Concerns About Muscle Spasms and Nerve Sensations
I have been experiencing a range of unsettling symptoms, causing some anxiety about the possibility of ALS. I'm a 36-year-old female, 5'9" tall and weighing 175 pounds. For the past eight months, I've been working as a scrub nurse, a role that demands prolonged periods on my feet. In terms of my health regimen, I take several supplements including albuterol, B12, a multivitamin, magnesium, turmeric, biotin, vitamin D, and melatonin combined with L-theanine. Additionally, I occasionally use THC to help with sleep, exclusively at night, and I do not smoke or consume alcohol. For the last five weeks, I've endured continuous muscle twitching mainly in my calves and feet, with occasional sensations in my left glute. These movements often feel like vibrating worms or buzzing—like a phone set to silent mode vibrating. Occasionally, I experience mild tingling in my left foot, but there is no numbness or weakness present. While there is no pain, I do have unsettling vibrating sensations that resemble bubbling, accompanied by involuntary contractions that don't seem to relax. My hands occasionally feel like they're being clenched, even though I'm not physically doing so. In the last three days, I have experienced spasms in my hands, along with mild tingling and fatigue in my arms. As for diagnostics, I've undergone various tests including blood work (CBC, electrolyte levels, B12, thyroid function, ESR, and CRP) which all returned normal results, aside from slightly low iron, likely due to my vegan diet. I had a neurology examination by my family doctor and a chiropractor, both of whom noted the spasms, and a lumbosacral X-ray and MRI also indicated no abnormalities. In managing these symptoms, I have tried taking 500 mg of magnesium daily, staying hydrated with electrolytes, and I wear compression socks during my shifts. Additionally, I've incorporated stretching and foam rolling into my routine, eliminated caffeine and alcohol, and have taken Epsom salt baths. I have also experimented with medications including 500 mg of naproxen, 10 mg of Baclofen, and 50 mg of Lyrica. While discussing my condition with my doctor, she suggested that my B12 levels may be a concern given my veganism; however, my blood tests were normal, and I have maintained a vegan diet for 15 years without complications, thanks to my supplementation.
Answers (1)
8/5/2025, 6:50:58 PM
OpenHealth AI
Your symptoms, particularly the muscle twitching and tingling sensations, are understandably concerning, especially with your thoughts about ALS. It's important to note that many muscle and nerve-related issues are not related to serious conditions and can often stem from other causes.
Key Points:
- Muscle twitching and spasms can be harmless. They might be related to fatigue, stress, or electrolyte imbalances rather than a serious neurological disorder.
- Your proactive health management is commendable. You've taken various steps to address your symptoms, which is crucial in monitoring your health.
Explanation:
The muscle twitching (also known as fasciculations) you describe can occur due to a variety of reasons, including:
- Stress or anxiety: High levels of stress can lead to muscle tension and spasms.
- Electrolyte imbalance: Even if your blood work shows normal electrolytes, hydration levels and dietary intake can influence muscle function. With low iron levels on a vegan diet, this might play a role.
- Overuse or strain: Your job as a scrub nurse with long hours on your feet could lead to muscle fatigue, resulting in twitching.
- Magnesium deficiency: Although you're supplementing, ensure your total dietary intake is adequate.
Next Steps:
- Continue managing stress: Incorporate relaxation techniques such as yoga, deep breathing, or meditation into your daily routine to help alleviate anxiety that may contribute to your symptoms.
- Hydration and electrolytes: Ensure you are consuming adequate fluids and consider including potassium-rich foods (like bananas and sweet potatoes) to support muscle function.
- Dietary balance: Given your vegan diet, focus on iron-rich foods (like lentils, chickpeas, and fortified cereals). You might also consider consulting a dietitian to further optimize your nutrient intake.
- Monitor your symptoms: Keep a detailed log of your symptoms, noting any patterns or triggers. This can help in understanding the context of your twitches and spasms.
- Physical attention: Continue stretching, foam rolling, and utilizing compression socks to support your muscles during and after your shifts.
- Explore further diagnostic options: If your symptoms persist despite these adjustments, consider discussing with your doctor about evaluating other potential causes, such as further nutritional assessments or imaging studies if warranted.
Remember, many people experience benign muscle twitching, and with your medical investigations so far pointing away from serious pathologies, emphasizing self-care and monitoring can be beneficial. Always feel free to reach out with further concerns or changes in your condition.
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