Bfs neurologist. 5 months into this who did minimal testing and told me … read more Dec 10, 2019 · I am suffering from what I believe is Benign Fasciculation Disorder. And don’t go doing weakness tests, we’re talking dropping cups and tripping weakness. TL:DR 5 months in, weird symptoms and mainly fasciculation in legs. He said he doesn’t think I have it, due to how good everything is so far, my strength, mobility, and speech. Your symptoms sound like Benign fasciculation syndrome can affect individuals of any sex and any age. Please remember that a multitude of medical problems can cause twitching, not just ALS. 4% of patients were men, and 34. 2muchtwitching. Get Directions. Sense of apparent weakness, not noted by neurologists Tingling sensations and soreness Pain in fingers of hands and foot One day in April I had numbness in both my feets while playing soccer One day in September i've experience an Aura episode I've also had some blurred vision Reports to analyze and concerning data: BFS - from the perspective of the neuro office. Pittsfield, MA 01201. " Two months before today, I started to feel some non rhythm pulse vibration on my left ear, for me it's fasciculations inside the left ear. In BFS twitches move all over, but particularly love calves. Accepting New Patients. Reply. So just from your description, this would fit more with fibromyalgia, more so than BFS. Neurosurgery Professional Services. The main symptom of benign fasciculation syndrome is focal or widespread involuntary muscle activity (fasciculation). The twitching is not as constant as before, but it's still happening, arms, lower and upper legs, knees, neck E. Neurologist diagnosed me as "most likely" caused by BFS. The neurologist was a professor and the associate Dean at the University of Vermon I potentially have BFS and have some questions as to whether or not I can feel confident in this. Usually, the spasms seen in BFS do not cause sudden jerking or full contraction of the muscles, but they are strong enough for the person to feel them. A serious twitch presents itself after I am seeing the 2nd neurologist for the second time in ~2hours. Hard to believe Neurologist without an EMG test…. I take Lexapro and it makes zero difference. Take the front item of the queue and add it to the visited list. neurologist said i don't have ALS or MS which are my fears. Now certainly with your family history you have an increased chance, but it still doesn't compare to BFS risk. A post to guarantee help- unique history with BFS, extreme obesity, health anxiety, and more. Wish me luck all! Good luck! Keep us posted. But it's still concerning. Neuro put and stated she was not concerned for ALS or MS at the moment. I was diagnosed with Benign Fasciculation Syndrome at the Mayo Clinic in Feb. Just a couple quick questions before I transfer you. A clean EMG and neuro exam is pretty much the best determination if you have anything serious. Just to make sure it’s something not simple like deficiencies, but you also should rule out things like anemia, diabetes, auto immune, hiv, or whatever. Afraid the test is painful but gonna do it anyway to rest my mind. My memory is toast, my emotions are unpredictable and I am miserable. Again a measure is done at rest then I had to contract my thigh. Gregg MD. I stopped taking gabapentin prior to my symptoms and the doc believes that the medical + my anxiety triggered these issues. Jan 13, 2022 · Here, we present the case of a patient who developed benign fasciculation syndrome (BFS) whose locations changed; thus far, the patient suffered from two episodes of migraine auras (without headache)—these symptoms seemed to be benign in nature, but nevertheless impacted the quality of life. I had 1 neurologist tell me within 10 minutes he thought I had bfs. Therapy is useless for this because I don’t have anxious thoughts at all. Results: 71. I saw a neurologist three days before today because I'm already very Neurology Appt Today Update. She is going to do some more bloodwork and I will have a Nov 10, 2021 · Background Fasciculation is an important sign for the diagnosis of amyotrophic lateral sclerosis (ALS). 5. All this is very important detail. They told me it was benign but that I should follow up annually. Feb 12, 2013 · Fasciculations often go unnoticed or may be merely discerned as a brief ‘twitch’ of the muscle. 777 North St Ste 503. I don’t fear any major neurological diseases at all. Five cases of a chronic neuromuscular syndrome consisted of muscular aching and sometimes burning pain, fasciculations, cramps, fatigue, and occasional paresthesia. Some will pass out BFS diagnoses like they’re candy and others will be hesitant to do so. Despite its name, BFS can be distressing for those who experience it, as it can Usually an assistant neurologist does the clinical but this time I saw the professor right away. He put me at great ease and we went into detail about the size of the twitches (1-2 inches), how they all started (all at once) and precisely where (all over feet, legs, torso). ago. This “Benign” disorder is disrupting sleep, exercise and overall calmness, and ability to hold a steady hand while taking notes and weighting in general. I was surprised to learn that I no longer have brisk reflexes. Medicare Accepted. went to neurologist with fasiculations in calves and quads , i suffer from anxiety. Tests include physical, neurologic, and psychiatric exams, as well as imaging scans, in part to rule out other disorders, and examine symptoms such as tremor, weakness, walking, and vision. Is this possible in BFS? Doctor's Assistant: The Neurologist can help. My problems started over 3 years ago with fasciculations caused by antidepressants. P: 413-447-2870. She checked my reflexes, as always brisk, but bilaterally. Later on I took benzos for other problems and the issues aggravated, I developed severe cramping, tingling, fatigue, pain, etc. In BFS twitches are diffuse and all over the body, and not accompanied by weakness. The benign twitches usually have a constant location. Neurology: Epilepsy, Neurophysiology. In this study, we prospectively followed 35 patients with BFS over a 24-month period. Address correspondence to Dr Valeria A. Well, BFS is simply a condition of harmless twitches, and doesn't involve stiffness or paresthesias or muscle cramping. She stated anxiety could definitely cause my symptoms and stated I should go to counseling for cbt. BFS does not come with pain. Thank you to everyone who responded to multiple posts as a spiraled downhill so badly and severely mentally harmed myself. The thyroid thing makes sense as a check in terms of tetany. . It might not be considered harmful but it is mentally draining, annoying and prevents While a positive palmomental reflex is sometimes associated with various neurological conditions, it also often appears in healthy population. Timeline: April 2023: twitching starts July 2023: neurologist_1 clean clinical, ck 90's Sept 2023: clean EMG and NCS (right arm and legs) Dec 2023: neurologist_2 clean clinical Jan 2024: ck 50's March 2024: neurologist_1 2nd visit, only talk, concludes all normal Might as well get the tests if you have free healthcare or the money to do so. Background: 29M In January 2023 I started doing an average of 14KM walk a day and 5 Gym sessions whereas before I did an average of 7KM walk a day without going to Gym. I've seen 2 neurologists and both have said they've seen MANY patients with neurological side effects post vax. the incidence of this problem is 1:1200 or more, whereas in ALS it is 1:150K. Dr. These symptoms happen when the muscle is resting Fasciculations can be symptomatic, yet not progress to amyotrophic lateral sclerosis (ALS), a condition categorized as benign fasciculation syndrome (BFS). 5 months into body wide twitching later, I finally managed to get a neurology appointment for this coming Thursday (thank God). Methods: This was a retrospective review of medical records of patients My neurologist is pissed - The end of my story. Other common symptoms are generalized fatigue or weakness, paraesthesia or numbness, and muscle cramping or spasms. Fasciculation come at a later stage, so if your fasciculation are ALS related, you would be unable to move some of your finger or have lost a lot of… Jun 27, 2012 · Second Opinion] neurologist. We basically discussed my initial fears and my current state. I knew it was not RLS but the SFN worried me a lot. Mar 25, 2018 · European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy In the instance of the CNS-BFS three domains of bulbar function are assessed using a self-rating Sep 1, 2019 · In the absence of a specific biomarker to exclude MND, a concern for neurologists in the assessment of new-onset fasciculations is misdiagnosing a patient for BFS when they have MND. Herbert Gregg is a neurologist in Johnson City, TN, and is affiliated with Berkshire Medical Center. G test in 24 hours. I’ve seen many drs and specialists since this started — emg / mri / neurologists, urology, internal medicine the list goes on and on My dr removed me from work for a weeks to rest / recover. There are some research where it is said twitching can also be due to sfn. I have a clean EMG and Nerve Conduction Study. Many things such as benign fasciculation syndrome, stress, thyroid problems, chemical imbalances, fibromyalgia. The main symptom of benign fasciculation syndrome is persistent muscle twitching, tingling, or numbness. This observation raises the possibility Abstract. Introduction/aims: Fasciculations can be symptomatic, yet not progress to amyotrophic lateral sclerosis (ALS), a condition categorized as benign fasciculation syndrome (BFS). Fax: (413) 496-6852. Classified as a peripheral nerve disorder, cramp-fasciculation syndrome (CFS) sometimes accelerates the nerve activity of a particular part of the body, typically a patient’s legs. The main difference between BFS vs. I had my first (and hopefully last) neurologist visit back in April, and the doctor was absolutely unfazed by my case. Anyway the new neuro was very thorough. These involuntary movements can affect any group of muscles including the muscles of arms, fingers, back As to how long BFS lasts, I would say it can last forever or it can disappear, you never know. Herbert E. I wouldn't even be going to an ALS specialist if there or not disagreement between my GP and neurologist. BFS is benign fasciculation Syndrome. A clinic of Berkshire Medical Center. He has been in practice more 24f. I would assume they'd order a brain MRI. He didn’t see the use of doing another clinical because I had already been diagnosed with BFS. Timeline: April 2023: twitching starts. Sep 17, 2022 · It’s worth noting that fasciculations aren’t the only symptoms of ALS. I frequently read through this sub and am amazed at the wide variety of symptoms discussed and the life changing fear that they can impart. Usually around £3-400 for initial appointment. He didn’t even suggest an EMG of all things. Tel: (413) 395-7694. If it only lasts for a second I doubt it is PN or SFN. Its clinical significance is debated. Today I saw a neurologist, and he conducted many experiments for ***. So, I went for a follow up with my neurologist for neck/throat issues. In some patients it has been found to develop following viral infections. Just back from having an EMG, conducted on my left calf (where this all started), by a 25 year experienced Neurological Consultant, whos' published papers on you guessed it BFS. The twitching calmed down and just recently I am experiencing similar things but with a few other symptoms. The problem is that it’s not very visible, but I feel it very strongly internally and that’s why I Absolutely, when I go to see the ALS specialist I'm going to take their word as gold. March 2024: neurologist_1 2nd visit, only talk, concludes all normal. Jul 24, 2016 · Yess i did it They said its bfs and i need to do another emg after 2 months why should I it is that because they are not 100% safe that i have bfs Neurologist: the-good-doctor , replied 7 years ago 2. Unfortunately, this means that what BFS “is” is largely subjective and can vary from neurologist to neurologist. I can activate the fasciculations in my ear when I yawn. BNCK2020. It turns out my body wide twitching is from BFS but the local hotspots and cramps are related to structural issues. Also in ALS twitches don’t really come and go. Mar 10, 2019 · He laughed and said I have benign muscular fasciculation syndrome and gave me some Xanax. The emg was in 9 muscles and they picked up insertional activity and fasciculations in 8 of 9 muscles tested. In ALS, fasciculations are also accompanied by other problems such as worsening weakness, trouble gripping small objects, and difficulty walking, talking, or swallowing. i have BFS symptoms (wide spread twitching, some tingling in arms and finger and arm/leg weakness. Just left my neurologist who did an MRI of brain and neck and an EMG and Bloodwork Officially diagnosed with BFS. The cause is unknown and no anatomical or physiologic lesions have been identified to date. Clean EMG What I've learned. Sansone, Neurorehabilitation Unit, University of Milan, Piazza Ospedale Maggiore, 3, 20162 ASST Niguarda Hospital, Milan, Italy, [email Then the neurologist proceed to the EMG. In reply to @crampedup "Three generation concern. A standard BFS implementation puts each vertex of the graph into one of two categories: The purpose of the algorithm is to mark each vertex as visited while avoiding cycles. Jul 25, 2022 · Need to find a Cure, Cause, and or treatment. We aimed to assess electrodiagnostic changes and clinical course over time in patients with BFS. It is an unknown disorder with what looks to be no treatment or no recovery (it will either go away, or it won't). That may manifest as a loss of mobility or weakness in the body. Jan 17, 2022 · Hi, I’m a male, I’m 40yo. I gave him a list with all my symptoms (fascics under feet, fascics 24/7 calves and thights, knees, shoulders, hands, back, cheecks. Aug 23, 2004 · Fasciculation and cramps without weakness or muscle atrophy are recognized as a benign syndrome. Absolutely, when I go to see the ALS specialist I'm going to take their word as gold. (Anyone with brisk reflexes bilaterally, it literally means nothing. Approximatively 30% of patients in neurology are worried by several somatics symptoms. It's widespread too, which is another good sign. Sfn neuropathy can cause those burning pin prick sensations. While an understanding of the role of No, don’t do the EMG unless your neurologist thinks you should. In the BFS peer reviewed literature there is some mention of spontaneous remission, but generally morbidity is exceptionally high around 95% from memory. At 9 months, I had a chronic cough, breathing difficulty, no voice, and frequently was choking on food. yeah, it took that long for an appointment lol. Finally scheduled a neurology appointment; looking for others with similar (odd) symptom's & reassurance Hi everyone! I am fourth-year medical students who abruptly started to get body fasciculation's the day I took the shelf exam for the rotation I was on. I’m not convinced. Cramping is at least daily/nightly. I’m at about a 3 month wait. Hello everyone, and thank you for all who have wished me well, who have sat here for hours working to help reduce my severe health anxiety, and reassure me. Joseph's Hospital and Medical Center. Not necessarily BFS, but other neuro symptoms, both sensory and motor. However, there are a minority of situations that fasciculations are observed in association with specific neurologic disorders. Jan 2024: ck 50's. But i continue with widespread twitches, un my legs (calves) 24/7. I went for a second opinion and got the same diagnosis, benign muscular fasciculation, and was asked to return after a few months to check on me. well tomorrow is the Most of us with BFS symptoms have, at one time or another, worried that our symptoms may indicate neurodegenerative disease. Just found out that I have to wait 6 months just to get seen by a neurologist for the first time here in the UK Really struggling with my symptoms…. Below is my story: In some ways, my symptoms started around 2005; I was around 31 at the time and had taken a long overseas plane flight. M. These children may undergo invasive or 3rd neurologist visit. Most reported anxiety, but only 14% were anxious as measured by the Zung self Feb 28, 2019 · Persistent muscle twitches or numbness or tingling sensations in one or more muscles of the body is called benign fasciculation syndrome (BFS). , since October, I’ve been having fasciculations in my body. July 2023: neurologist_1 clean clinical, ck 90's. Gym and/or run 4x week. Before I got that diagnosis I pretty much had made peace with BFS. Judging from what people say here it doesn’t really help with health anxiety. He graduated from UNIVERSITY OF MINNESOTA / CROOKSTON CAMPUS in 1999. Mon – Fri: 8:00am-4:30pm. Sept 2023: clean EMG and NCS (right arm and legs) Dec 2023: neurologist_2 clean clinical. Asked me not to move and then to raise my toe against her had pushing the other way. BFS is diffuse fasciculations or twitching without weakness, atrophy, or spasticity. 2012. She looked at the blood work (January) and EMG results from mid Sept (6 months ago), asked how I feel and whether I have any new symptom. It's a 'harmless' disorder that consists of twitching of the muscles 24/7. Another point the neurologist made is that he has never seen a case where fasciculations were the first noticeable symptom. ALS muscle twitching is that the muscle contractions associated with ALS are caused by a deterioration of the muscles over time. celiander. Hoping for the best, my twitching has decreased since it's peak so I'm hoping that's good news. Feb 12, 2013 · Abstract. Sep 13, 2020 · Sorry forma my English. She told me to stop Googling and that I had a better chance at winning the lottery. Eat relatively healthy. Read until the end! Spoiler: all the tests were normal. So yesterday I had an appointment with a neurologist for a second opinion on a possible diagnosis that I was given a possible diagnosis of BFS/SFN/RLS. It is characterized primarily by twitching (fasciculation) of various muscles of the body. Bottom line is, don’t put too much stock in a label, because that’s all it is. Methods: We conducted serial questionnaires to assess anxiety, associated symptoms, and duration. I had to go to a second doctor but got referred for a brain MRI without neuro. In benign fasciculation syndrome, fasciculations are the main symptoms. Fasciculations are very common in healthy populations, and form part of benign fasciculation syndrome (BFS), a disorder characterized by symptomatic fasciculations without progression to a more sinister neurological condition [1, 17]. I see a Neuromuscular Specialist on Tuesday to discuss This review considers the origin and significance of fasciculations in neurological practice, with an emphasis on fasciculations in amyotrophic lateral sclerosis (ALS), and in benign fasciculation syndromes. Some cramping and tingling as well. I went in for an appointment today after having BFS for the last 4 years. I’ve been diagnosed as BFS two montes ago (after a lot of test; the EMG was celan). I start two months ago to saw a psychologist, in order to treat my BFS condition. You reject 3 neurologists diagnosis saying your fasciculation is deadly benign. Aug 5, 2014 · In 1963, Reed and Kurland warned that the presence of fasciculations was not necessarily a prelude to the onset of a progressive and lethal disease, due to the involvement of the lower motor neuron. The other two usually come with some form of pain. Neurology Professional Services Of Bmc. Identified in 1991 by researchers at the American Academy of Neurology SUMMARYThis article will help neurologists diagnose and manage episodic muscle disorders and, in particular, the periodic paralyses and the nondystrophic myotonias. 4 (29 ratings) Dr. I started experiencing body wide twitching at the end of 2020, after multiple neurologist visits, neuro evals, blood work, MRI’s and EMG’, there was never a “concern” by my doctors as to why I was twitching and the only diagnosis made was BFS. I’m wondering how many people that came onto this BFS forum (because they were leaning towards BFS), only to be later diagnosed with a motor neuron disease, Parkinson‘s, MS, etc? Customer: Hi, I am 29 from Australia and in 2006 I was diagnoised with Benign fasciculation syndrome (BFS) by my neurologist due to twitching all over my body. You should follow you neurologist's recommendations re: next steps. And, as with so many before it was clean, and have now been diagnosed with Benign Cramp Fasciculation Syndrome. Suraj Muley, MD is a clinical neurophysiologist in Scottsdale, AZ and has over 24 years of experience in the medical field. The permanent twitch in my thumbulnar nerve. Of course, in both conditions, the testing is relatively normal, but given your constellation of symptoms I would lean away from BFS. So I posted before how I have twitching going on, on my legs, arms, neck and so forth. One actually seemed a little alarmed by the uptick in patients and postulated that in some cases, it may be direct adverse effects and in others, the vaccines I came off my one month course of meds and finally my neurologist appointment came around. Methods Eighty-eight ALS patients and fifty-four non-ALS (eight multifocal motor neuropathy, 32 chronic inflammatory Dr. But I’ve also had health anxiety for a number of years so I guess not believing is expected. 1. He is affiliated with medical facilities such as Chandler Regional Medical Center and St. The twitching is usually harmless and does not lead to any other symptoms. ⁵ BFS is a benign condition that does not cause any damage to the muscles or After being previously very healthy and fit, my symptoms started with weakness in the legs in early 2023 and progressed to bodywide weakness, widespread near-constant muscle twitching, cramps, and gait issues about six months after. Have Fasciculations almost 24/7. 777 North Street, Fifth Floor. Als is a clinical diagnosis, so the fact that the clinical exam sounds clean is great. No, anxiety does not cause bfs, bfs is a separate condition, but bfs and anxiety are commonly co-associated, and also, anxiety can make bfs related symptoms such as twitching etc very bad. I am a 24 year old male, I saw a neurologist 1. Neurologist %. The disorder affected the legs and, less commonly, the girdle, trunk, and arm muscles. Muscle twitches occur when the motor units, which Sep 11, 2023 · Benign fasciculation syndrome (BFS) is a condition that causes involuntary muscle twitching. Fasciculations are involuntary, chronic muscle contractions, spasms, twitches or cramps. He simply conducted a thorough clinical, tried to elicit fasciculations, made me walk on my heels and toes, and then simply diagnosed me with OCD and GAD instead. Its benign nature has been confirmed by long-term studies, but it is often the cause of anxiety and concern among its sufferers since fasciculations are associated with motor neuron The random twitching doesn't really mean als. Background: 29 M, fasciculations started in Common symptoms of BFS are frequent muscle twitches (fasciculations or fascics), generalized fatigue, "pins and needles" sensations, migrating numbness, muscle cramping and/or spasms in the affected areas (usually the feet and calves), muscle aches and stiffness exercise intolerance, headaches, and itchiness. Also, having received vaccine 6 months prior to my first symptoms has not helped. While in hospital care, I was given a brief examination by a neurologist who suspected BFS. Doctors here in my country never book an EMG for people with good clinical exams. I definitely see what you're saying though, the neurologist definitely has more qualifications to comment on all of this. The problem I have had and I'm wondering if anybody else has had this as it sounds like possible Nerve damage which isn't BFS obviously, farting/peeing/pooing triggers a weird nerve feeling in my left foot, it's bizarre to try and explain but it's like the bottom of my ankle is connected to certain things I do. Great visit with my neurologist today. Exact same symptoms and same boat. Unfortunately there is no good cure for sfn. There is a difference between feeling uncomfortable and anxious. 4% were employed in the medical field. Clinically some patients have mild Nov 9, 2020 · Benign fasciculation syndrome (BFS) is characterized by profuse fasciculations, without other abnormal neurological findings, muscle weakness, or atrophy [ 1 ]. My neurologist (who is a highly published one and runs a school of Clean MRI, cleared by neurology -1 year twitching I’ve twitched literally everywhere -1 year sensory symptoms, tingling, burning, cold drops, stings, bites, every I agree that I've heard those comments before: No weakness=No ALS, and Clean EMG=No ALS, but it would help to hear that we are in the same "stastical" pool as the rest of the population (2-3/100,000) -- and that at this time we are ensured THESE, sometimes multiple, symptoms are NOT early symptoms of ALSif I'm 30 years old, and I develop profound weakness and/or atrophy within 1-2 years, I Primary Location. nothings gotten worse though, if anything it has improved/ almost resolved in the last year) and my primary doctor referred me to a muscular neurologist 9 MONTHS ago. Mine is still there. I mentioned the vibrating sensation and she asked what triggers it and I said when it Hi everyone, I am seeing the 2nd neurologist for the second time in ~2hours. Fasciculations result from your mental health. Jun 22, 2017 · Benign fasciculation syndrome symptoms. Thinks my anxiety is bigges … read more Feb 17, 2014 · Hello, I'd like to ask a question regarding tongue twitching. The twitching is not as constant as before, but it's still happening, arms, lower and upper legs, knees, neck May 20, 2024 · A neurologist and a psychiatrist or psychologist may look for specific patterns of symptoms or signs to make a diagnosis. Fasciculations in neurology is like stomachache in general practitioner. Signs and symptoms. I've been experiencing twitching and here's for 4-5 months. Fasciculation represents a brief spontaneous contraction that affects a small number of muscle fibres, causing a flicker of movement under the skin. I’m sure you’re fine and they would be BFS. View Practice Website. They frequently occur in healthy individuals. Se put a needle on my left leg on the chin. Honestly, it sounds like you have nothing to worry about. The authors report a patient with cramp and fasciculation, which persisted for 1 year without abnormal motor unit morphology on EMG before progressive weakness, muscle atrophy, and EMG abnormalities developed. 40 However, evidence suggests this is uncommon, 18 and where it does occur, patients typically have additional neurological features such as cramps 41, 42, 43 or First neurologist appointment this week. He didn't say it's impossible for this type of presentation, but for someone to be twitching for several months or longer without detectable signs of objective weakness basically rules out ***. Ask Your Own Neurology Question Again, this is after weakness. Hello everyone, I just had a very enlightening visit to a neuromuscular specialist, who took a lot of time to explain stuff to me (a lot of stuff I - and probably you - heard before) and I figured I'd share with this community that calmed me down during my worst times. Our study aimed to analyze the difference in fasciculation detected with muscle ultrasonography (MUS) between ALS patients and non-ALS patients with symptoms resembling ALS. BACKGROUND: BFS is characterized by widespread involuntary muscle activity consisting of muscle twitching or fasciculations. The algorithm works as follows: Start by putting any one of the graph's vertices at the back of a queue. Publications concerning the evaluation of pediatric patients experiencing fasciculations are limited. 8 Since then, several authors have explored this topic, defining a benign fasciculation syndrome (BFS), that most frequently affects young Sep 6, 2021 · Fasciculations are the most common form of spontaneous muscle contraction. ) she felt my throat muscles, checked the muscles in my neck , put me threw a clinical strength test, no problems and said again the Jun 1, 2022 · Benign Fasciculation Syndrome vs ALS. Benign fasciculation syndrome. • 9 mo. It is considered benign because it is not typically associated with serious underlying conditions. In early December, I went to a neurologist for nerve testing, EMG and a clinical assessment. Neurology Professional Services. OBJECTIVE: To determine whether patients with Benign Fasciculation Syndrome (BFS) have a small fiber neuropathy. The symptoms were enhanced by physical activity and were usually improved by rest. I take so much medication daily and I am not 100% sure it is helping anymore. Address: 777 North Street, Fifth Floor Pittsfield, MA 01201 Contact: 413-395-7694. I’m 43 and pretty active. Then she put a needle on my vastus lateralis (outer quad, were I used to twitch the most) on my left leg. Hi, I just left the neurologist. as un kf lq wa lu jo dd jq sg