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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31317
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I have constant muscle twitching in my calves. I can actually

Resolved Question:

I have constant muscle twitching in my calves. I can actually see the muscle contracting.
Submitted: 4 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 4 years ago.



The muscle contractions you feel or see is muscle fasciculation or muscle twitch. Twitching is caused by minor muscle contractions in one particular area, or the persistent and uncontrolled twitching of a muscle group in a distribution of a single nerve fiber or filament. Usually they are benign and resolve on their own, but persistent flutter may need following investigations;


1) electromyography (EMG)

2) nerve conduction velocity (NCV)

3) blood electrolytes like calcium, magnesium, potassium, sodium, etc

4) thyroid and parathyroid function tests

5) blood chemistry and complete metabolic profile


The common causes can be;


1) Idiopathic; no cause is ascertained and majority falls in this group.


2) Increased caffeine intake


3) Increased alcohol intake


4) Medications


5) Deficiency in diet and nutrients / minerals


6) Some neurological diseases; uncommon


Please feel free for your follow up questions.


Dr. Arun

Customer: replied 4 years ago.
They are going on in both legs. Is this normal?
Expert:  Dr. Arun Phophalia replied 4 years ago.

Occasionally this may go on both the side for couple of day (electrolyte imbalance of fatigue may be responsible). If it persists for more, you may consult your doctor for NCV, EMG and blood work.

It is privilege assisting you.

Dr. Arun
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