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.

@wendycad

I have the next step up...cramp fasciculation syndrome. I feel for you. The worst part is not bring able to sleep due to the twitches. Awful.

Jump to this post

I woke up a few weeks ago with a sore spot on my foor and it hurt to touch and couldn't put wt on it flr a few hours. I went to urgent care and they wanted to xray it. It was normal so it was called a contusion and i was to take it easy. Ablout 7 hours into it suddenly the pain was gone. Completely. It was a cramp right behind the toes that wouldn't stop. It felt like i needed to stretch it but i couldn't get it to. It felt different than a normal charlie horse. But as soon as the cramp relaxed it was like it never happened and i knew exactly why my foot hurt. I have read where people have had spasms so bad it has broken bones. I hope that was the last cramp i have like that. Have you experienced anything similar?

REPLY
@marvel61018

This is incredibly helpful information. Thank you so much for taking the time to provide these resources, @johnbishop. I googled something like "cramp fasciculation syndrome treatment" and got here from a similar thread. Thanks!

Jump to this post

I usually look everything up on the mayo clinics site. They have pretty good information on everything. Ican say they have everything covered I've ever looked for. I also started looking on the NIH site (national institute of health)

REPLY
@captainanxiety8

I've had BFS for over 2 years. It's a sort of curse. The only treatment that seems to work for me is to take 200mg of Magnesium, 3-5mg of Melatonin, and 0.25mg of Clonazepam before bed. If I get lucky and get a full, uninterrupted night of sleep, then the following day I'll be somewhat exhausted but also barely any fasciculations. There is no cure for it, and since it doesn't kill you, the medical industry doesn't have even the most remote interest in looking for a cure. So it's something we have to find a way to deal with and live with. There are plenty of snake oil treatments out there, so you can roll the dice on those, but likely best route is to eat healthy, get into shape, and get a lot of sunlight.

Jump to this post

Melatonin and benadryl make my symptoms 100 times worse.

REPLY

Any resolution on symptoms?

REPLY
@pudgie84

Any resolution on symptoms?

Jump to this post

Hello @pudgie84 and welcome to Mayo Clinic Connect. Can I ask to whom you were responding to with your question so I can bring them into the discussion to help connect you?

REPLY

Hi. This is new for me, but here goes... I am 49 and had been very healthy. About 6 weeks ago, I contracted a nasty viral illness with perisistent diarrhea and some respiratory symptoms. The same day I got sick, I started having fasciculations different places in my body. The viral illness lasted at least 10 days, and the fasciculations are continuing, although maybe a bit milder. About a week after the illness set in, I also started experiencing vibrating in my feet, cramping various places throughout my body, and sometimes felt like my entire body was vibrating. I had a tremor for several days, which went away. The vibrating has improved, although I still have it in my feet. One interesting side note... I had a nasty viral illness in my twenties, which left me with the vibrating all over my body for a while, but particularly in my feet. I had stiffness in my joints and the vibrating sensations for over a year. I've been tested several times for Lyme and various things, but was always negative. Since that illness, sometimes when I get sick the vibrating comes back, but milder and goes away after the illness does. Never had fasciculations until this illness. I am going to see a neurologist in November, and am pretty sure it's BFS, since my experience sounds similar to what others of you have experienced. Just thought I would comment because it's very strange indeed. I, too, was concerned about ALS. On a side note, my husband was initially diagnosed with ALS when he was 40, but has a much rarer condition called multi-focal motor neuropathy, which is treated with IVIg.

REPLY
@franksgirl210

Hi. This is new for me, but here goes... I am 49 and had been very healthy. About 6 weeks ago, I contracted a nasty viral illness with perisistent diarrhea and some respiratory symptoms. The same day I got sick, I started having fasciculations different places in my body. The viral illness lasted at least 10 days, and the fasciculations are continuing, although maybe a bit milder. About a week after the illness set in, I also started experiencing vibrating in my feet, cramping various places throughout my body, and sometimes felt like my entire body was vibrating. I had a tremor for several days, which went away. The vibrating has improved, although I still have it in my feet. One interesting side note... I had a nasty viral illness in my twenties, which left me with the vibrating all over my body for a while, but particularly in my feet. I had stiffness in my joints and the vibrating sensations for over a year. I've been tested several times for Lyme and various things, but was always negative. Since that illness, sometimes when I get sick the vibrating comes back, but milder and goes away after the illness does. Never had fasciculations until this illness. I am going to see a neurologist in November, and am pretty sure it's BFS, since my experience sounds similar to what others of you have experienced. Just thought I would comment because it's very strange indeed. I, too, was concerned about ALS. On a side note, my husband was initially diagnosed with ALS when he was 40, but has a much rarer condition called multi-focal motor neuropathy, which is treated with IVIg.

Jump to this post

Hello @franksgirl210, Welcome to Connect, an online community where patients and caregivers share their experiences, find support and exchange information with others. It definitely seems that you might be onto the cause of the fasciculations. Hopefully other members with experience can share some information with you. I did find an article on the subject but it's one of those you have to purchase to read and you already have a neurologist appointment setup which is good.

A viral origin for benign fasciculation syndrome?: https://link.springer.com/article/10.1007/s10072-020-04888-3

Do you mind coming back after your appointment and let us know what you found out?

REPLY

Thank you for sharing this information concerning fasciculations. I have been experiencing them for the past 5 or 6 years. I have told my GP about them every time I see her but she does not offer any explanation for them. These "twitches" can be very annoying and many times keep you up at night. I have often wondered about them being neurologically connected. I am very interested to see what your neurologist says about fasciculations. Thanks again for sharing this information.

REPLY
@sonsowy

There are some side effects to Gabapentin and Lyrica (also, Lyrica is often not covered by insurance policies, as it's expensive). I experienced some lethargy, and little beneficial effects regarding the twitching. Mine were the result of back surgery (diskectomy); surgery was a success, but paraesthesia and fasciculations are apparently a side effect in about 10% of cases. I like the BFS to tinnitus; it's most noticeable when there is no other muscular activity going on. If I am exercising, walking, or otherwise physically engaged, the large-scale muscle signals override the low-level "noise" of the twitching.

Jump to this post

How long after your surgery did you begin having fasciculations? My discectomy/lamenectomy was in October of 2018. About two months ago I began having persistent twitching and spasms. Mainly in my legs. I'm trying not to panic, but it's getting unbearable.

REPLY
@johnbishop

Hello @franksgirl210, Welcome to Connect, an online community where patients and caregivers share their experiences, find support and exchange information with others. It definitely seems that you might be onto the cause of the fasciculations. Hopefully other members with experience can share some information with you. I did find an article on the subject but it's one of those you have to purchase to read and you already have a neurologist appointment setup which is good.

A viral origin for benign fasciculation syndrome?: https://link.springer.com/article/10.1007/s10072-020-04888-3

Do you mind coming back after your appointment and let us know what you found out?

Jump to this post

I would be happy to let you know what he says about it. I really appreciate reading the experiences of others. It helps to know you're not alone 🙂 I actually came across that article, too, and was tempted to buy it. Thanks for your help.

REPLY
Please sign in or register to post a reply.