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Muscle twitch Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Muscle twitch. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had muscle twitches?

    Why: to determine if acute or chronic.

  2. What exactly do you mean by muscle twitches?

    Why: The word twitch may be used by people to describe muscle spasms, muscle cramps, tremor, tics, chorea, myoclonus and seizures. Cramps are painful muscle spasms. Tics are brief, repeated stereotyped movements. Chorea is a continuous flow of jerky movements, flitting randomly from one limb or part to another; each movement looks like a fragment of a normal movement. Seizures may involve muscle stiffness and jerking. Myoclonus is a sudden, involuntary jerking of a single muscle or a group of muscles.

  3. Which muscles in the body are involved?

    Why: e.g. Forearm cramps and twitches suggest motor neurone disease. Cramp in the legs are common, especially at night and after exercise. Cramps in the legs are only occasionally a symptom of disease, in particular salt depletion, lack of blood flow to a muscle and disease of a muscle (myopathy). Writer's cramp is the specific compliant of an inability to perform the motor act of writing. Tics most commonly occur on the face, neck or hand. Hemifacial spasm occurs on one side of the face.

  4. When do the twitches occur?

    Why: e.g. at night, in bed, after exercise.

  5. Is there a simple explanation for the muscle twitches?

    Why: e.g. muscle cramps may be caused by exertion, exercise, excessive perspiration, heat exhaustion, heat stroke or pregnancy.

  6. Exercise history?

    Why: excessive physical exercise and excessive perspiration may cause muscle cramps.

  7. Fluid intake?

    Why: dehydration may cause muscle cramps.

  8. History of injury or trauma?

    Why: muscular injury may cause cramps or tics.

  9. Risk factors for leg muscle cramps?

    Why: e.g. pregnancy, motor neurone disease, low sodium, hemodialysis, renal failure, diabetes, dehydration, thyroiditis, after exertion in a hot environment (heat cramps).

  10. Past medical history?

    Why: e.g cramps may be caused by motor neurone disease, kidney failure, diabetes, thyroiditis; tics occur in post encephalitis lethargica; obsessive compulsive disorder is associated with Gilles de la Tourette syndrome; Causes of chorea are Huntington's disease, Sydenham's chorea, systemic lupus erythematosus, Wilson's disease, thyrotoxicosis, polycythaemia and neuroacanthosis; hemifacial spasm may be related to acoustic neuroma, Paget's disease, Bell's palsy.

  11. Medications?

    Why: some diuretic medications may cause muscle cramps; some medications may cause tics; some medications may cause chorea such as L-dopa and contraceptive steroids.

  12. Symptoms of polymyositis and dermatomyositis?

    Why: e.g. muscle weakness, especially in thighs and upper arms, muscle aches, muscle cramps (spasms), joint pain, Raynaud's phenomenon, difficulty with swallowing. Dermatomyositis also features a characteristic violet colored rash over the eyelids, forehead, cheeks, hands, knees and elbows.

  13. Symptoms of chronic renal failure?

    Why: e.g. tiredness, reduced appetite, insomnia, frequency of urination, nausea, vomiting, muscle cramps (spasms).

  14. Symptoms of Diabetes mellitus?

    Why: e.g. frequency of urination, excessive thirst, weight loss (especially in Type 1 Diabetes mellitus), tiredness, fatigue, increased infections especially of the skin and genitals, blurry vision, muscle cramps (spasms).

  15. Symptoms of progressive muscular atrophy?

    Why: e.g. muscle wasting and weakness usually beginning in the small muscles of one hand and then spreads throughout the arm, wasting soon follows on the opposite side. Muscle cramps may occur. Muscle fasciculations (irregular contractions of small areas of muscle which have no rhythmical pattern) are present at rest but not during voluntary movement).

  16. Symptoms of Gilles de la Tourette's syndrome?

    Why: e.g. muscle tics with irrepressible, explosive, occasionally obscene language.

  17. Symptoms of thyrotoxicosis

    Why: e.g. preference for cooler weather, increased appetite, heart palpitations, increased sweating, nervousness, irritability, diarrhea, lack of menstrual periods and proptosis (forward displacement of the eyeball). Thyrotoxicosis may sometimes cause chorea type movements.

  18. Symptoms of hemifacial spasm?

    Why: e.g. irregular spasm of the facial muscles on one side of the face including twitching of the eye, usually occurring in middle-aged women.

Conditions listing medical symptoms: Muscle twitch:

The following list of conditions have 'Muscle twitch' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Muscle twitch or choose View All.

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Conditions listing medical complications: Muscle twitch:

The following list of medical conditions have 'Muscle twitch' or similar listed as a medical complication in our database.


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