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Brazil
A 24-year-old female asked:

what is the difference between spasms and fasciculations?

2 doctor answers5 doctors weighed in
Dr. Tony Ho
Dr. Tony Ho answered
Infectious Disease 14 years experience
Specific: Fasciculations are a type of spasm due to loss or impairment of upper motor neurons, causing the lower ones to fire inappropriately.
Dr. Bahman Omrani
Pain Management 17 years experience
Contraction & relaxa: Another way of looking at it is: fasciculations are involuntary muscle contraction and relaxation whereas muscle spasm is involuntary and sustained muscle contraction. Fasciculations can be deep and detected on a muscle needle test or can be felt and be visible to the eye as muscle twitches.

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Greece
A 21-year-old male asked:

Does parkisons causes fasciculations?

1 doctor answer1 doctor weighed in
Dr. Djamchid Lotfi
Neurology 58 years experience
No: Fasciculation is a sign of neurogenic muscle disease it could sometimes occur in acute nerve irritation and sometimes as a benign phenomenon.
Brazil
A 24-year-old female asked:

1- are there any promissing tretament for spasms and fasciculations? 2- what is treatments available nowadays?

1 doctor answer1 doctor weighed in
Dr. Bahman Omrani
Pain Management 17 years experience
Many options : Some basic ones are local injections with trigger points, medications, tens unit, adjustment/manipulation, acupuncture. Botox injection is very effective. But if area is large, risk of serious side effects increases. Best thing would be to find the cause and treat the root.
Sweden
A 24-year-old female asked:

What are fasciculations in ALS like? Can they stop for several weeks?

2 doctor answers3 doctors weighed in
Dr. Bradford Landry
Pediatric Rehabilitation Medicine 12 years experience
No: Fasciculations are not an early indicator of ALS. They are more likely a symptom of excess caffeine, lack of sleep, anxiety, stress, etc. Diagnosis for ALS does include fasciculations in the criteria, but only one part of it, and must be accompanied by weakness in the same limb. Twitching as related to ALS indicates dying muscle and therefore weakness which does not come and go.
Sweden
A 24-year-old female asked:

Are fasciculations in ALS constant or do they come and go?

2 doctor answers5 doctors weighed in
Dr. Chirag Patel
Specializes in Neurology
Common symptom: Fasciculations are a common symptom of ALS that are usually persistent. Fasciculation potentials can also occur in healthy individuals (e.g. benign fasciculation syndrome). A neurologist can help to determine whether you have fasciculations and if so, whether they are benign or malignant. http://www.nlm.nih.gov/medlineplus/amyotrophiclateralsclerosis.html
Sweden
A 24-year-old female asked:

Can fasciculations in ALS come and go with weeks apart?

2 doctor answers5 doctors weighed in
Dr. Olav Jaren
Neurology 19 years experience
Fasciculations: Normally fasciculations are constant in ALS. They stop when the muscle tissue is very small. They do not come and go, as they do in other cases.

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