Examining Muscle Spasms

[kschoenhaut]

Hello,How would you work up people presenting to your practice with muscle twitches, spasms and sensory symptoms. Would you be exhaustive or dismissive, or dismissive after being exhaustive .

 

[TwitchyMD]

Bloodwork for electrolyte imbalances, thyroid function, heavy metals and EMG + MRI if none was done before. MRI only if the sensory symptoms are suggestive of some disease process, EMG to be sure nothing is going on axon/anterior horn cell levels or to distinct between myopathic and neurogennic processes.Some neuros, as mentioned by some new members here, want to repeat EMG in 6 months to be sure, that depends..

 

[TwitchyMD]

I do not think ANA is standard part of initial blood screening. Vitamin B,D should be included as both affect neuromuscular activity.