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Neurology (Expert Forum)
undiagnosed muscle twitching, severe nerve pain, spasms
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undiagnosed muscle twitching, severe nerve pain, spasms
by makina, Sep 12, 2006 12:00AM
28yrold(grew up with upper respitory infections and allergies)
no diagnoses yet
problem started 1998 when moved to connecticut from texas(8yrs ago)
1998 first pregnancy (first wosening of sysmptoms after delivry)
worsened in 2003 after flu shot
Various test over yrs all normal
mri of brain W/out contrats (last jan 2006)
mric-spine, thoracic, lumbar.
emg(legs normal, arm carpel tunnel)(last 2006)
eeg(in 1999, normal)
muscle biopsy 2006 normal
blood test all kinds(stiff mans syndrome,ana,lyme,etc normal excpet for sed rate(40) and c-reactive(mild) protien elavated over years.
muscle strgthn tone bulk doc says normal.
sysmptoms
muscle twitching all over body(limbs,face,toungue,toes,stomach,etc)
muscle spasms all over body
nerve pain (fire like burning in legs and arms, especialy toes and fingers, umbness, pins and needles)
nerve pain (stabbing, shooting, jabs elctric tearing like pain)comes and goes quickly and can be in multiple places at same time.
severe tightness and spssms in throat, nerve stabing pain (first sysmptom ever in 1998)
sleeping jerks and awake leg and arm slight jerks
tremors all over although u cant see
muscle vibrations (even in ear lobes)
when odd sensation in neck come i feel fogy and off balance
eyes aquint shut from sudden tightness in face and neck.
the pain in legs and arms is very intense adn hard to describe. it has the nerve pain but in entire leg and arm as if from top it goes tearing down
into the fingers and toes. like electic like odd painfull pain in lims. I have hard time describing this pain but its in legs arms
no diagnoses yet
problem started 1998 when moved to connecticut from texas(8yrs ago)
1998 first pregnancy (first wosening of sysmptoms after delivry)
worsened in 2003 after flu shot
Various test over yrs all normal
mri of brain W/out contrats (last jan 2006)
mric-spine, thoracic, lumbar.
emg(legs normal, arm carpel tunnel)(last 2006)
eeg(in 1999, normal)
muscle biopsy 2006 normal
blood test all kinds(stiff mans syndrome,ana,lyme,etc normal excpet for sed rate(40) and c-reactive(mild) protien elavated over years.
muscle strgthn tone bulk doc says normal.
sysmptoms
muscle twitching all over body(limbs,face,toungue,toes,stomach,etc)
muscle spasms all over body
nerve pain (fire like burning in legs and arms, especialy toes and fingers, umbness, pins and needles)
nerve pain (stabbing, shooting, jabs elctric tearing like pain)comes and goes quickly and can be in multiple places at same time.
severe tightness and spssms in throat, nerve stabing pain (first sysmptom ever in 1998)
sleeping jerks and awake leg and arm slight jerks
tremors all over although u cant see
muscle vibrations (even in ear lobes)
when odd sensation in neck come i feel fogy and off balance
eyes aquint shut from sudden tightness in face and neck.
the pain in legs and arms is very intense adn hard to describe. it has the nerve pain but in entire leg and arm as if from top it goes tearing down
into the fingers and toes. like electic like odd painfull pain in lims. I have hard time describing this pain but its in legs arms
Doctor's Answer
by CCF-Neuro-M.D.-SH, Sep 14, 2006 12:00AM
First of all, keep in mind that I am unable to diagnose you because I am unable to examine you, this forum is for educational purposes.
I can tell you are very frustrated with the medical system. It is unfortunate that you do not have a diagnosis despite your extensive testing. You are not alone, sometimes it takes time.
Your symptoms of burning pain with electrical type pain are consistent with a possible small fiber neuropathy. This would not show up on the testing that you have had thus far, because it involves the small mostly unmyelinated fibers. To diagnose this possible condition I would recommend a QSART (quantitative sudomotor axon reflex test), an autonomic testing battery with tilt and a skin biopsy (3 small biopsies that are taken from 3 spots ascending up yhour leg to measure for axon loss in the skin). Small fiber neuropathies are most commonly caused by diabetes, but can also occur with paraneoplastic syndromes, some cancers like multiple myeloma, and as a side effect from some drugs. I would also recommend that you get a paraneoplastic panel, monoclonal protein workup (serum/urine) and a CT scan of the chest/abdomen/pelvis with contrast (to evaluate for occult malignancy). Medications that treat neuropathic pain will likely be helpful, but you may need to try several before you find the one that works best for you. They include elavil, desipiramine, pamelor, neurontin, lyrica, cymbalta, tegretol, etc.
Muscle spasms all over the body, without weakness, atrophy or spasticity and a normal EMG is most consistent a benign fasiculation syndrome. This can occur after a viral syndrome, after exercise or in normal people.
Given the extent of your symptoms and the effect that it has had on your life, I would also recommend that you see a psychiatrist to help you adjust to your syndrome, until answers are more forthcoming.
I hope this has been helpful.
I can tell you are very frustrated with the medical system. It is unfortunate that you do not have a diagnosis despite your extensive testing. You are not alone, sometimes it takes time.
Your symptoms of burning pain with electrical type pain are consistent with a possible small fiber neuropathy. This would not show up on the testing that you have had thus far, because it involves the small mostly unmyelinated fibers. To diagnose this possible condition I would recommend a QSART (quantitative sudomotor axon reflex test), an autonomic testing battery with tilt and a skin biopsy (3 small biopsies that are taken from 3 spots ascending up yhour leg to measure for axon loss in the skin). Small fiber neuropathies are most commonly caused by diabetes, but can also occur with paraneoplastic syndromes, some cancers like multiple myeloma, and as a side effect from some drugs. I would also recommend that you get a paraneoplastic panel, monoclonal protein workup (serum/urine) and a CT scan of the chest/abdomen/pelvis with contrast (to evaluate for occult malignancy). Medications that treat neuropathic pain will likely be helpful, but you may need to try several before you find the one that works best for you. They include elavil, desipiramine, pamelor, neurontin, lyrica, cymbalta, tegretol, etc.
Muscle spasms all over the body, without weakness, atrophy or spasticity and a normal EMG is most consistent a benign fasiculation syndrome. This can occur after a viral syndrome, after exercise or in normal people.
Given the extent of your symptoms and the effect that it has had on your life, I would also recommend that you see a psychiatrist to help you adjust to your syndrome, until answers are more forthcoming.
I hope this has been helpful.
rhumatologist thought fibromayalgia but the neuromucular doc says it is not. he said it has sometihing to do with the firing signals in nerves he just dosent know whats cauing it yet.
muscle feel poopcorn poping.
muscle pain.
excruciating of limb pain
strange crreepy crawly all over body
all this is in every part of body
worse is when all of this in every part together.
up and down day by day.
what could this be?
lyme or what
what should be my next step.
neuros dictation says possible deymilnating and neuromuscular specialist dosent say anything
21 yr old sis just diagnosed of ms
a thoorough histologic evaluation does not identify any myopathic abnormality that would explain the patients history of refractory myalgias and cramps.
neurogenic changes are very mild and could be incidental. the number of activity denervated fibers is very small and would not be expected to manifest clinicaly,(weakness),either subjectively or objectively. while non-specific mayalgias are a clinical finding in a proportion of patients with active denervation on biopsy, it is more commonly seenin the setting of advanced disease and often with accompanying sensory sysmptoms.
also he said all blood normal but i says creatine kinase, total serum 21.
These drugs can cause every single symptom that you listed; new side effects from fluoroquinolones can appear for months after a person has stopped taking them, and persist for years or even be permanent.
If you have taken any of these drugs, at any time, I strongly suggest that you look into this as being the cause of your complaints. I suffer from much of what you mentioned as a result of Levaquin, which I was given nearly two years ago for bronchitis.
Please take care.
i was given levaquin for bladder infection