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Muscle facilitations frequently all over body?

I’m a 24 year old male, my whole life as long as I remember once had fairly frequent muscle twitches, completely painless, no weakness I’ve noticed, I’m active and healthy otherwise but recently with an incredibly stressful year behind me I’m twitch all the time. My feet, hands, eyelids, face, calf’s, back, chest, neck have all twitched. A few years ago I mentioned the twitching to a neurologist I was seeing as they were screening me for potential conditions (I was born with cataracts, although mine are known to be non syndromal they still check as congenital cataracts can be present in many musculoskeletal skeletal conditions) she said I could have an EMG if I wanted but said there was very little concern based on what I was describing. This was nearly 5 years ago and there’s no progressive weakness I’ve noticed so maybe that points to it being benign as well. my thyroid is completely normal, I have no heart issues or anything that could potentially point to another cause just basic generalized twitching several time a day in many different groups each day. I’m going back for a check up soon (procedure even though they cleared me before) but I’m still a little worried. Like I said I’ve had these as long as I remember and this past year they’ve increased but so has my stress and anxiety in general. I guess any input would be appreciated.
1 Responses
207091 tn?1337709493
When you say "twitch all the time", is that a literal statement, or do you mean it happens a lot?

You mention you're active. Something that can cause this is a build up of lactic acid in the muscles.

There are lots of other possible causes, though - too much caffeine, nutrient deficiencies, dehydration, medications, along with some other, more serious causes. Only your doctor can determine if you have a more serious cause.

https://www.healthline.com/health/muscle-twitching

Since it's so often and occurs in different parts of your body, I definitely think you should bring it up with your doctor. Let us know what happens.
9 Comments
Well I brought it up with with neurology before and they had very little concern, I will mention it at the follow up, it’s not literally 24/7 but if I sat and counted every little twitch it’s defintelg probably 20 minor twitches a day. Again this has been something I was genuinely surprised wasn’t normal. I do have low vitamin D often but I also know anxiety can cause it, which I don’t exaggerate when I say I’ve been riddled with that lately. I’m not terribly worried given the past comments about it and the fact I’ve had it so long that if there were going to be wasting I would have thought it defintelg would have happened by now.
You should also bring up your anxiety with your doctor. If they are addressing the twitches, they might as well address the anxiety. It's important to rule out any physical causes, but you need to address any psychological ones, too.

Again they know about the anxiety as well, it’s isually under wraps but I had a big cancer scare this year hat lasted months, we moved, I’m a full time student working towards my BA while working basically full time hours and we recently lost a loved one so while I do have an anxiety disorder there most certainly has been reason this year, it’s something I’m never going to treat with medication and typically is well managed with excercize and productivity.
Wow, you have a lot on your plate, and I'm sorry for the loss of your loved one.

I wasn't suggesting medications for your anxiety -that's a decision between you and your doctor. You didn't say that your doctor knew about the anxiety, or I wouldn't have suggested it.

What about fatigue? You do A LOT, and have been through a lot recently. There's some old stress rating scale that puts moving up there with the death of a loved one - like #1 and 3 or something, with divorce in the middle, if I'm remembering correctly. You're also a FT student working FT, and have had a cancer scare. Even without the move, the death of your loved one and your cancer scare, I'd wonder how you were sleeping and if you were getting enough.

I know when I was in college, I didn't sleep enough, and I only worked PT.
Sleep, thankfully seems to be one of the things I do have going for me. I’ve never had a problem with sleeping unless there’s something stressful directly the next day. But there are a fair share of nights where I get less than a full night’s rest. Still the twitches I remember since late childhood and even then chances are I just didn’t notice them before as a kid. Which seems to be a very positive thing as often they say time is one of the biggest things that determines if twitches are sinister or benign. I’m healthy enough at 24.

I did see low vitamin D can cause twitches too and historically I have been very low on that when not taking a vitamin.
I should also mention my anxiety is almost purely medical based. I’ve skydived loved it and ride horses a few times a year, not much scares me (and I’m not saying that to brag) besides health issues. Which in this case is only fuel for the fire.
Health anxiety is real, and common.

When is your follow up? Finding out if you're low on Vit D is a simple blood test, or you can just take a vitamin and see if that helps, but it would be good to find out if you need to take it first.



No I do yearly blood draws, when I’m not on a vitamin I’m always low on it (pale non tanning skinned people typically are since we can’t tan as well) I should also mention I have Tensor Tympani Syndrome, it’s rare but usually benign where a muscle in the ear twitches similarly to how your eyelid will but much rarer. Typically it’s completely benign but can be linked to neurological things.
Follow up is about 6 months our, I see the absolute top tier neurologists from a university hospital that is incredibly well renown so they take time to see.
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