EMG testing

[Kyser]

Hello,
I’m currently under the care of a neurologist for initially-migraines. I still see her for follow up visits.

For a little over a year now I’ve experienced muscle twitching. This mainly occurs in my feet and calves, both legs. But does occur around my mouth and in other random areas such as upper or lower arms. Occasionally my limbs feel weak, but I don’t believe they actually are because I haven’t lost function in any way. I do notice heat makes my twitching worse. There are times I don’t twitch at all, and times it’s near constant. I have had vitamin/mineral blood work done. Which was fine. I also wanted to note I have been diagnosed with Dysautonomia, although muscle twitching doesn’t seem to be a symptom of that.

I’ve mentioned these twitches to my neurologist. Her response is generally the same, “are you stressed or anxious?”. To which my reply is “no”. And the whole thing is dropped. Should I push for an EMG? If so, what does that type of testing feel like? I’m not the greatest with needles.

Thank you

 

[lgelb]

Dysautonomia can be stressful for your body and therefore can contribute to twitching without your having to feel "stressed."

Since heat makes the twitching worse, it is worth discussing empiric strategies to improve electrolyte levels/ratios with your PCP. Bloods don't show everything. Give your history, I would also ask about a sleep study and track your sleep with a wearable meanwhile.

If your neuro doesn't see a need for an EMG, I don't. You haven't described one.