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Shoulder twitches

I have a strange muscle twitch that is localised to one long muscle that runs the back of my right shoulder , it doesn't hurt at all, but is kind of creepy.
I may have over done it while exercising, but it has gone on for a couple days now.
What I would like to know is how long does it take an overuse twitch to settle down.  Or , how long should I wait to see someone about it.  It's in the back of my right shoulder.
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An involuntary muscle twitch can be due to neurologic disease like motor neuron conditions or ALS.  Benign fasciculations can also lead to intermittent muscle twitching.

A neurology referral is recommended.  Workup of the central nervous system can be considered with a brain and/or spine MRI.  

Electrolytes and kidney function can be evaluated with a metabolic panel, calcium levels and creatinine levels.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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