? And how frequent are these twitches? 2) These twitches occur in which body parts? 3) Are these twitches vis...  Read Full »

I have twitching of different muscles. Can I be sure it is not ALS?

Query: Hello doctor, The last week and a half every few minutes, I got a muscle twitch in random parts of my body. My left eye twitches more constantly than that. I have general anxiety and major health anxiety which I am wondering can play a role. I have no muscular weakness at all, and no atrophy from wh...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to Frequent muscle twitches without any muscle weakness or atrophy and normal reflexes can be due to anxiety. The other possibility can be benign fasciculation syndrome. But before labeling this, it is advisable to rule out other possible grave diseases. Let me suggest...  Read Full »

Can I have twitching in my calves because of myokymia and not fasciculations?

Query: Hello doctor, I had twitching in my calves, for which I consulted a neurologist and was diagnosed with myokymia and no fasciculations. Can an experienced doctor say the difference just by seeing it? What is the difference between the two ? Kindly help.  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I read your query and understand your concern. Fasciculation is intermittent bursts of contraction and is seen as a single muscle twitch at a time. It can change location within the muscle or can recur in the same area at some intervals, but not rhythmic. Myokymia is...  Read Full »

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

Query: 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....  Read Full »

Dr. Hitesh Kumar

Answer: Hello,Welcome to 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 fe...  Read Full »

I have twitching and cramps in the muscles. Can this be amyotrophic lateral sclerosis?

Query: Hello doctor,I am a 26-year-old female. About four years ago, I woke up one day and noticed that I had twitching in my thumb. It has progressed rapidly to every muscle in my body even places I did not know could twitch were twitching. It has not gotten any better. In fact, right now my right thumb i...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know some details about your symptoms: 1. Apart from twitching, do you have weakness or thinning of any muscles? Are these twitchings visible by eyes or only felt inside? 2. Do you have any sensory symptom like tingling, burning, pins and n...  Read Full »

Are muscle twitches related to the COVID vaccines?

Query: Hello doctor, I received the Novavax clinical trial COVID vaccine two months back. A few days later, I woke up, and my arms fell asleep. Well, shortly after that, muscle twitches started in my arm, then lower arm, hands, calves, thighs, lower back, and cheeks below my ear. They happen sporadically ...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know some further detail about your symptoms: 1. The muscle twitches at mentioned body parts happen simultaneously or occur at a different location at different timings? 2. Are these twitching increasing with time, or is it the same or decreasing wi...  Read Full »

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