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Widespread muscle twitching (fasciculations) and cramps with a normal neurological exam and EMG: what is worth checking next?

Twitching with a normal EMG can still be distressing; distribution, objective weakness, medicines, sleep and progression define what further review is appropriate. Three short questions can help you understand what might deserve attention next.

QUESTION 1 OF 3

Are twitches localized, widespread but stable, or accompanied by new weakness?

Choose the closest pattern. There is no need to know a diagnosis.

Why this matters

The first pattern shapes which explanation we should explore, rather than automatically deciding what condition you have.

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