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Doctors' Answers to "Frequently Asked Questions" - Muscle Spasms
These comments are made for the purpose of discussion and should NOT be used as
recommendations for or against therapies or other treatments. An individual patient is
always advised to consult their own physician.
Question: I'm experiencing a strange tremor or muscle spasm on the left side of my head, just below the surface of the skin. It only last for a few seconds and is not painful but it is distracting and worrying. I am mildly overweight (big build, 250 lbs, 6'0"), but very fit as I exercise very frequently in the gym. I do not smoke and do not drink to excess.
What could be causing this and should I be concerned?
Answer: Probably of no concern unless there are other systemic muscle twitching.
Essential Tremor [posted
Question: What are the recommended rx for Essential Tremor
Answer: Beta blockers are the first step, after that is a whole list
of different medications to try-but, with higher toxicities.
Full Body Muscle Spasms / Convulsions
Question: Three times in the last couple of months I have had a strange experience.
My muscles in my whole body started shaking uncontrollably. I felt cold and couldn't stop
my body shaking. I laid on my bed and pulled my arms under my body to stop them moving.
Individual muscles were shaking uncontrollably, like in the backs of my legs. Last night
it happened again but this time I had a temperature of 100.4 F, felt cold, but was
sweating. ¿kãÞll asleep about 3 p.m. and woke up fine this morning. Except again, as
before, my muscle and my chest are sore from the shaking. The shaking is quite vigorous.
I'm 26, a smoker, male with no major medical conditions that I'm aware of.. Should I see a
Answer: Sounds like you have an infection somewhere. You'll need an examination
and cultures. Infections that last over 3 weeks tend to be difficult to find,
consequently, you'll need blood, urine cultures, etc.
Question: I am a wheelchair user after a car accident 6 years ago I have had muscle
spasms in my legs. They literally go into spasms and stick out in the air. Can you give me
some advice as to what can be done?
Answer: Are you in a wheel chair due to spinal cord trauma or leg damage. It
makes a big difference to my answer.
Question: I have had a problem with muscular jerking and tremor now for about 1
year. It all started with a headache in the left rear of my head. I have seen many doctors
and 3 Neurologists, and I cannot get a diagnosis. I have had 2 MRI scans and 3 Spinal taps
and everything so far has come back negative. I also suffer from memory loss, muscle
fatigue, and inability to concentrate. At times the left side of my face and head tingle
and goes somewhat numb. The jerking happens mostly in my legs, especially with my ankles
and wrists. When I go out and start working my tremor gets worse, to the point that I have
to stop working. Sometimes my legs become very weak and painful to the point that I cannot
walk up and down my stairs or walk more than 30 feet or so. Do you have any ideas on what
might be wrong with me. My doctor is sending me to another Neurologist to try and get some
help, but so far I have just been trying to live with the symptoms. It is very
Answer: It is not surprising that you are frustrated with your symptoms. It
sounds like you have been seen by many physicians and have undergone many tests, and with
no diagnosis or results. Unfortunately, even after working very hard with some patients,
and sending them to specialists, as well as for intensive testing, a diagnosis remains
elusive. As you have been seen by several neurologists, perhaps the actual problem,
although manifesting in your muscular and nervous systems, actually resides elsewhere. It
is likely that the neurologists have evaluated you for the conditions that may cause your
list of symptoms, including myasthenia gravis, thyroid disease, multiple sclerosis, brain
and spinal cord abnormalities, and muscle diseases. Although I have only a limited amount
of information, several possibilities for further testing do come to mind, that you may or
may not have already undergone. Have you had any rheumatologic testing done? Have your
physicians entertained the possibility of Fibromyalgia or polymyalgia rheumatica? A
discussion with your doctor about these disorders, since he or she has a more complete
history of your illness, may be helpful. Has your physician thought about a muscle biopsy?
If this has not been done already, it may be useful. Again, without all the necessary
information, it is hard to discern what more can be done, and what additional testing can
be pursued. Hopefully, you and your physician can get to the bottom of your symptoms, and
you will no longer be troubled by them.
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