Well I've had widespread twitches now since about April. I've visited the neuro in July and had a clean clinical and emg but...About two days ago I started getting some very painful twitching/spasms in my shoulder. Now my als fears are back in full force. My husband and I are in the process of moving, so the past two days I've also been packing and moving boxes. These hurt so bad that they're making me nauseous and my arm feels very week. It was twitching pretty much all night last night and I didn't sleep very well. It also twitches when I push on it. Does anyone else ever have these painful type of spasms? I remember having them a little big back in March before the widespread twitches started. I'm still worried this is turning into something sinister and the panicking is back!