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What are the treatment options for fasciculation?

Fasciculation is a medical term for muscle twitching and treatment is based on the its cause.  The most common cause is benign fasciculation syndrome which is due to nerve hyperactivity and if uncomfortable can be treated with medications which calm the nerves such as gabapentin or pregabalin.  Fasciculations can result from pinched nerves in the neck or low back which can be treated with physical therapy, muscle relaxants and gabapentin or pregabalin.  The most worrisome cause for fasciculation is amyotrophic lateral sclerosis (ALS or Lou Gherig's disease) which is an incurable neurological disease.  Here too, gabapentin or pregabalin can be used for symptomatic relief.
In cases of benign (or harmless) fasciculation, there is no real treatment other than allowing it to stop on its own. If the twitching is caused by stress or exercise, it will go away as the body becomes more relaxed. It can also be caused by damage to the nerve leading to a muscle, which may be treatable depending on the cause of the damage. Treatment in more severe cases will depend on the underlying cause of the fasciculation. If the spasms are caused by Lou Gehrig's disease, various forms of muscular dystrophy, or spinal muscular atrophy, and are affecting quality of life, a doctor may suggest antiepileptic drugs; these have shown to be of some help. However, there is no known cure for this kind of benign fasciculation or the underlying disease causing it.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.