Muscle Twitching and Benign Fasciculation Syndrome

BFS also known as 'muscle fasciculation syndrome',illnesses, exercise, anxiety or drugs. Some authorities
'benign fasciculation' and 'fasciculation syndrome' is ahave suggested that insecticides could also be a
disorder of the nervous system characterized by thecausative factor as muscle fasciculation is one of the
uncontrolled twitching (fasciculation) of muscle groupsprominent symptoms seen in organophosphate
in various parts of the body. It may or may not bepoisoning.
associated with muscle cramps. Although it occursExercise triggers muscle twitching in the majority of
more commonly in the muscles of the legs, arms andBFS patients that and is probably related to the higher
face, it can occur in any voluntary muscles, includingthan normal amounts of free radicals that are released
those of the tongue. As its name suggests, it is aby the body during prolonged exertion.
benign, somewhat irksome condition that, fortunately,Free radicals are a by-product of the cell's energy
does not progress to a more serious neurologicalproduction therefore the longer and more intensely an
disorder.individual exercises the more free radicals his body will
The fasciculation may be localized a twitching eyelidproduce. For this reason endurance athletes are
for instance or become far more extensive andsubject to free radical overload and oxidative stress. If
involve several limbs or even the abdominal muscles.prolonged exercise is associated with BFS, in all
They may be either intermittent or continuous; in factlikelihood the cause of the twitching is free
most people will experience a degree of BFS atradical-induced nerve and muscle excitability.
sometime in their lives without realizing that they haveAlthough there are no recognized drugs for the
this condition. For example, a simple facial 'tic' is atreatment of BFS, anecdotal reports suggest that
localized fasciculation.some individuals benefit from either pharmaceutical or
However, most individuals will only be aware of thenatural sedatives. However no clinical trials have been
diagnosis of BFS when the symptoms become sodone to show whether or not these products are
widespread and persistent that they seek medicalmore effective than placebos.
advice.As prolonged physical activity produces large quantities
The muscle twitching found in BFS is similar to thatof free radicals and exercise is such a strong
seen in a more serious neurological disease,precipitating factor for BFS, oxidative stress is almost
amyotrophic lateral sclerosis (ALS) also known as Loucertainly one of the underlying pathological factors
Gehrig's disease or motor neuron disease. Althoughcontributing to this condition.
fasciculation is a feature of both BFS and ALS that ofTherefore it is not surprising to find that there is reliable
the former usually ceases when the affected muscleanecdotal evidence that antioxidant-rich food
is exercised while the twitching in ALS patients persistssupplements are effective in treating this annoying, and
whether the muscles are working or at rest. A fulloften distressing, condition.
neurological examination and electromyography (EMG)It is also possible that even those individuals who do
are all that are needed to make a diagnosis of BFSnot suffer from exercise induced BFS may be under
and exclude more serious neurological diseases.oxidative stress for other reasons and could reduce
Although the precise cause of BFS is unknown it maytheir symptoms by increasing their daily antioxidant
be associated with several factors including acute viralintake.