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Muscle Twitching
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Muscle Twitching

I am a 23 year old, white male college student and I am in very good overall health.  Since the end of December 2000 up to now I have been experiencing muscle twitching that is not alway visible to the eye but I can feel it.  It began as a slight twitch in the corner of my left eye and has moved all over my body.  Additionally I have been experiencing a bit of a tingle in the tip of my ring finger on my left hand. Out of concern I went to see a neurologist in mid-January and he ordered an MRI of the brain which came back totally normal.  Additionally he did refex tests and the whole bit.  I was told that I was in great health and not to worry.  About three/four weeks ago I went to my family docter for a physical in which I complained about the muscle twitching, he did a complete once over, with alot of the same tests that my neurologist did and once again I was told that I was fine.  Additionally all of my blood tests came back within accpetable ranges.  Then in mid-February I returned to the neurologist for a follow-up visit and he went over me again and everything was the same, he told me that I was fine.
     My primary concern here is that I am suffering from MS or something else serious.  My family has absolutly no history of neurological troubles or any other disease.  I find it difficult to just write off these symptoms as just temporary/transient.  I have not had any other symptoms other than the muscle twitching and the little tingle in my finger and I have remained active hiking every weekend and lifting weights during the week.  Other than the described symptoms I feel great, it is just difficult to tell myself that this is nothing.  Is this just benign?  Are my concerns of MS unfounded and will this just go away or should I seek another opinion?  
Thank you for your time
JM  
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Avatar_n_tn
Dear JM:

Sorry that you have had these worries about your muscle twitches, it really can be nerve racking and for some reason we feel like we have the worst thing possible.  Muscle twitching in the face of a good neurological exam, normal brain MRI, and normal lab testing is usually benign.  If one has MS or ALS there should be changes in the neurological exam, MRI or lab findings that triggers a further investigation.  Since I am telling you these are benign then what are they.  Likely your experiencing what we call benign muscle fasculations.  We do not know completely what causes them.  What we do know is that they do not do muscle damage, they usually go away on their own after a few weeks to months.  They get worse with fatigue or illness.  

Sincerely,

CCF Neuro MD
11 Comments
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Avatar_n_tn
Hi,
You seem to have a busy life going to college with the addition of a regular exercise program. Have you considered your nutritional intake? Are you eating a high complement of vegetables and fruits. A high stress level can lead to a depletion of certain vitamins which are important to nervous system function. Get rest, eat right and take a quality vitamin/mineral supplement with a possible additional B complex added. This may help to settle your body.
Good luck in your studies!!!
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Avatar_n_tn
I had the same problems with muscle weakness developing within weeks and muscle twitching, pins and needles, burning sensations, etc.  All tests were negative until I had an abnormal lactate acid/pruvate ratio (mine was 30--normal 10-20) and a muscle biopsy which showed rare red ragged fibers.  My diagnosis was Mitochondrial cytopathy, confirmed by Dr. Cohen at the Cleveland Clinic.  If your problems persist you may want to discuss this possibility with your neurologist.  It is not as rare as people often think it is.  Good Luck...JanB
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I apologize...I meant to post to a different question...JanB
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Hi JM.  About 2 years ago, I started experiencing twitches - much as you describe.  Mine ended up being attributed to an allergic reaction to medication.  Even with that information, it can still be quite scary.  I still twitch.  I spent 3 hours awake in bed last nigth because my right arm began to twitch in the same spot for about 48 hours.  Twitching only scares me now if it stays in the same muscle group for more than 24 hours.  I ended up taking a valium and am doing much better.  My normal twitching occurs all over the body something similar to blinking - if that makes sense.  Moral -Hang in there. I'm sure you are experiencing what a lot of us are going through. (Stress does make it worse!)  Good Luck
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Avatar_n_tn
hi i am rahul i  was having benign fasciculation for last three years and running helter skelter for help from local practioner to expert neurologist and had a gamut of test and drugs but nothing helped then , Alas! a breakthrough i went in for a homeopathic treatment.today  i feel i am almost cured i experience twiches very rarely .really alternative therapies work like magic and today i have firm faith in homeopathy also i am thankfull to almighty.
take care.
Rahul.
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Avatar_n_tn
Which Homopathic doctor did you go to? Where can I get information on one of them?

Thanks

Mike
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Avatar_n_tn
Hi Mike,
        I am from India and my Homeopathic physician is one of  my friends.I started with  the treatment on 23rd November 2000 prior to that i was quiet sceptic about the effectiveness of the therapy but let me tell me tell u that this is the best thing to happen to me in three  years.If ur from United states then visit the web site (www.homeopathy.org) and then click on the link (directory of registered homeopaths)this directory contains addresses of all the registered homeopaths practising in different parts of United states.I hope that this information will help you  and get rid of this irritating syndrome.
Take care.
Rahul.
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Avatar_n_tn
I have been experiencing the same muscle twitch symptoms during the past week and a half.  Like you, I have no other symptoms ---other than anxiety from thinking the worst.  However, my research shows that it may likely be due to a Calcium/Vitamin D and/or Potassium deficiency.  Taking vitamin supplements may help.
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Avatar_n_tn
hi rahul iam from india having the same problem of twitching and paresthesias for the last 4 years all investigations normal ..kindly let me know the homeopath in india which u have consulted..thanx..
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Avatar_n_tn
rahul can u let me know the name of this homeopath in india i have similar complaints
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