I've been trying to figure out if my leg twitching is a symptom of SFN or something else like Restless Leg Syndrome.

My twitching occurs usually between 12pm-2am and it wakes will me up most nights if I don't medicate. It is not Periodic Limb Movement Disorder as my leg does not lift. It feels sometimes more like my muscle or tendon is being pulled. It does not cramp. I don't necessarily need to get up and move (which is suppose to be how to diagnose RLS), although sometimes when it lasts too long I get frustrated and do. It can last for hours.

I have looked this up online but so many symptoms overlap that I just can't get a real sense of what it is. This is most frustrating to me because I have the typical symptoms of PN (burning, pins & needles, stabbing pains) and I don't know if this twitching thing is a secondary disease or syndrome.

I would love to know if any of you out there also have this symptom and what your thoughts are.

There was a thread about this a while back - and it seems like many people with SFN also have some type of twitching and/or cramping. But, just like all the other stuff we experience - it seems like each person has a different description of the where, when, and how. In my case, twitching was my first symptom, and the burning in my feet didn't come until several months later.

It does seem strange though, that none of the websites seem to list twitching or cramping as symptoms of SFN.

I have three separate things happens, twitching, jerking ( limbs actually visibly move around) and muscle pulling ( almost feels like a jerk but don't actually visibly move). These were my first symptoms for about 5 months. The came the pain

--a small-fiber neuropathy would not produce motor symptoms of twitching, cramping, etc., as the small fibers are sensory or autonomic in function.

Having said that, though, the incidence of pure small fiber neuropathy is not as common as that of more mixed types, including those that are PREDOMINANTLY small-fiber, with all the symptoms that entails, and yet may have some motor components. This is often referred to as sensorimotor polyneuropathy, with the "sensori" designation first meaning, in medical-ese, the sensory components are dominant over the motor ones.

Also, don't underestimate the possibility of compressive effects in producing some motor symptoms, particularly twitching/cramping/fasiculations. It's not that hard to compress motor tracts in certain areas of the body in which nerves have to pass through narrow openings--elbow, wrist, shoulder, hip/thigh, knee, ankle--and anything from arthritic bone spurring to swelling from some other condition to biomechanical imbalance (including, oddly enough, building muscle unevenly!) might result in this. There is almost certainly some genetic tendency to this as well, as there is to developing bone spurs or disc bulging/herniation in the spine, which can itself pressure nerve roots and produce similar symptoms.

There are, unfortunately, really a LOT of ways to compromise nerves.

Ragtop that was my experience as well. Twitching 1st and several months later burning. That was why I didn't think it was neuropathy initially.

Glenntaj thank you for that information. I have a cyst in my left hip as well as spondylolisthesis and stenosis in my spine. I will further pursue those areas.

My first symptom was my left pinky twitching......that was just about a year ago. I had a car accident and then surgery right after that and it accelerated my symptoms. My left groin cramped, trouble walking, shaking left arm, numb feet. Left foot shakes sometimes. I have pressure in upper abs and back almost constantly.