What Causes Continuous Twitching On The Calves?

Brief Answer:
It is not likely MS. Neurological examination is mandatory.

Detailed Answer:
Hi,

Thanks for being on healthcaremagic.com.

I am Dr.Ajay Panwar, a neurologist, here to answer your query.
If you would have presented to me as an outpatient, I would have made the following clinical impression-
The symptoms you are having does not likely fit into the clinical syndrome of MS as there is no focal neurological deficit. MS can present with tingling but that too either be of relapsing or remitting nature, or rarely progressive. Your case would fall into most atypical scenarios for MS. So, less likely. However, neurological examination is mandatory to rule out any focal deficit.

Muscle twitches in calves, tingling in arms, fatigue and sensation like being shot when tapped at a specific point below knee-these complaints are non specific to point towards any particular neurological diagnosis.

So, please visit a neurologist and undergo a thorough physical examination to rule out any deficit and thus plan the investigations accordingly. He may get MRI done, if indicated. That will rule out MS also, though unlikely clinically.

Additionally, severe anxiety and psychosomatic manifestations can be important cause of these symptoms.
Meanwhile, please start taking tab.amitriptyline 10 mg once a day at bedtime. It will likely be of help. PLEASE TAKE MEDICINES UNDER A PHYSICIAN'S GUIDANCE.

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

Dr.Ajay Panwar,
MD,DM(Neurology)

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Brief Answer:
Please see as explained.

Detailed Answer:
Hi,

Thanks for being in follow up.

Let me explain-
1) Focal deficits - Due to lesion or damage at some part of the nervous tree or nervous axis, patients may develop specific deficits as-
Right cerebral damage - left side extremities weakness
Cerebellar damage - ataxia
3rd cranial nerve - abnormal eye movements
common peroneal nerve - foot drop
ankle reflex absent-l5-s1 nerve radicle damage

If no focal deficit is present on physical examination (sometimes history may report no focal deficit while physical examination can detect one), then it essentially rules out an injury in the nervous tree or neuraxis.

2) psychosomatic manifestations - sometimes severe stress or anxiety may release such chemical neurotransmitters in brain which can cause various problems in body like pain, tingling, tender points, abnormal sensations and many other bizzare problems.

In this case, on investigations, no abnormality is detected in any body organ. So, these somatic problems arising out of a psychological cause are psychosomatic manifestations.

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

Dr.Ajay Panwar,
MD,DM (Neurology)

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Brief Answer:
In a way.That is a probability.

Detailed Answer:
Hi XXXX,

Thanks for being in follow up.

No,I did not say that it IS in the head.Infact,I already told that without ruling out organic cause by a thorough physical examination,We can't say that it is non-organic in nature or in the head.

I said that the symptoms being 'psychosomatic' is a probability,a strong one.It must be kept in mind.But,all efforts should be made to rule out organic causes first.Please undergo a thorough physical examination by a neurologist.

It can be in head as whole body is governed by brain and brain neurotransmitters.

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

Dr.Ajay Panwar,
MD,DM (Neurology)

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