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Is Severe Twitching In Shoulders Around The Collar Bone A Cause For Concern?

Posted on Fri, 13 May 2016

Question: I have developed uncontrollable twitching in my shoulders around to my collar bones. I even have these symtoms at night. Should I see a neurologist. I have asked my Dr (both psychiatrist and internal medicine) and they tell me nothing is wrong.

Answered by Dr. Ajay Panwar (29 minutes later)

Brief Answer:
Please share some more details..

Detailed Answer:
Hi XXXX,
Thanks for being on Healthcaremagic.com.
I am Dr.Ajay Panwar, Neurologist, here to answer your query.

I would surely like to address your concern at my best but I need to know some more details, regarding your complaint-

1)Since when are you having twitching?
2)Is it persistent all the time or improves intermittently?
3)Can you relate it to stress,lack of sleep,tea or coffee intake?
4)Do you have any weakness in limbs or thinning of limbs?
5)History of Diabetes or any other medical illness?

I shall be glad to have you in follow-up with above details so that I can answer this well.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ajay Panwar (48 minutes later)

This has been going on for almost 2 years. I started out being intermittently. It now is constant. Maybe every five minutes or so. It has become very visible and quite uncomfortable.
I drink 1 cup of coffee in the morning.
I have been on antidepressants for over 20 years. I have been seeing a prescribing phsychiatrist since 2013 and I am now taking 50 mg of sertraline per day. I was taking 200 mg of clonopin since it was prescribed to me in 1997, as my psychiatrist prescribed up to 6 pills a day since it "was not" addictive. Along with that I was taking 100 mg of Zoloft per day and depacote, though I don't recall the dosage.
I am not diabetic nor do I have any thinning of limbs
Thank you in advance
Kind regards
Carmen Lisi

Answered by Dr. Ajay Panwar (13 hours later)

Brief Answer:
Neurological examination.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.

In consideration of continuous twitching at the same place,it is unlikely that these may be benign fasciculations. Even psychiatric issues should not cause continuous twitching at the same place.
This mandates that you should undergo a physical examination by a neurologist.Probably,you may have to undergo Nerve conduction studies/Electromyography and MRI spine.However,the investigations can be planned well only after a thorough physical examination.

So,I suggest you to see a neurologist in person.

Hope that I have answered your query.If you have some further questions,I shall be glad to answer else please close the thread,rate it and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar