Benign fasciculation syndrome (BFS)

Posted by captainanxiety8 @captainanxiety8, Mar 10, 2019

Not sure if this is the right place to ask this, but I'm really not sure how to interpret what's going on. I'm 40, have had random twitches now and then around my body for a few years and ignored them. Mentioned it to my Doctor last year during my annual routine health check and she said it's likely just stress and ignore it. Got sick a month ago, high fever, headache, dizziness, chills, and near constant twitching in different spots all over my body. My knees were going crazy and my biceps were twitching, I felt like my body was malfunctioning. I was also itching all over and my extremities were aching, especially in my feet and hands, but when I pressed or touched my feet or hands, there was no pain spot.

Two weeks after I got referred to a Neurologist who checked my strength, did not do any EMG or MRI, no other tests, just testing if I could physically push back or feel anything below my knees and past my elbows. He laughed and said I have benign muscular fasciculation syndrome and gave me some Xanax. I went for a second opinion and got the same diagnosis, benign muscular fasciculation, and was asked to return after a few months to check on me. The twitching is not as constant as before, but it's still happening, arms, lower and upper legs, knees, neck, shoulder, chest, they last a few seconds and stop. I can't sleep, the itching and the twitching wakes me up at night. The twitching does not go away when I move the muscle, it keeps twitching. Has anyone else ever had anything like this? If so, how or did it resolve?

Interested in more discussions like this? Go to the Brain & Nervous System Support Group.

@amandajro

Hello @greeneyedenergy and welcome to Mayo Clinic Connect. I understand you are concerned with the twitches that came on in September of 2020 and that you have a fear of having to go off of Xanax due to the concern of not be being able to sleep without it and, additionally, the potential withdrawal symptoms. I am sorry to hear of the other stressors in your life such as your son running away and your lack of comfort with your bed.

Can I start by asking you if you have a scheduled appointment and if it is to see a neurologist?

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Thank you, I appreciate you. I have to start with a gp here where I live. And it’s not even a gp but an arpn?... I’ve had an appt scheduled for feb 23. Saw the podiatrist today who says I really need surgery for Morton’s neuroma. I’m hesitant as I’ve read it’s not very successful and the neuroma can grow back.

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That is great news that you have an appointment scheduled for 2/23 to address your concerns your twitches. Can I ask if the information shared in this discussion by other members, or that you've found in looking into your symptoms, has you thinking your GP will be considering Benign Fasciculation Syndrome as a potential diagnosis?

What would be helpful for members in the community to share with you ahead of that appointment? What is your main concern with regard to your twitching?

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@amandajro

That is great news that you have an appointment scheduled for 2/23 to address your concerns your twitches. Can I ask if the information shared in this discussion by other members, or that you've found in looking into your symptoms, has you thinking your GP will be considering Benign Fasciculation Syndrome as a potential diagnosis?

What would be helpful for members in the community to share with you ahead of that appointment? What is your main concern with regard to your twitching?

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No, honestly I think I will be viewed as a middle aged woman who is anxious and I will be pacified by that. Where I live health care is really poor. I can only suggest to the nurse practitioner that I would like her to do some investigating, like routine blood tests, maybe an x ray of my back to see if a disc is causing a pinched nerve... I feel like I’ve gotten a handle on my anxiety so I’m hesitant to lump my twitching, tremors, jerks (whatever you want to call them) under the anxiety heading. All I know is I need answers. My main concern is it’s a symptom of a more serious disorder. If they can rule out MS,
ALS, and vascular disorders I’d be at peace with the twitches. Thankful I found this group. Just knowing I’m not the only one going through the agony of not knowing why these occur is comforting. Thanks again.

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@greeneyedenergy

Thank you, I appreciate you. I have to start with a gp here where I live. And it’s not even a gp but an arpn?... I’ve had an appt scheduled for feb 23. Saw the podiatrist today who says I really need surgery for Morton’s neuroma. I’m hesitant as I’ve read it’s not very successful and the neuroma can grow back.

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had that surgery years ago, Honestly nothing to worry about, foot has been fine ever since.Mine was removed while I watched in 1995 and NO it has not grown back, don't put up with it any longer. I promise its nothing to be concerned bout.

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@londonwc1

had that surgery years ago, Honestly nothing to worry about, foot has been fine ever since.Mine was removed while I watched in 1995 and NO it has not grown back, don't put up with it any longer. I promise its nothing to be concerned bout.

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Thanks for chiming in. I’m so glad to hear of a success story with MN surgery.

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@tutina

My son is 20 years old and about 3 months ago, he starting having random headaches and twitches all around his body all day long.
He got a CT scan and an MRI of his brain and they both were fine. His headaches have stopped but his twitches continue. His twitches occur on his shoulders, arms, legs, knees, stomach, and, chest, they last for a few seconds and stop. He does not smoke, does not drink (alcohol or coffee) and does not seem to be stressed; however, he has been in quarantine since March.
He has many blood tests done, also his neurologist checked his strength, did a nerve conduction study and EMG and both were negative. After visiting different doctors, about 2 weeks ago, he was finally diagnosed with BFS.
His muscle on his left calf feels a little different (as if the muscle were tearing), he doesn’t feel any weakness and had some pain about 3 weeks ago, however, his pain has subsided. He got an ultra sound and an X ray of his leg and they were both fine. He is scheduled to have and MRI of his left next week.
His regular doctor recommended him to take vitamin D, magnesium and vitamin B12. He has been doing all that but nothing has changed.
To make it even worse, my younger son (17 years old) started having twitches all around his body about 3 weeks ago. He already got some blood work done and is scheduled to see a neurologist in 2 weeks.
I know the world situation with the Covid 19 (the quarantine, the confinement, the uncertainty of the virus) can make anyone anxious and can cause anxiety and stress to anyone, which I know could be a cause of these symptoms.
It is very bizarre to me that they have both developed the twitches. I don’t know what to do and would like to get an explanation!
As a mother, I am very concerned as my sons are very young.

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Hi… I was in my 20s when I got a flu shot and within hours had jumping muscles all over. I went to the emergency room saw numerous doctors and eventually a neurologist. I went to him for a yearfor tests and an MRI and a CAT scan and it was determined I had BFS. In this case I should’ve googled!! My uncle has ALS and just assumed I had some dormant version of ALS that could be turned on at any time. I recently got Botox and it said do not get if you have ALS so I told her I think I have a benign version of ALS. She had never heard of BFS and said she would look into it. She said I can’t believe you haven’t looked into it to see what it is and that she was going to take the time to do it. I told her I didn’t want to know if I was dying. I also told her I could not get the Covid vax because I was afraid to after having that reaction from a flu shot. I think she really wanted to look into it because I really wanted to get the Covid vaccination and just figured I could not. She’s not gotten back to me but she was going to talk to her doctor as well she is a nurse practitioner. After I was told it was benign I never went back to a neurologist again I was too terrified to be told I was dying but after googling it for the first time after this Botox appointment a couple weeks ago I feel like I wasted the last 21 years of my life terrified for no reason. My 17-year-old son has known me only as incredibly anxious always think I’m dying mom. Tell your sons not to worry it’s an annoyance but it will be ok.

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@amandajro

That is great news that you have an appointment scheduled for 2/23 to address your concerns your twitches. Can I ask if the information shared in this discussion by other members, or that you've found in looking into your symptoms, has you thinking your GP will be considering Benign Fasciculation Syndrome as a potential diagnosis?

What would be helpful for members in the community to share with you ahead of that appointment? What is your main concern with regard to your twitching?

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I had my appointment today with a new provider. She was horrible basically and it did not go well at all. She did agree to running lab work. She said she’s pretty certain I have restless leg syndrome, but I’m anything but sold on that diagnosis. She ordered CBC, thyroid vit b 12 vit d and lipids panel. She also cut me off my anxiety meds so this should be fun. Thanks all, I’ll keep you posted.

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Hello @gregnsrae and welcome to Mayo Clinic Connect. Thank you for sharing your story. It sounds like you have been through a lot and have found some recent perspective on possibly seeking more information and foregoing your fears.

If you are comfortable sharing, do you think that you are at a place of taking action now that you recognize that your fear may have been for not?

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@greeneyedenergy

No, honestly I think I will be viewed as a middle aged woman who is anxious and I will be pacified by that. Where I live health care is really poor. I can only suggest to the nurse practitioner that I would like her to do some investigating, like routine blood tests, maybe an x ray of my back to see if a disc is causing a pinched nerve... I feel like I’ve gotten a handle on my anxiety so I’m hesitant to lump my twitching, tremors, jerks (whatever you want to call them) under the anxiety heading. All I know is I need answers. My main concern is it’s a symptom of a more serious disorder. If they can rule out MS,
ALS, and vascular disorders I’d be at peace with the twitches. Thankful I found this group. Just knowing I’m not the only one going through the agony of not knowing why these occur is comforting. Thanks again.

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Yep - i have had the neurotic female bit time after time by an arrogant male MD - even when the EMTs insisted on taking me by ambulance to ER due to high blood pressure and too high heart rate and extreme difficulty breathing. ER MD said it was just anxiety, shot me full of Ativan (which they won't let me take at home anymore due to pain meds) let me sleep for 2 hours, then put me in a cab in the middle of the night and sent me home alone.

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@captainanxiety8

Well, good news is I am trying Lyrica and it's making things better, much less twitching, although the pain is sort of still there. So there is a little relief.

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I realize this is a couple years old, but I would not recommend starting Lyrica. It will help for the first month, then they will continue to up your dose bc it will stop working. Next thing you know, you’re maxed out and getting no relief. The real kicker and reason why I advise against it is because of the withdrawal symptoms and dangers of seizures, etc. from dropping off too quickly. It’s a nasty drug that most doctors are not fully educated on. Check out some support groups online and see how many people are permanently affected from stopping or weaning this drug too quickly. I also know from personal experience. It’s a nasty drug to get off of and some side effects are permanent if stopped abruptly. I wish I was never given this med.

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