Brief Answer:
Please explain VOLUNTARY and INVOLUNTARY muscle spasms

Detailed Answer:
Hello. Sorry, you're having these sorts of issues without resolution.

You state that all labs are normal though I don't know specifically which ones you refer. Have you had a thorough ENDOCRINE workup to check for various thyroid, parathyroid, and adrenal gland abnormalities?

Have you been thoroughly examined by a NEUROLOGIST and perhaps even a muscle/movement disorder specialist. This is clearly what you would benefit from and very possibly an electrical study of select muscles which particularly cramp up. You should also be checked metabolically for some more rare and unusual things perhaps such as heavy metal toxicity which sometimes can manifest itself with nothing but generalized and widespread cramping or another condition (less likely in women but still worth checking called STIFF PERSON syndrome). It used to be called STIFF MAN SYNDROME and then, the name was berated as sexist because though men primarily get that problem....some women do as well.

Anyways, generalized dystonia is a possible cause to your problem but when it's that widespread there is usually either a metabolic or genetic cause. You may also benefit from an imaging study of the brain though that should be reserved for after being examined by a neurologist who will typically go through a history and see if there would be any cause to do such a test.

A short list of medical conditions associated with generalized muscle cramping would be:

liver cirrhosis, vascular disease, motor neuron disease, thyroid disorders, or spinal cord, spinal nerve compression

Medications can also cause this phenomenon and some examples are:

Antihypertensives (especially diuretics), insulin (certain types), birth control pills, cholesterol-lowering medications, and asthma/COPD drugs (beta-agonists)

I do hope I've given you some ideas to discuss with your doctor but by and large I think it's time you saw a neurologist and had a complete workup as well as potentially an EMG/NCV study, MRI of the brain, and/or spinal tap (if warranted).

If I've satisfactorily addressed your question then, could you do me the kindest of favors by CLOSING THIS QUERY and be sure to include some fine words of feedback and a 5 STAR rating to our transaction if you feel the response has helped you? Again, many thanks for posing your question.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 18 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.

---