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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What could cause random muscle twitching and shaking feeling all over the body?

Query: 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 ...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I passed carefully through your question and would explain that we can exclude ALS (amyotrophic lateral sclerosis), considering the fact that you have sensory complaints (tingling and burning sensation). From the other hand, this would be an exceptional diagnosis at ...  Read Full »

I have intermittent twitching in hypothenar muscle. Should I be worried about ALS?

Query: Hi doctor, I am worried about ALS. I have had a twitch in my left hypothenar muscle intermittently for three weeks or so. Perhaps a few twitches per hour followed by hours of no twitching. I also have twitches in other parts of my body quite regularly though this one is focal and the others are diff...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I read carefully your question and would explain that your symptoms are not typical of ALS (amyotrophic lateral sclerosis). Benign fasciculation syndrome, an electrolyte imbalance or thyroid gland dysfunction could mimic this clinical situation. Coming to this point...  Read Full »

Are my asymmetrical thighs related to intermittent twitch in my legs, calves, and thighs?

Query: Hi doctor, I have an intermittent twitch in both legs, calves, and thighs. I think it happens when I am anxious or stressed at work. But I am not sure how long I had the twitches and, it worsens if I focus on it. I searched online about ALS and just also noticed that one of my thighs is 1.5 to 2 cm ...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I understand your concern. I would like to explain that your symptoms could be related to anxiety or benign fasciculation syndrome. Anyway, I suggest the following: 1) Check vitamin D, vitamin B12 plasma levels, and thyroid hormone levels for thyroid gland dysfunction....  Read Full »

Tricep twitching after electric shock. Could it be nerve damage?

Query: Hello doctor, I received an electrical shock last night. The shock did not hurt, just felt it go up my arm and across my chest. I dropped the probe right when I felt it. No burn marks. Afterward, I was having sharp pain in my chest. I went to the ER, doctors did EKG, took blood and urine, said every...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. Your symptoms could be related to an irritated nerve or muscle. For this reason, if the problems persist, I would recommend consulting with a neurologist and performing a nerve conduction study to examine your nerves. Meanwhile, I suggest having some rest and taking...  Read Full »

Is my twitching due to amyotrophic lateral sclerosis?

Query: Hi doctor, About two weeks ago, I started having twitching in the front of my right calf. The next four days, it began to spread to my left calf and thighs. Sporadically I will get them on peck, shoulder, triceps, back near the armpit, and shoulder blade. My lower body nearly always twitches, whi...  Read Full »


Dr. Aida Abaz Quka

Answer: Hi, Welcome to icliniq.com. I understand your concern and explain that a normal EMG (electromyography) excludes ALS (amyotrophic lateral sclerosis). The lack of weakness too. For this reason, I think that your symptoms are related to anxiety. Nevertheless, I would recommend checking thyroid hormon...  Read Full »

I have numbing, tingling, and muscle twitching. What might help me?

Query: Hello doctor, About a month ago, I developed what I thought was a pinched nerve in my neck. I had numbing and tingling in my left arm, and my hand would go numb while sleeping. However, over the next couple weeks, the numbing and tingling, moved to my right arm, then my legs and feet to include musc...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I read your question carefully and would explain that your symptoms are not typical of peripheral neuropathy. They could be related to a bulging disc in the cervical vertebral column. That is why it is necessary to perform a cervical spine MRI study.MS (multiple sclero...  Read Full »

I have been diagnosed with BFS five months ago, and I have twitches all over my body. What should I do?

Query: Hi doctor, I was diagnosed with BFS five months ago, and I have had twitches all over my body since then, some days better, some days worse. I had taken EMG twice, both times only with fasciculations. I noticed a week ago that one of my left hand fingers had begun to twitch, and I had been experienc...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I understand your concern. I agree with you on the fact that anxiety plays an important role in all these clinical situations. For this reason, I recommend taking Clonazepam (Klonopin) 1 mg twice daily to help improve both BFS (benign fasciculation syndrome) and anx...  Read Full »

I am 27 years old female. How can I control twitching of my muscles post-COVID?

Query: Hello doctor, I am a 27-year-old female. I do not drink or smoke. Last year, I started experiencing muscle fasciculations all over my body (face, arms, legs, and butt). I can literally see my muscles moving, but it does not hurt. Also, I occasionally have minor body jerks while resting and sleeping....  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. Regarding your concern, and would explain that your symptoms do not seem to be related to any serious neurological disorder. I would exclude ALS (amyotrophic lateral sclerosis) based on your description. Coming to this point, I would suggest checking thyroid hormone ...  Read Full »

I have been experiencing twitching in the front left side of my tongue on and off for two days. What could be the reason?

Query: Hello doctor, I have been experiencing twitching in the front left side of my tongue on and off for two days. What could be the reason? Kindly help.  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I understand your concern. Your symptoms could be related to a pinched nerve (cranial neuritis). I suggest you consult a neurologist for a physical examination and a brain MRI (magnetic resonance imaging). I would also suggest avoiding hot and spicy food, caffeinate...  Read Full »

What causes my several episodes of muscle twitching at random places?

Query: Hello doctor, I am contacting you regarding some symptoms I have been having lately. I am a 30-year-old male. I take no medication. My height is 181 cm, my weight is 133 kg, and I am generally overall healthy. Before one and half years, I had several episodes of muscle twitching. The muscle twitch...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello,Welcome to icliniq.com.I understand your concern and would explain that your symptoms do not seem to be related to any serious neurological disorder. The fact that your symptoms stopped for a short period is indicative that anxiety could be the cause. Anyway, I would suggest performing some bl...  Read Full »

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