Involuntary Muscle Twitches: Causes and Concerns

Involuntary muscle twitching?

In the past two weeks, I have noticed involuntary muscle twitching in various parts of my body, particularly around the shoulders, elbows, and knees, which are mostly near the joints.
The twitching is quite pronounced and can be seen with the naked eye.
I have a history of juvenile arthritis and fibromyalgia, which have been well-controlled.
About eight months ago, I underwent a nerve conduction study that showed no abnormalities, and I did not experience these symptoms at that time.
However, the twitching occurs daily now, and sometimes I feel muscle soreness.
Could this be a symptom of fibromyalgia, or is it indicative of some other reaction? Thank you, doctor.

Qiao Yu, 10~19 year old female. Ask Date: 2015/10/31

Dr. Gao Chunde reply Neurology

Fibromyalgia rarely presents with the muscle twitching symptoms you described; however, arthritis is more commonly reported to have such symptoms.
Some medications used to treat arthritis can also cause involuntary muscle twitching.
If you have a follow-up appointment soon, you might want to discuss with your physician whether this could be related to the activity of your arthritis or the medications you are taking.
If not, then consider exploring other potential issues.

Reply Date: 2015/10/31

More Info

Involuntary muscle twitches, also known as fasciculations, can be concerning, especially when they occur frequently and in various parts of the body. Based on your description, it seems that you are experiencing these twitches in areas near your joints, such as the shoulders, elbows, and knees. Given your medical history of juvenile arthritis and fibromyalgia, it is understandable to be worried about these new symptoms.

Understanding Muscle Twitches
Muscle twitches can arise from a variety of causes, including:
1. Benign Fasciculation Syndrome: This is a condition characterized by persistent muscle twitching without any underlying disease. It is often benign and can be exacerbated by stress, fatigue, or caffeine intake.

2. Electrolyte Imbalances: Low levels of electrolytes such as potassium, calcium, or magnesium can lead to muscle twitching. If you have been dehydrated or have not been consuming a balanced diet, this could be a contributing factor.

3. Nerve Irritation or Damage: Given your history of juvenile arthritis, it is possible that inflammation or irritation of the nerves could be causing these twitches. Conditions like fibromyalgia can also lead to heightened sensitivity in the nervous system, which may manifest as muscle twitching.

4. Stress and Anxiety: Psychological factors can play a significant role in muscle twitching. Anxiety and stress can lead to increased muscle tension and involuntary movements.

5. Medications: If you are taking any medications for your previous conditions, side effects could include muscle twitching. It is important to review any new medications with your healthcare provider.

Symptoms of Fibromyalgia
Fibromyalgia is characterized by widespread pain, fatigue, and tenderness in localized areas. Muscle twitching is not a classic symptom of fibromyalgia, but it can occur, especially if you are experiencing heightened stress or anxiety related to your condition. The muscle soreness you mentioned could also be related to fibromyalgia, as it often causes muscle pain and discomfort.

When to Seek Medical Attention
While benign muscle twitches are usually not a cause for concern, you should consult a healthcare professional if:
- The twitches are accompanied by muscle weakness or loss of function.

- You experience persistent pain that does not improve with rest.

- There are changes in your sensation, such as numbness or tingling.

- The symptoms worsen over time or become more frequent.

Observing for Muscle Weakness
To monitor for muscle weakness, pay attention to your ability to perform daily activities. If you notice that tasks such as lifting objects, walking, or even simple movements become more difficult or require more effort than usual, this could indicate a problem. Additionally, if you find that your muscles fatigue more quickly than before, it may warrant further investigation.

Managing Symptoms
1. Relaxation Techniques: Stress management techniques such as deep breathing, meditation, or yoga can help reduce muscle tension and twitching.

2. Regular Exercise: Gentle, regular exercise can improve muscle tone and reduce symptoms of fibromyalgia. Activities like walking, swimming, or stretching can be beneficial.

3. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet rich in essential vitamins and minerals to support muscle function.

4. Sleep Hygiene: Prioritize good sleep habits, as poor sleep can exacerbate symptoms of fibromyalgia and muscle twitching.

5. Consultation with Specialists: If symptoms persist, consider consulting a neurologist or a rheumatologist who specializes in fibromyalgia and related conditions. They can provide a comprehensive evaluation and tailored treatment options.

In conclusion, while muscle twitches can be alarming, they are often benign, especially in the context of your medical history. However, it is crucial to remain vigilant and consult with healthcare professionals if you notice any concerning changes.

Similar Q&A

Understanding Involuntary Muscle Twitches: Causes and Concerns

Hello, doctor. I have been experiencing involuntary muscle twitching for the past two to three years. As I prepare to enter the second year of high school, I have noticed that the twitching has become more pronounced. Initially, it was just my eyelids twitching, but recently it h...

Dr. Lan Shengxing reply Neurology
Hello, constantly feeling anxious or searching for disease information online is actually unhelpful and will only increase your stress unnecessarily. It's better to visit a neurologist's office for a consultation and receive advice from a physician, which is more practi...

Understanding Involuntary Muscle Twitches: Causes and Concerns

I would like to ask, regardless of whether I am standing, sitting, or lying down, my legs involuntarily twitch and tremble, and sometimes my hands also experience involuntary twitching and trembling. This has been ongoing for about a year. When I consciously try to control it, th...

Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to visit the neurology outpatient clinic for an evaluation of the underlying cause.

Understanding Involuntary Muscle Twitches: Causes and Concerns

Hello, doctor. Recently, for the past month or two, I have been experiencing involuntary muscle twitching in various parts of my body, including my lips, neck, and even the soles of my feet. It seems to occur in almost all my muscles, but it is more common in my legs. This has ca...

Dr. Gao Chunde reply Neurology
Pay attention to see if there is any muscle weakness or atrophy; if not, there's no need to overthink it, as most cases are simply benign muscle twitches related to excessive tension.

Understanding Involuntary Muscle Twitches: Causes and Concerns

I am a 35-year-old male, non-smoker, non-drinker, and I do not consume betel nut or coffee. I am 180 cm tall and weigh 55 kg. I have a regular exercise routine that includes both strength training and aerobic exercises. Over two years ago, I suddenly began experiencing random mus...

Dr. Jiang Junyi reply Neurology
Hello Mr. Hsuan, You mentioned experiencing "twitching in your toes, similar to after finishing a hike, a jog, walking a long distance, or sitting on a specific sofa..." The muscle twitching you are experiencing may be related to several factors: exercise, acute viral ...