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Hello My Name Is Raine I M A 25 Year

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Posted on Fri, 14 Jun 2019
Twitter Fri, 14 Jun 2019 Answered on
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Question : Hello my name is raine I'm a 25 year old female. I was recently diagnosed with Benign Fasiculation syndrome. I get twitches in my face legs arms back toes shoulders tongue etc. My bloodwork all came back good with a vitamin d deficinecy. Since the diagnoses I have experience a tremendous amount of pain. Aching pains, pain that feels like my muscles are straining. Pinching and stabbing pains. And pain on my right leg down my my calf and into the bottom of my feet. The pain feels very deep. I am curious as to whether or not this is typical of BFS and if so what I can do to treat this. Thank you
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Answered by Dr. Sudhir Kumar (6 hours later)
Brief Answer:
Pain is usually not a feature of BFS

Detailed Answer:
Hi,

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

I have noted your clinical details. I agree that your symptoms are suggestive of benign fasciculation syndrome (BFS) and not ALS. However, severe generalized pain is not a feature of BFS. Mild pain may be present.

Secondary causes of pain should be looked at. Vitamin D is low, which needs to be corrected. In addition, other blood work such as CPK, calcium, magnesium, potassium, vitamin B12 level, thyroid profile, should be checked if not already done.

Cymbalta is good and the dose can be gradually increased to 60 mg per day. Other effective drugs for treating neuropathic pain are lyrica (pregabalin) and neurontin (gabapentin), which can be tried if cymbalta does not give adequate relief.

I sincerely hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,     
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sudhir Kumar

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Hello My Name Is Raine I M A 25 Year

Brief Answer: Pain is usually not a feature of BFS Detailed Answer: Hi, Thank you for posting your query. I am Dr Sudhir Kumar, Neurologist, and would try my best to help you. I have noted your clinical details. I agree that your symptoms are suggestive of benign fasciculation syndrome (BFS) and not ALS. However, severe generalized pain is not a feature of BFS. Mild pain may be present. Secondary causes of pain should be looked at. Vitamin D is low, which needs to be corrected. In addition, other blood work such as CPK, calcium, magnesium, potassium, vitamin B12 level, thyroid profile, should be checked if not already done. Cymbalta is good and the dose can be gradually increased to 60 mg per day. Other effective drugs for treating neuropathic pain are lyrica (pregabalin) and neurontin (gabapentin), which can be tried if cymbalta does not give adequate relief. I sincerely hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/