Muscle fasciculation

Alternative names

Muscle twitching; Fasciculations of muscle

Definition

Muscle twitches are fine movements of a small area of muscle.

Considerations

Muscle twitching is the result of minor local muscle contractions or the uncontrollable twitching of a single muscle group served by a single motor nerve fiber or filament.

Muscle twitches are minor and often go unnoticed. Some are common and normal, while others indicate a neurologic disorder.

Common Causes

• Benign twitches (not caused by disease or disorders)
  o Often affect the eyelids, calf, or thumb
  o Normal and quite common, often triggered by stress or anxiety
  
• A diet deficiency
  
• Drug overdose
  
• Drug side effect (such as diuretics, corticosteroids and estrogens)
  
• Exercise
  

Symptoms suggestive of a neurological cause of fasciculations include:

• Wasting of muscle
  
• Weakness
  
• Other findings of nerve dysfunction
  

Neurological illnesses where fasciculations are seen include:

• Chronic denervation of muscle due to disc compression of nerve exiting the spinal cord
  
• ALS (Lou Gehrig's Disease)
  
• Spinal muscular atrophy
  
• Muscular dystrophy
  
• Myopathy
  

Home Care
There is usually no treatment necessary.

Call your health care provider if

Call your health care provider if you have prolonged or persistent muscle twitches.

What to expect at your health care provider's office

The medical history will be obtained and a physical examination performed.

Medical history questions documenting your fasciculations in detail may include:

• When did you first notice the twitching?
  
• How long does it last?
  
• How often do you experience twitching?