HI

are you there?

so how long have you had this problem?

yes

is it only when you are nervous?

are you still typing, you wrote only once......

the chat is all messed up

anyway, your condition is caused by something called ephaptic transmission

when you are nervous, your nerves behave differently, your facial muscles are just loaded with nerves,

so the ratio of nerve end plates (neuromuscular synapses) to nerve cells is very high.

for example in your biceps, one nerve endplate serves about 2 to 5 thousand muscle cells. the nerve fires and all the muscle cells in that "motor unit" contract

in your face, especially the small muscles of the face, that nerve ending controls like 50 muscle cells only. so when it fires only 50 cells contract.

ephaptic transmission comes when the axons in your nerve cross fire, kind of like a short, the insulation is too thin, and it jumps from one motor unit to another. that give you a twitch.

we call it a fasciculation

but it is the same thing.

unfortunately there are only a few things you can do

as you probably have figured out.

you need to stay calm. anxiety meds will control your facial nerve discharges

you can take potassium and magnesium salt solutions to quiet your neuromuscular junction (synapses)

you can take medicines like quinine sulfate, or even better, if you like it, you can try to drink tonic water,(real quinine water)

they make specialty quinine waters now

and that will settle down your neuromuscular junction

you can do facial exercises, or stretching exercises or your face and that should decrease your ephaptic transmission

you can do botox

did you talk to someone about botox?

the problem is there are too many facial muscles

so you end up treating only a few muscles and you still twitch

yes, your face is really just too complicated.

there is a condition called hemifacial spasm

'

that comes from facial nerve injury

but you don't have that I bet

what else?

you will out grow it < I bet

crazy

what else.

I don't have anything a lot better. you could try some epilepsy meds but I think that is overkill

you are welcome do me a favor and try the custom made tonic water I hear that this works but havent really tried it with patients

so hang for one sec ok?

they say that Schwepps tonic water has real quinine in it. you need real quinine. there is a medicine called quinine sulfate

but you are too young and it can give you strange heart rhythyms so forget that

try schwepps and let me know ok?

and try to stay calm

right leg cramps are kind or a poor man's version of your problem

take care. please rate my answer if you feel I helped you ok The VA did a study and they looked at tonic water for leg cramps in old vets. they said 8 oz every night to prevent nocturnal leg cramps. for you I would say one glass twice a day???

you can print this out by right clicking on the page, after I switch this to the questio and answer

good luck