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What Causes Fasciculations In Calves And Foot Arches?
Hello, I am a 37 year old male and very physically active. I work out at least 5 days a week with no physical limitations. Other than some lingering back pain I am very fit and strong. About 4 years ago I noticed atrophy in my left medial gastrocnemis muscle and attributed it to hurting my lower back in my 20 s where I had sciatica. About 12 to 18 months ago I noticed fasciculations in my calves and foot arches. The fasciculations may have been there longer but I noticed them about 12 months ago or longer. The fasciculations are there all the time however they are sometimes more prominent especially after exercise. I have also noticed some fascics on other parts of my body but it is never more than a couple twitches before they go away. I spoke to my primary care physician and he said that he would not even consider ALS as I have had the leg atrophy for at least 6 years and still have no weakness even with the fasciculations. I have consulted a neurologist and have an EMG scheduled in several weeks but was wondering what your thoughts are.
Fri, 28 Nov 2014
Hello,
Thanks for your query.
** It seems that you have muscle twitches or fasciculations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers.
You might consult your doctor who can order
1. a few blood tests including thyroid function tests,
2. Serum electrolytes including Serum calcium and potassium levels.
3. Serum B12 levels
In case the above tests are normal further testing can be done including - nerve conduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues.
The treatment of most of the conditions is very easy and the condition will resolve on its own. In some cases, prescription medications might be needed to stop severe symptoms.
I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
Thanks for your query.
** It seems that you have muscle twitches or fasciculations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers.
You might consult your doctor who can order
1. a few blood tests including thyroid function tests,
2. Serum electrolytes including Serum calcium and potassium levels.
3. Serum B12 levels
In case the above tests are normal further testing can be done including - nerve conduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues.
The treatment of most of the conditions is very easy and the condition will resolve on its own. In some cases, prescription medications might be needed to stop severe symptoms.
I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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