Question: I have been hearing twitches in my ear. It comes and goes. Mainly on the right ear. It has been constant the past hour, though. I rarely have fasciculations. Every once in a while I feel muscle fasciculation but very rarely (like once every year). Right now I'm being teated by PT for pain and spasms on my upper back, mainly the right side. However, the fasciculations in my ear started this month. Once every 2 weeks. And they are not as fast as it is now. Was 3 thumps per second, every 2-3 minutes and lasts for half an hour. Now it's been more than an hour and it's faster: 3 thumps per second every 30 secs.

Additional details: Medical hx includes hyperlipidemia, anxiety disorder x 12 years, depression x 4 years, CREST syndrome, mild mitral valve prolapse with mild and occasional (very rare) dysrhythmia, hx of BPPV. I am being treated by for upper back pain and muscle spasms, Xray results: very mild spondylosis and mild dextroscoliosis. Medications:Klor-con 10 MEQ QD
Propranolol 10 mg QD
Clonazepam 2 mg - TID prn
Meprobamate 200 mg TID prn
Zetia 10 mg QD
Mirtazapine 15 mg at bedtime
Pepcid 40 mg QD
Crestor 5 mg QD

Additional info I have been under a lot of stress lately.

Thank you for your advice. I'm quite sure it's stress-realted, or maybe even fatigue? No, I don't have HOH.

I exercise almost everyday. Cardios every other day and circuits on alternate days. However, I stopped working out since Saturday when my back pain got worse. I also stopped because I am being teated for Physical Therapy for my back pain and "rest and protect" for a couple of weeks was recommended. I'm a Physical therapist myself and I 'd rather err on the side of caution. I even stopped seeing patients because I don't want to injure myself, or worse, injure my patients (I do skilled rehab and see heavy and involved patients).

The ear fasciculations has stopped. I haven't had any today. Like I said it happens rarely and mostly when I'm fatigued or stressed out. However, i will talk to my MD about it and ask for Neuro or ENT referral if it goes back and gets worse.

P.S. My level of anxiety has gone down since yesterday and slowly getting better. It's work-related. I'm leaving the job and will do what I really love to do. :-) I will also ask my psychiatrist about the antidepressant. I know my medication profile seems too much, but they kept me alive in the past 8 months when I left the job that I loved (teaching) to venture into one that makes more money. I have been in a constant state of anxiety since November of last year. I will be going back to being a professor effective July. Thanks again for your advice.

Forgot to tell you. The back pain tends to radiate to my right arm and back of my head. I also feel ear pain every once in a while. I feel like they are all connected. My traps and neck muscles are really tight. Also tight pectorals. Poor posture- head forward and I slump a lot.