Neurology Expert Forum
Twitches and Muscle Fatigue
About This Forum:

This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Twitches and Muscle Fatigue

I am 29 and rather healthy, but I have had some very concerning symptoms.   It started about three months ago with a twitch in the lower lid of my left eye.  The eye twitch continues.  If I yawn or squint, it twitches for about 20-30 seconds.  I have also been experiencing twitching on in my chin and a buzzing/pulsing feeling at the tip of my tongue.  These syptoms (symptoms) come and go but are present every day.  No specific triggering event seems to be causing this.  Additionally, I have experienced fatigue in the jaw muscles when chewing hard food(grapenuts eg), and yesterday, my cheeks were fatigued as if I had been smiling all day (which I had not).  I have noticed subectively that my lips and jaw sometimes feel tight (as if I had come in from the cold).  I have also experienced twitches in the bicep and quad. muscles on the right and left sides.  I have not noticed any real weakness, but now that I am "monitoring", every little stumble or dropping of a spoon becomes suspicious.

  I have been evaluated by my PCP and am returning for a follow up tomorrow.  My questions are 1) Does this sound like ALS, MS or similar?  I am very concerned about having some awful condition.  2) I made my PCP promise to send me to a nuero for follow up testing.  What should I make sure that the nuero covers?  MRI? EMG?  I would like to have your advice on what steps I should take in assisting my PCP and nuero in diagnosing this condition.  Thank you in advance for your assistance.  
Related Discussions
Avatar_n_tn
Given your age, overall health status, accompanying symptoms, and conspicuous absence of more worrisome symptoms such as generalized weakness and wasting of muscles or swallowing/speech problems, it's unlikely that these symptoms represent ALS.  MS is also less likely, although there is a relatively uncommon manifestation of MS that presents with facial muscle rippling, (feels like there 's a bag of worms underneath the skin and is easily picked up by EMG as a specific electrical pattern). One consideration is a syndrome called benign fasciculation syndrome that many people experience and is characterized by muscle twitching in the absence of nay serious neuromuscular disease. A formal neurological exam should help your docs point you in the right diagnostic direction, but the test of choice is probably going to be an EMG in your case.  They can do facial muscles, too, if your neuro feels this is important in your particular case. Good luck.
4 Comments
Blank
Avatar_n_tn
I appreciate your answering my questions.  My PCP suggested a CPK test and took some blood.  If that test is negative, do you still think an EMG is necessary or is the CPK evidence enough that there is not muscle degenration.  Any help is much appreciated.
Blank
Avatar_n_tn
Chris,
are you now or have you been exposed to any chemicals such as pesticides,organophosphates [e.g., tick/animal dip or topicals on animals fur, mosquito spray,], bug sprays, lawn fertilizers, chemical weeders, all of which does NOT dissipate with time, but instead concentrates in patio stone, brick, lawn, soil, tarmac, cement, and when exposed to heat/sun releases toxic gas for years, foam/artifical materials pillow, new car, artifical foam under carpets/artificial fiber carpets, chemicals in beauty products including hair products as well as skin products, ...

all of which can cause neurological tremours and/or weakness or muscles, numbness, nausea, dizziness, cognitive/memory difficulties...

There are many chemicals readily available, used, many imported, which were once considered dangerous controlled substances, but since the US government has become so lax about controlling chemicals, all manners of dangerous materials which are toxic to the body are floating about, available over the counter.
Blank
Avatar_n_tn
Chris,
are you now or have you been exposed to any chemicals such as pesticides,organophosphates [e.g., tick/animal dip or topicals on animals fur, mosquito spray,], bug sprays, lawn fertilizers, chemical weeders, all of which does NOT dissipate with time, but instead concentrates in patio stone, brick, lawn, soil, tarmac, cement, and when exposed to heat/sun releases toxic gas for years, foam/artifical materials pillow, new car, artifical foam under carpets/artificial fiber carpets, chemicals in beauty products including hair products as well as skin products, ...

all of which can cause neurological tremours and/or weakness or muscles, numbness, nausea, dizziness, cognitive/memory difficulties...

There are many chemicals readily available, used, many imported, which were once considered dangerous controlled substances, but since the US government has become so lax about controlling chemicals, all manners of dangerous materials which are toxic to the body are floating about, available over the counter.
Blank
Continue discussion Blank
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
8 hrs ago by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank