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What could cause pain and twitching in triceps?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have had experience with my right arm tricep twitching for the past two weeks. It started one week after I fell very hard on the concrete. The chiropractor told me I gave myself a whiplash and not to concern myself with any diseases such as ALS. However, I worry, of course, there was also pain associated with it but in my forearm when rotating it, not the tricep itself. I exercised twice at the gym since no loss of strength was noted. The muscle relaxer helps a lot with controlling the twitching. Should I be concerned?

Answered by Dr. Hitesh Kumar

Hi,

Welcome to icliniq.com.

I understand your concern.

I would like to know some further details about your symptoms:

  1. Do you have any pain in the neck or shoulder blade region?
  2. What type of pain do you have in your right forearm - heaviness/ tingling/ burning/ electric current-like sensation/ some other kind?
  3. The twitching over the right triceps are visible to you by eyes? or only felt inside?
  4. Do you notice muscle thinning at the right arm or forearm (compared to the left side)? Or another part of the body?
  5. Have you twitched muscles at some other body site, also?
  6. Which medicines do you take nowadays? Please mention the name and doses.

Investigations to be done

MRI cervical spine.

Treatment plan

As you mentioning that symptom of pain are better on muscle relaxants and there is no weakness in muscle power. Twitching of muscle can happen in many situations - nonspecific/local muscle injury/ radiculopathy/ neuropathy/ nerve damage/ ALS/ anxiety/ benign fasciculation syndrome/ many more too. Your symptom description, does not seem to fit in clinical criteria of ALS.

Regarding follow up

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

Patient's Query

Hi doctor,

Thank you for the reply.

I do not have neck or shoulder pain; however, I go to the chiropractor because I am stressed and feel it in my neck. Also, I had tingling in my forearm and fingers when the twitching started; now. Furthermore, the pain in the forearm is only present (but has subsided considerably since my injury when I rotate my forearm, such as turning a doorknob, etc). That being said, no loss of strength, and I can still lift weights at the gym, etc. Twitching is visible to the eyes. No thinning at all. Not really, sometimes, but it is sporadic in my upper legs and back and goes away after a few seconds. Currently, I am taking tablet Synthroid 100mcg, daily vitamin Centrum, and Magnesium tablets.

Thank you.

Answered by Dr. Hitesh Kumar

Hi,

Welcome to icliniq.com.

I understand your concern.

It is good that you having symptomatic relief with muscle relaxant. By your history, symptoms may be due to local injury +/- some nerve pressure in neck (possibly due to injury) causing tingling sensation. With this history muscle twitching not seem to be part of ALS. I suggest to observe the symptoms. If symptoms persist or tingling recurs can plan for neurologist visit physically and evaluation:

  1. MRI Cervical spine with screening whole spine.
  2. NCV & EMG all four limbs
  3. Serum vitamin B12.
  4. T3 T4 TSH.

Regarding follow up

Review SOS

Answered byDr. Hitesh Kumar

Medically reviewed byiCliniq medical review team

Published At January 22, 2023
Reviewed AtDecember 21, 2023

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hitesh Kumar
Dr. Hitesh Kumar

Neurology

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