Therapy for muscle twitching (fasciculations) depends on the cause. General measures If necessary, supplementation (dietary supplements; vital substances): calcium, potassium and magnesium (preferably as citrates, i.e. alkaline minerals). Limited caffeine consumption (max. 200 mg caffeine per day; this corresponds to 1 to 2 cups of coffee or 3 to 5 cups of green / black … Muscle Twitching (Fasciculations): Therapy
2nd order laboratory parameters – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Electrolytes – calcium* , magnesium, sodium, potassium. * Wg. Tetany (neuromuscular hyperexcitability with painful muscle spasms): rarely hypocalcemia (calcium deficiency) with blood Ca < 2.25 mmol/l = < 9 mg/dl = < … Muscle Twitching (Fasciculations): Test and Diagnosis
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Electromyography (EMG; measurement of electrical muscle activity). Electroneurography (ENG; method of electrodiagnostics in neurology to determine the functional state of a peripheral nerve). Cervical spine diagnostics X-ray of the … Muscle Twitching (Fasciculations): Diagnostic Tests
The following symptoms and complaints may indicate muscle twitching (fasciculations): Leading symptom Irregular and involuntary contractions (twitches) of muscle fiber bundles that are visible as movements under the skin without significant effect Predilection site (body regions where the changes occur most frequently). Face Extremities (limbs)
The medical history represents an important component in the diagnosis of muscle twitching (fasciculations). Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). When did you first notice muscle twitching? Was there a triggering moment (accident, fall, etc.)? Describe your muscle twitches? Correspond most closely to one of the following descriptions: Twitching to … Muscle Twitching (Fasciculations): Medical History
Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetes mellitus Hypocalcemia (calcium deficiency) Hypokalemia (potassium deficiency) Hypomagnesemia (magnesium deficiency) Hyponatremia (sodium deficiency) Cardiovascular system (I00-I99) Circulatory disorders affecting arteries or veins. Musculoskeletal system and connective tissue (M00-M99). Cervical spine syndrome (synonym: cervical syndrome) – unpleasant pain and sometimes dysfunction in the neck and neck area. Orthopedic diseases … Muscle Twitching (Fasciculations): Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes, extremities [due topossible cause of muscle twitching (fasciculations)] Neurological examination – including strength testing, triggering reflexes, etc. [due todifferential diagnoses: Amyotrophic lateral sclerosis (ALS) – progressive, … Muscle Twitching (Fasciculations): Examination
