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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11414
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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I have been getting tickelling in the forehead nerve, just

Resolved Question:

I have been getting tickelling in the forehead nerve, just over my left eye, frequently over the last week?
Submitted: 5 years ago via HealthBoards.
Category: Eye
Expert:  Dr. Rick replied 5 years ago.
Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

does the skin wiggle that you can feel or perhaps even see?

Customer: Yes both feel and see
Dr. Rick :

It sounds like you are suffering from a condition called myokymia.

Customer: About 2 cm over the left eye brow
Dr. Rick :

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.

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.

Customer: Is a muscle ore a nerve?
Customer: Would massaging the area be good?
Dr. Rick :

That might help. It is actually a nerve issue like you first thought...but the good news is it is not from a brain tumor (everyone thinks of this cause first lol!) and it is not a sign of anything serious.

Dr. Rick :

It should go away on its own....

Customer: By the way I head a stent placed in one of my arteries 6 yrs ago, through catharisation...
Dr. Rick :

Wow. Kinda young for that. I'm glad you are doing better.....but I don't think that is in anyway related to this issue.

Customer: My concern is that it is a clot.
Dr. Rick :

No......I don't think this is from a clot.

Customer: No medication needed?
Customer: How long you think this will last?
Dr. Rick :

No. Just try to change the few issues I discussed above and things should be OK

Dr. Rick :

I've had this myself at times, usually when I'm working too hard etc., and it lasts for a variable amount of time...sometimes it's hard to even notice when it goes away, but usually things resolve in a few weeks.

Dr. Rick :

We have two feet of snow on the ground here in Wisconsin. Wanna switch houses for a month or two...I bet there is no snow in Monaco right now lol!

Customer: Would vitamin B help? If yes, what kind and what dosage?
Dr. Rick :

There are no data that show that any type of diet, herb, vitamin etc has any effect on myokymia at all. If you like to take vitamins then taking the usual dose of a multivitamin wouldn't hurt anything. As far as what dosage of vitamin to use for any particular problem I must confess that I know almost nothing about vitamins myself and, as such, would suggest you ask someone more knowledgeable.

Customer: Actually weare on vacation in Monaco, just arrieved today from Saudi Arabia. Many thanks Dr. I guess we are done and I can enjoy my one week vacation ..
Dr. Rick :

Have a great time. I be thinking of you as I watch my snow melt :o)

Dr. Rick :

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Expert:  Dr. Rick replied 5 years ago.
Let me know if there is anything else you would like to discuss pertaining to this issue.
Enjoy your vacation!