Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

185 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest remedy for muscle twitching caused by depression

Answered by
Dr.
Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3392 Questions

default
Posted on Wed, 28 Oct 2015 in General Health
Question: Hi I have been very depressed for months and I have no reason to be but I am having while sitting and laying down twitching in my shoulders and thighs sometimes in my forearm too.
I can walk fine so far but I have never had this twitching before and without pain, the twitches are gone before you know it. It is bothering me whether I have MS or ALS. I had a mri done and it came back inconclusive.

The twitching is intermittent and does not last long

What are your views
doctor
Answered by Dr. Erion Spaho 1 hour later
Brief Answer:
MS and ALS very unlikely.

Detailed Answer:
Hello and thanks for being here at HCM.

I have read your question and understand your concerns.

As we discussed before, serious neurologic conditions such MS ( multiple sclerosis ) and ALS ( amyotrophic lateral sclerosis ) are very unlikely to be the cause of your symptoms.

One of diagnostic criteria of MS is a positive MRI in finding white matter lesions consistent with MS.

Your age also is another reason to exclude MS.

Regarding to ALS, early symptoms include: difficulty doing daily activities, walking, legs and arms weakness, problems with speech and swallowing, difficulty keeping body posture, muscles cramps and twitching in tongue, arms and shoulders.

So, just muscles twitching is not significant enough to discuss about ALS.

Depression instead, could mimic a number of conditions and could cause muscles twitching too.

If still in doubt, you can discuss with your primary care Doctor about having done nerve conduction studies (EMG) of your extremities to exclude by testing too ALS.

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Erion Spaho 42 hours later
Just a quick follow up question,

I was out pulling weeds from the garden and that night my muscles and joints were very painful almost like arthritis. Then after awhile the pains lessened but still have a bit of pain with muscle twitches and small jerking.
Over the past little while I have been experiencing a lot of mucus in my throat and is very thick and hard to clear.

Could these have anything to do with ms.

Thanks,

Sorry to bother you but I am concerned since the Mri came back inconclusive.
XXXXXXX
doctor
Answered by Dr. Erion Spaho 3 hours later
Brief Answer:
There is no relation with MS.

Detailed Answer:
Hi again XXXXXXX

Feel free to ask questions whenever you need, we are here to help.

Muscles and joint pain together with small jerking were most probably a consequence of physical activity and probably fatigue.

Thick mucus in throat isn't a symptom of MS or any other neurological condition, it is most probably caused by cold or inhalation of dust or weeds components.

Hope this will help you.

Take care.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
default
Follow up: Dr. Erion Spaho 2 days later
Hi Dr spaho

I just found out from my Gp's office what the report of the mri said.
The mri came back inconclusive but they found white matter around the brain and the conclusion was that it might have been due to an migraines. I have not had a migraine in since the mid 90's and the type of migraine was like an aura it lasted for about 20 minutes then went away and I developed a headache after that.
I have also had head trauma around 2001 do you think that is what the white matter could have been that and is all white matter considered ms.
Should the guy that reads the mri be able to tell the difference in the white matter from margarines due to ms and that due to other things.
Still very concerned ,
XXXXXXX
doctor
Answered by Dr. Erion Spaho 5 hours later
Brief Answer:
White matter changes can be caused by several conditions.

Detailed Answer:
Welcome back and thanks for being on follow up.

White matter lesions found on brain MRI could be related to several conditions, not only to MS.

In general, every condition that may be linked to white matter changes shows its own specific features in MRI findings.

Those features of white matter changes include size, distribution, shape, number of lesions, localization ( deep or superficial, around ventricles or around optic nerves etc.).

It is true that migraine headaches are linked to white matter changes on MRI, as is true that other conditions such dementia, moderate to severe brain trauma ( diffuse axonal injury ), hypoxia (or prolonged oxygen absence in brain tissue), vasculitis, infections and MS cause white changes in MRI too.

An experienced Radiologyst or a Neuroradiologist could tell almost exactly the difference between these lesions.

In some cases also white matter changes found on MRI remain without a specific case.

If no conclusive then a second opinion by a Neuroradiologist is a possibility to understand better your condition.

If you could upload some screenshots of your brain MRI, I could understand better the condition.

Hope I've been of help.

Take care.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication
Lab Tests
Medical Topics ,  

Recent questions on  Muscle twitches

doctor1 MD

Ok, I m 23 and this is really getting me down. Here is my list of problems, it s driving me mad. I have had all of these on and off for months now and haven t really had much help from the doctors. - sciatic nerve pain in my right leg - sciatic type pain that travels upward through my abdomen - hot flushes in my left foot - numbness in both thumbs - stabbing pain in some joints - a resting heart rate sometimes of 120 - heart palpitations - sensation of cold water dripping on my legs while I m walking - muscle twitches - tinnitus - dizziness - other sensations in my face or limbs that just don t quite feel right (tingling, pain, numbness, hot or cold) I also went to A&E a few months back because of a very severe pain in my abdomen. I had blood tests (which revealed a higher than usual white cell count, and blood and proteins in my urine) but a normal liver and kidney function. I also had an ultrasound done of my aorta etc which showed nothing really despite the fact the doctor heard a whooshing sound in my abdomen with his stethoscope.                                                                  

doctor1 MD

Hi, my Husband is 70, something is wrong, but all tests come back ok. He's been to several doctors. Symptoms: Weakness, tired, right arm shakes, right eyelid twitches, right eyelid low, speech deteriorating due to weakness. Muscular strength in...

doctor1 MD

I have been experiencing abnormal stools lately, this morning they were green and floating, with alot of bile in it, also i have been having muscle twitches lately and a crawling feeling under my skin in my arms and shoulder ares at night mostly, i have severe anxiety, but i tihnk this might be something more, i just had a liver function test done and my alt level was 61 ast was in 20's, 4 years ago i was told i had a fatty liver, i do not drink so i guess its nafld, anyways i worry i have cirrhosis or something, because the itching, and red palms, but the specialist said i dont have it, the dermatologist said my red palms were probably just normal, also0 with the stool i feel sort of dizzy and sick like before a bowel movement in the morning, immidiately afterwards i feel better. im 30 years old

doctor1 MD

I am 44 years old. I have a BMI of 31. I jog about 3 to 4 miles at least 3 days a week for past year. I had a heart XXXXXXX in January 2016, which was negative for any abnomoralaites. The reason why I sought care from a cardiologist was to rule it...

doctor1 MD

hello I am a 30 year old male, I am having symptoms of random muscle twitches throughout my body and a sensation that cool drops of water are touching my skin. this has been going on a few weeks now.im having muscle spasms in my foot. nothing...

doctor1 MD

I had gall bladder removal and umbilical hernia repair on June 2nd I am now feeling a mild muscle spasms around my naval. This started approximately two days ago. There was no traumatic incident prior to it (for example, I wasn t lifting anything heavy or doing anything that would possible damage the area). It s not painful, and the sensation resembles what one would feel when the eye lid twitches or another mild involuntary muscle twitch. Is this normal? Is it a sign that the stitches are healing inside?

doctor1 MD

I am a 50 year old female with hepatitis c 1A ive had for many many years. lately i have put on belly weight and have started feeling a mild muscle twitch under my right rib cage. Is this a sign of an enlarged liver. iprobably weigh about 142 but my normal weight is130