Muscle Twitches: Causes and Concerns for Teens - Neurology

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Muscle twitching


Hello Doctor, I have been experiencing muscle twitching frequently over the past month (in my face, thighs, calves, arms, etc.).
My legs feel very sore and painful after walking for a long time, and my arms also feel sore when I raise them, but I do not experience any weakness, just soreness and pain.
I previously visited a clinic where the doctor mentioned that my poor posture was causing muscle inflammation and that my throat was slightly sore (possibly due to an unresolved cold), but I do not have any swallowing difficulties and eat normally.
I have researched some information online and I am really scared, wondering if I might have some kind of muscle atrophy disease.
I'm only 15 years old...
I have been staying up very late recently (around 3 to 4 AM), watching TV and using my phone for long periods at home.
I usually drink tea, and my mom keeps telling me that it's nothing to worry about, but I am really scared...
Could this also be related to my emotional issues? Please help me, thank you!

NaNa, 10~19 year old female. Ask Date: 2015/07/15

Dr. Lan Shengxing reply Neurology


Dear NaNa, staying up late is a very unhealthy habit that can keep your muscles in a state of prolonged tension, making it easy for the issues you mentioned to occur.
I suggest you consider changing your lifestyle to make it more regular—try to go to bed before 11 PM and wake up earlier.
Increase your exposure to sunlight to boost your body's calcium levels, which should help alleviate muscle spasms.
This is a fundamental approach to treatment.
Also, try to reduce your intake of bubble tea or canned beverages, and drink more water or tea that you brew yourself.
Wishing you a speedy recovery, A-Lan.

Reply Date: 2015/07/15

More Info


Muscle twitches, or fasciculations, can be concerning, especially for teenagers who may be more sensitive to bodily changes. It's important to understand that muscle twitches can have various causes, and not all of them indicate a serious underlying condition. In your case, the symptoms you've described—muscle twitching in various parts of your body, soreness after walking, and fatigue when holding your arms up—could be related to several factors.

One common cause of muscle twitching is muscle fatigue or overuse. If you've been engaging in activities that require repetitive use of certain muscle groups, this can lead to muscle strain and inflammation, which may manifest as twitching or soreness. Additionally, poor posture, especially if you spend long hours watching TV or using your phone, can contribute to muscle tension and discomfort. This is particularly relevant for teenagers who often have less awareness of ergonomic practices.

Another potential factor is dehydration or electrolyte imbalances. If you're not drinking enough fluids or consuming a balanced diet, your muscles may not function optimally, leading to cramps and twitches. It's essential to stay hydrated and maintain a diet rich in vitamins and minerals, particularly potassium, calcium, and magnesium, which are crucial for muscle function.

Sleep deprivation can also play a significant role in muscle health. Your mention of staying up late until 3 or 4 AM could be contributing to your symptoms. Lack of sleep can lead to increased stress and muscle tension, exacerbating any existing issues. Sleep is vital for recovery and overall health, and chronic sleep deprivation can lead to various physical and mental health problems.

Regarding your concerns about muscle atrophy or serious diseases, it's understandable to feel anxious, especially when experiencing unusual symptoms. However, muscle atrophy typically presents with noticeable weakness and a significant reduction in muscle mass, which you have not described. The fact that you do not experience weakness but rather soreness suggests that your muscles are likely functioning well, albeit under strain.

Emotional factors can also contribute to physical symptoms. Anxiety and stress can manifest in various ways, including muscle tension and twitching. If you're feeling overwhelmed or anxious about your health, it may be beneficial to talk to someone about your feelings, whether it's a parent, teacher, or counselor.

To address your symptoms, consider the following steps:
1. Improve Your Posture: Be mindful of your posture when sitting or using your phone. Try to maintain a neutral spine and take regular breaks to stretch.

2. Stay Hydrated: Ensure you are drinking enough water throughout the day, especially if you consume caffeine or tea, which can be dehydrating.

3. Balanced Diet: Focus on a diet rich in fruits, vegetables, whole grains, and lean proteins to support muscle health.

4. Regular Exercise: Engage in regular physical activity that includes both strength training and flexibility exercises. This can help improve muscle endurance and reduce soreness.

5. Prioritize Sleep: Aim for 7-9 hours of sleep each night to allow your body to recover and function optimally.

6. Manage Stress: Consider relaxation techniques such as deep breathing, meditation, or yoga to help manage stress and anxiety.

If your symptoms persist or worsen, or if you develop new symptoms, it would be wise to consult a healthcare professional for a thorough evaluation. They can provide reassurance and help rule out any serious conditions. Remember, it's always better to seek advice and address your concerns rather than letting anxiety build up.

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