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Dr. Rick, MD
Dr. Rick, MD, Board Certified MD
Category: Neurology
Satisfied Customers: 11098
Experience:  20+ years as a doctor. Internal Medicine Internship in NYC
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Im looking neurologist to help me answer questions

Customer Question

Hi. Im looking for a neurologist to help me answer questions about twitching and als
Submitted: 1 year ago.
Category: Neurology
Expert:  Dr. Rick, MD replied 1 year ago.
The most likely cause of your symptoms is called myokymia. Myokymia is an involuntary, local twitching of a few muscle fibers in the body of a muscle. This twitching, if it occurs in a limb, is not strong enough to actually move a joint but can be felt and sometimes seen as an area of quivering.
Hi. My name is***** and I am online and available to help you today. Thank you for your patience.
Question and answer is just one of the services I offer. I can also provide you with additional services, such as live telephone or skype consultation, at a small additional cost. Let me know if you are interested.
It is very, very unlikely that you are suffering from ALS. Please allow me to explain about the twitching:
Myokymia commonly involves the eyelids and muscles around the orbit. It often appears and resolves for no apparent reason and has not been linked to any underlying significant pathology. What causes myokymia? Studies have shown that it is associated with anxiety, stress, lack of good sleep, high caffeine intake and the use of some drugs.
The best way to treat myokymia is to get more sleep, decrease caffeine intake and decrease stress. The good news is that myokymia is not a sign of serious underlying pathology and often resolves on its own.
Here is an excellent article on this topic:
http://emedicine.medscape.com/article/1213160-overview
Does this make sense to you?
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Dr. Rick MD FACS
Customer: replied 1 year ago.
Im actually looking for a neuroligist as my twitching is bodywide
Expert:  Dr. Rick, MD replied 1 year ago.
OK. I will opt out so that a neurologist can assist you.
Have a good weekend.