Concerning Arm Pain and Twitching

I have been really worried recently. Pain in my arms twitching has increased in new spots . Some cramping it has been over a year from first twitch still is fear. Any advice on if this is normal and if cold makes it worse.
 
cold REALLY makes us worse, and even mild one. I for example sometimes can not speak normally already at more or less moderate cold (start to have have numb lips) and of course cold-induced pain is very common here.
 

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