I've been twitching 24/7 now for about 15 months. Started and continues with 24/7 calf and feet twitches....probably ~100 per minute. Also, twitch everywhere else with frequent hotspots in my arms and hands.Had EMG when this started and at 6 month and 12 month i had follow up with Nuero who did short clinical exam and said that other than fasciculation's I seemed fine.Well about five months ago my hands started hurting me all the time. Especially in my thumbs when I grip stuff. My hands also feel weak and wimpy to me. All the muscles in my hand also feel very stiff and hurt when i flex them. Also the back side of my wrists hurt. When I flex my hands back it hurts and feels like I'm lifting the weight of the world to do so. I went to my family doc who sent me to an orthopedic hand specialist. It took two months to see the specialist. During the wait my forearms now ache and are sore all the time. Finally saw the hand specialist and after xrays and exams he said he felt it was definitely nerve related. He is sending me for an MRI this week and an EMG in two weeks. Did not think it was arthritis or carpal tunnel, etc.....I'm a 36 year old healthy male and can't disconnect the twitching from the aching in my arms and pain and stiffness in my hands.It just really freaks me out, because of the twitching, when a doctor tells me he thinks I have a nerve issue and sends me for more tests....it really amps up my ALS fears....