Involuntary Muscle Twitches: Insights from Traditional Chinese Medicine

Involuntary muscle twitching?

Hello doctor, five years ago I underwent surgery for scoliosis, and a year later I started experiencing muscle twitching in my back.
Until now, my entire back has been twisting.
I have seen Western doctors and even stayed in the hospital for examinations, all of which came back normal.
One traditional Chinese medicine practitioner said I have poor blood circulation, while another said my constitution is too cold.
I started working seven months post-surgery, and I remember my workstation was right in front of the air conditioning vent.
Additionally, I have a long-standing habit of drinking cold beverages and sitting for extended periods at work.
Due to high work stress and poor emotional health, could this have contributed to my symptoms? I also have autonomic nervous system dysfunction and feel very weak, often experiencing shortness of breath while walking.
My blood pressure is low, and I can't walk fast enough to break a sweat.
Will just taking medication help? Additionally, could this be myofascial pain syndrome? Thank you.

Emily, 30~39 year old female. Ask Date: 2018/04/03

Dr. Yan Sumei reply Traditional Chinese Medicine

Dear Emily,
Thank you for your letter.
For your question, please refer to the following link: http://cht.a-hospital.com/w/%E8%82%8C%E8%82%89%E8%B7%B3%E5%8A%A8.
You have clearly explained the causes of the symptoms you are experiencing.
As the saying goes, "Know yourself and know your enemy, and you will win a hundred battles." By addressing the factors you are aware of (such as consuming cold drinks, exposure to air conditioning, prolonged sitting, stress, and emotions) and making adjustments (ensuring adequate rest, relaxing your mind, reducing exposure to cold air and cold drinks, and keeping warm), you can overcome these issues.
Taking traditional Chinese medicine is certainly an option, but it may not be as effective as your own self-adjustments in daily life.
Wishing you health and peace!
Sincerely,
Yen Su-Mei
Department of Traditional Chinese Medicine
Nantou Hospital

Reply Date: 2018/04/03

More Info

Involuntary muscle twitches, also known as muscle fasciculations, can be a perplexing issue that affects many individuals. In your case, the history of spinal surgery and subsequent symptoms such as muscle twitching in the back, along with feelings of weakness and autonomic nervous system dysregulation, suggests a multifaceted problem that may benefit from a comprehensive approach, including insights from Traditional Chinese Medicine (TCM).

From a TCM perspective, your symptoms could be attributed to several factors. The practitioners you consulted mentioned poor blood circulation and a "cold" constitution. In TCM, the concept of "cold" often refers to a deficiency in Yang energy, which is responsible for warmth and vitality in the body. A cold constitution can lead to stagnation of Qi (vital energy) and blood, resulting in symptoms like muscle twitching, discomfort, and fatigue. Additionally, prolonged exposure to cold environments, such as sitting under an air conditioning vent, can exacerbate these symptoms by further cooling the body and impeding circulation.

Your work environment and lifestyle choices, such as prolonged sitting and high-stress levels, can indeed contribute to muscle tension and fasciculations. Stress is known to affect the autonomic nervous system, leading to symptoms like anxiety, muscle tension, and even digestive issues. In TCM, emotional stress can lead to Qi stagnation, which may manifest as physical symptoms, including muscle spasms and twitching.

Regarding your concerns about whether this could be related to myofascial pain syndrome, it is possible. Myofascial pain syndrome is characterized by the presence of trigger points in muscles, which can lead to referred pain and muscle twitching. The tension in your back muscles, possibly exacerbated by your surgical history and lifestyle, could indeed create a scenario where myofascial pain is a contributing factor.

In terms of treatment, simply relying on medication may not be sufficient to address the underlying issues. While medications can help manage symptoms, a holistic approach that includes lifestyle modifications, physical therapy, and possibly TCM treatments could provide more comprehensive relief. Here are some recommendations:
1. Acupuncture and Herbal Medicine: TCM treatments such as acupuncture can help improve blood circulation, relieve muscle tension, and restore balance to the body's energy systems. Herbal remedies tailored to your specific constitution may also support your recovery.

2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles in your back, improve posture, and reduce muscle tension. A physical therapist can provide exercises that are safe and effective for your condition.

3. Stress Management: Incorporating stress-reducing techniques such as mindfulness, meditation, or yoga can help alleviate the emotional factors contributing to your symptoms. These practices can also improve your overall well-being and energy levels.

4. Dietary Adjustments: A balanced diet that supports your body's needs is crucial. In TCM, warm foods and drinks are often recommended for individuals with a cold constitution. Avoiding excessive cold beverages and incorporating warming foods can help improve your overall energy.

5. Regular Movement: Avoid prolonged periods of sitting. Incorporate regular breaks to stretch and move around, which can help alleviate muscle tension and improve circulation.

6. Consultation with Specialists: If your symptoms persist or worsen, consider consulting with a neurologist or a specialist in myofascial pain syndrome for further evaluation and management.

In conclusion, your involuntary muscle twitches may be influenced by a combination of factors, including your surgical history, lifestyle, and emotional stress. A multifaceted approach that includes TCM, physical therapy, and lifestyle modifications may provide the best chance for improvement. Always consult with qualified healthcare professionals before making any changes to your treatment plan.

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