Myokymia Treatment & Management

Updated: Sep 30, 2021
  • Author: Suying L Song, MD; Chief Editor: Nicholas Lorenzo, MD, CPE, MHCM, FAAPL  more...
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Medical Care

Treatment of myokymia is focused largely on the underlying etiology. Most patients with facial or focal limb myokymia are not particularly disturbed by the myokymia itself. The accompanying symptoms of the particular neurological or medical conditions are the major concern to patients and their caretakers.

  • For conditions secondary to thyrotoxicosis, poisoning, and alcoholic cramp syndrome, the myokymia disappears with resolution or improvement of the medical conditions.

  • Patients with radiation plexopathy require no intervention.

  • Myokymia seen in acute or chronic polyradiculoneuropathy usually improves with immunomodulatory therapy.

  • Transient myokymia that develops after strenuous exercise resolves spontaneously over weeks to months.



No particular activity restriction is imposed on a patient with myokymia. For patients with stiffness and painful cramps, conditioning of muscles by range of motion and isometric exercise is helpful.