Inner Thigh Muscle Twitches: Causes and Management Tips

Medial pulsation of the vastus medialis muscle?

Thank you, Doctor, for taking the time to respond despite your busy schedule.
I would like to ask a follow-up question regarding your previous response.
You mentioned that the cause of my muscle twitching is primarily related to inflammation: exercise, acute viral infection, anxiety, and medication use.
Recently, I have not engaged in prolonged exercise (only walking and brisk walking).
Regarding medication, I have been taking Flupentixol 0.5 mg and Melitracen 10 mg.
Could this potentially cause the twitching in my inner thigh? I don't feel anxious, but I understand that this perception might be subjective.
The thought of motor neuron damage is quite frightening, and it seems that the current medication only delays the progression of the condition.
Thank you once again for your time and guidance.
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Previous content as follows:
Hello, Doctor.
The frequency of twitching in my left inner thigh is increasing.
I have sent two short videos for your quick assessment.
https://youtu.be/avo45DGnfH0 https://youtu.be/csDjJ8YggPs.
Is this considered nerve twitching or muscle twitching? What can I do to alleviate this condition before my appointment with the neurologist? (For example: drink more water? exercise more?) Thank you.
Hello Mr.
ABen: Your YouTube videos show twitching in the vastus medialis muscle of the quadriceps.
This muscle fasciculation is primarily related to inflammation caused by exercise, acute viral infection, anxiety, and medication use.
Prolonged exercise is one of the main causes of muscle twitching.
Common medications that can induce muscle twitching include excessive caffeine.
Many people find themselves in a vicious cycle where mild twitching causes anxiety, which in turn exacerbates the twitching, leading to further panic and anxiety.
If symptoms persist, it usually indicates upper motor neuron damage, resulting in abnormal signal transmission that may cause muscle twitching.
If your symptoms are accompanied by pain or numbness, the likelihood of peripheral nerve compression is quite high.
Peripheral nerve examinations can typically be assisted by electrophysiological tests.
Nerve conduction studies assess the transmission speed and waveform of large fiber nerves, while electromyography evaluates muscle responses in the innervated areas.
It is advisable to consult a neurologist specializing in peripheral nerves, as they have more experience with electromyography diagnostics.
Please ensure to practice self-protection, cleanliness, and sanitation before and after your medical visits.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.
Dr.
Jiang Junyi from Taoyuan cares about you.

Ben, 40~49 year old female. Ask Date: 2022/05/01

Dr. Jiang Junyi reply Neurology

You mentioned that the side effects listed in the medication leaflet for "Flupentixol 0.5mg/Melitracen 10mg" are very common: drowsiness and akathisia.
Common side effects include dizziness accompanied by or without orthostatic hypotension and tremors.
Less common side effects include Parkinson's disease, worsening of Parkinson's disease, tardive dyskinesia, and extrapyramidal symptoms.
Very rare side effects include neuroleptic malignant syndrome.

"The sensation of upper motor neuron damage is a frightening condition," but it is not a serious issue, such as cervical nerve compression, which affects the lower limbs in terms of upper motor neurons.
It is still recommended to consult a peripheral neurologist for further evaluation.
Please ensure to implement self-protection measures, maintain cleanliness and disinfection, and adhere to new pandemic prevention practices before and after seeking medical care.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Medical Center, cares for you.

Reply Date: 2022/05/01

More Info

Understanding muscle twitches, particularly in the inner thigh, can be a perplexing issue for many individuals. The phenomenon you are experiencing, characterized by involuntary muscle contractions or twitches, can arise from various underlying causes. In your case, you mentioned that you have not engaged in prolonged exercise recently, and you are currently taking medications such as Flupentixol and Melitracen. Let's delve into the potential causes and management strategies for your condition.

Causes of Inner Thigh Muscle Twitches
1. Medication Side Effects: Both Flupentixol and Melitracen can have side effects that may contribute to muscle twitching. Flupentixol, an antipsychotic, can lead to extrapyramidal symptoms, which may include muscle spasms or twitching. Melitracen, an antidepressant, can also affect muscle control and may lead to similar symptoms. It is essential to consult your prescribing physician about these potential side effects, as they may consider adjusting your medication.

2. Electrolyte Imbalance: Muscle twitches can often be attributed to imbalances in electrolytes such as potassium, calcium, and magnesium. These minerals play a crucial role in muscle contraction and relaxation. If you have not been hydrating adequately or if your diet lacks these essential nutrients, it could lead to increased muscle excitability.

3. Nerve Irritation or Compression: Conditions affecting the nerves, such as peripheral neuropathy or nerve compression syndromes, can lead to twitching. If there is any irritation or damage to the nerves supplying the inner thigh muscles, it could manifest as twitching or spasms.

4. Stress and Anxiety: Even if you feel you are not experiencing anxiety, the body can react to stress in subtle ways. Muscle twitching can be a physical manifestation of stress or anxiety, leading to a cycle where the twitching itself causes further anxiety.

5. Inactivity or Overuse: While you mentioned that you have not been exercising strenuously, even a lack of movement can lead to muscle stiffness and twitching. Conversely, if you have engaged in any sudden or unusual physical activity, it could also lead to muscle fatigue and spasms.

Management Tips
1. Hydration and Nutrition: Ensure you are drinking enough water and consuming a balanced diet rich in essential vitamins and minerals. Foods high in potassium (bananas, oranges), magnesium (nuts, seeds), and calcium (dairy products, leafy greens) can help maintain muscle function.

2. Gentle Stretching and Exercise: Incorporating gentle stretching exercises for the inner thigh muscles can help alleviate tension. Activities like yoga or Pilates can promote flexibility and reduce muscle tightness. However, avoid any movements that exacerbate the twitching.

3. Stress Management Techniques: Engage in relaxation techniques such as deep breathing, meditation, or mindfulness practices. These can help reduce overall stress levels and may alleviate muscle twitching.

4. Consult a Specialist: Since you are experiencing persistent symptoms, it would be prudent to consult a neurologist or a specialist in peripheral nerve disorders. They may recommend diagnostic tests such as electromyography (EMG) or nerve conduction studies to assess the function of your nerves and muscles.

5. Medication Review: Discuss your current medications with your healthcare provider. They may consider adjusting your dosage or switching to alternative medications that may have fewer side effects related to muscle twitching.

6. Avoid Stimulants: If you consume caffeine or other stimulants, consider reducing your intake, as these can exacerbate muscle twitching.

Conclusion
Muscle twitches, particularly in the inner thigh, can stem from various causes, including medication side effects, electrolyte imbalances, nerve issues, and stress. By addressing these factors through hydration, nutrition, gentle exercise, and stress management, you may find relief from your symptoms. However, it is crucial to consult with a healthcare professional for a thorough evaluation and tailored treatment plan. Remember, understanding your body and its responses is key to managing your health effectively.

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