How to get a physio good to help my hubby's twitching hand, experiencing occassional numbness

another friend of mine post this message to me

"My hubby having this twitching on his hand & sometimes numbness. I think its his nerve problem. U think so? Do u know any physio who is good at helping him recuperating? Or how abt u?... & what r d fees like?"

That is why we have this platform for discussion and information sharing.

1. Muscle twitching refers to Fasciculation. A fasciculation is a small, local, involuntary muscle contraction and relaxation which may be visible under the skin or detected in deeper areas by EMG testing. See http://en.wikipedia.org/wiki/Fasciculation

2. See the possible cause/treatment:
a. Inadequate magnesium intake can cause fasciculations. Treatment consists of increased intake of magnesium, such as nuts (especially almonds) and bananas.

b. Sustained stress? Do stress and anxiety management

c. Otherwise it is good to understand how long has the problem been? What aggravates the presentation? What eases the presentation? See a doctor for a proper assessment and diagnosis.

d. you remember how to do neurodynamic testing? Check for ULTT 1, 2a, 2b, 3. Bias to see which nerve? median/ulnar/radial?

3. Any physio for him? You can locate them at
https://sghc.forumotion.com/t5-private-physiotherapy-clinics-in-singapore

4. Currently, i have not collated the fees for the different private clinics. I will try to do it soon so that there is a comparison. (CinDy, can you help me?)