The twitches you can see and feel in muscle are contractions of irritable muscle fibers. They are sometimes seen with muscle fatigue. I sometimes see young people with fasciculations who google the word and come in afraid they have ALS . There is also an entity called benign fasciculation syndrome that is sometimes accompanied by cramping. Caffeine and theophylline (in tea) can provoke them.
56 year experience in Neurology
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