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Facial twitching is something that everyone has experienced at least once in their lifetime. However, if it lasts more than a week the problem must be taken seriously and the underlying cause must be identified as soon as possible. This way the patient can receive proper treatment and eliminate the unpleasant symptoms.

Facial twitching represents involuntary contractions of facial and eye muscles. A variety of facial structure may twitch and there can be eyelid twitching and squinting, mouth twitching and grunting, nose wrinkling and general grimacing. Facial twitching can be rather unpleasant and patients may feel embarrassed in the presence of other people since they are not able to control involuntary contractions of facial muscles and their facial expression. Facial twitching can even bring them to very uncomfortable situations.

Causes of Facial Twitching

One of the leading causes of facial twitching is anxiety and prolonged exposure to stress. Under stress a person may go through episodes of twitching which usually resolves spontaneously once the problematic situation has gone. Furthermore, facial twitching can be a consequence of physical stress and muscle fatigue. The excess of physical activity may be responsible for involuntary muscle contractions.

Certain medications, especially if they are taken for longer period of time, may be related to the onset of facial twitching. Even intake of too much coffee may stimulate facial nerves and result in facial twitching.

In adults facial twitching accompanied by intensive pain on just one side of the face is usually associated with facial neuralgia. This condition is thought to be caused by damage to the facial nerve.

Facial twitching is a characteristic of hemifacial spasms, a condition caused by chronic irritation of the nerves in the face. Hemifacial spasm develops as a consequence of increased pressure of the blood vessels onto the facial nerves, tumors, multiple sclerosis, stroke or basilar meningitis. Facial twitching may be one of the characteristics of Parkinson's disease and Gilles de la Tourette syndrome.

In children facial twitching predominantly affects boys and does not last long. It is basically caused by stress, anxiety and fatigue.

And finally, a lack of certain nutrients such as magnesium deficiency may result in facial twitching.

Treatment for Facial Twitching

Facial twitching caused by stress, anxiety or fatigue can be dealt with by massages. Furthermore, the patients may benefit from vitamin B which may calm the nervous system and reduce the episodes of twitching. In children the problem can be solved by providing a stress free environment. There are even certain medications prescribed to children such as Risperdal. Nervousness and anxiety can be also alleviated by certain herbs.

Patients suffering from hemifacial spasms are basically prescribed gabapentin, phenytoin and carbamazepine. If these medications are not effective enough patients may be injected Botulinum toxin which temporarily paralyzes facial muscles. Patients suffering from facial neuralgia may benefit from microvascular decompression surgery. And finally, if facial twitching is caused by certain deficiency, the particular nutrient can be taken in a form of supplements.

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