Facial Twitching: Causes and When to Seek Help - Neurology

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Facial twitching?


Hello, I have a question.
Recently, I've been experiencing frequent twitching in my left cheek, almost like a muscle spasm, especially after eating.
Could you please explain why this is happening? Is it a warning sign from my body?

Lin Xiansheng, 40~49 year old female. Ask Date: 2020/12/11

Dr. Hong Weibin reply Neurology


Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese).
The causes are quite varied, with the most common being stress, electrolyte imbalances, lack of sleep, dehydration, excessive caffeine or stimulant intake, certain medications, fatigue, kidney disease, and diabetic neuropathy, among others.
The vast majority of simple muscle twitching is due to the conditions described above.
If your English is good, you can refer to the following resource for a more detailed understanding, which explains the causes of muscle twitching and spasms in depth: https://www.webmd.com/brain/ss/slideshow-twitches-spasms-causes.
Thank you! If you are very concerned, it is advisable to consult a neurologist for assistance.

Reply Date: 2020/12/11

More Info


Facial twitching, particularly in the area of the jaw or cheek, can be concerning and may arise from various underlying causes. Understanding these causes and knowing when to seek medical help is crucial for addressing the issue effectively.


Causes of Facial Twitching
1. Muscle Fatigue or Stress: One of the most common reasons for facial twitching is muscle fatigue or stress. If you've been under significant stress or have been engaging in activities that require repetitive facial movements, your facial muscles may become fatigued, leading to involuntary twitching.

2. Nutritional Deficiencies: Deficiencies in certain vitamins and minerals, particularly magnesium, potassium, and calcium, can lead to muscle spasms and twitching. Ensuring a balanced diet can help mitigate these symptoms.

3. Neurological Conditions: While less common, twitching can be a sign of neurological conditions such as facial nerve disorders (like Bell's palsy), multiple sclerosis, or even more serious conditions like a stroke. If the twitching is accompanied by other symptoms such as weakness, numbness, or changes in vision, it is essential to seek medical attention immediately.

4. Caffeine and Stimulants: High intake of caffeine or other stimulants can lead to increased muscle excitability, resulting in twitching. Reducing your intake of these substances may help alleviate the symptoms.

5. Medication Side Effects: Certain medications can cause muscle twitching as a side effect. If you have recently started a new medication, consult your healthcare provider to determine if it could be the cause.

6. Tics or Habitual Movements: Sometimes, facial twitching can be a tic or a habitual movement that develops over time. These are often benign but can be bothersome.


When to Seek Help
It is important to monitor the frequency and severity of the twitching. You should seek medical attention if:
- The twitching persists for an extended period (more than a few weeks).

- You experience additional symptoms such as weakness, numbness, or changes in facial appearance.

- The twitching interferes with your daily activities or quality of life.

- You notice any swelling, pain, or other unusual changes in your face.


Conclusion
Facial twitching can be a benign issue related to stress or fatigue, but it can also indicate more serious underlying conditions. If you are experiencing persistent or concerning symptoms, it is advisable to consult a healthcare professional, preferably a neurologist, who can conduct a thorough evaluation and provide appropriate treatment options. Early intervention can often lead to better outcomes, especially if the twitching is related to a neurological condition. Remember, your health is paramount, and addressing these symptoms early can help prevent potential complications.

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