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Facial twitching can be an annoying and embarrassing problem affecting many people at some point. Although facial twitching is not a severe condition, it can indicate an underlying health problem. While the causes of facial twitching can vary, the good news is that most cases can be easily treated.

Causes of Facial Twitching

Facial twitching can be caused by various factors, including:

  • Stress and Anxiety: Emotional stress and anxiety can cause facial twitching, particularly around the eyes.
  • Fatigue: Lack of sleep or excessive tiredness.
  • Caffeine: Consuming too much caffeine can trigger facial twitching.
  • Medications: Some medications, including certain antidepressants
  • A tic disorder
  • Nerve Damage: Nerve damage, particularly to the facial nerve
  • Multiple sclerosis
  • Bell’s Palsy: Bell’s Palsy is an uncomfortable condition that affects the facial nerve, causing facial weakness or paralysis, leading to facial twitching.
  • Tourette syndrome
  • A tumor
  • Hemifacial Spasm: Hemifacial spasm is a neurological disorder that causes involuntary twitching on one side of the face.
  • Dystonia
  • A vascular lesion

Symptoms of Facial Twitching

Facial twitching is a sudden, involuntary movement or contraction of the facial muscles. The symptoms of facial twitching can vary depending on the underlying cause. Some common symptoms include:

  • Involuntary twitching of the facial muscles, particularly around the eyes or mouth
  • Rapid eye blinking
  • A pulling or tightening sensation in the affected area
  • A twitch that lasts for a few seconds or minutes
  • Mild discomfort or pain

Treatments for Facial Twitching

The treatment of facial twitching depends on the underlying cause. Some common treatments include:

  • Stress Reduction: Managing stress and anxiety through relaxation techniques, exercise and counseling can help reduce facial twitching.
  • Getting Enough Rest: Getting adequate rest and sleep can help prevent facial twitching caused by fatigue.
  • Reducing Caffeine Intake: Reducing caffeine consumption, such as coffee, tea and soda, can help reduce facial twitching.
  • Physical therapy: Physical therapy can help patients manage the twitching.
  • Medications: Certain medications, including antiviral drugs, anticonvulsants or muscle relaxants, pain medication or steroids, can lessen inflammation of the affected nerve.
  • Botox Injections: In some cases, Botox® (Botulinum toxin) injections may be used to paralyze the facial muscles and reduce twitching.
  • Surgery: In rare cases, surgery – like microvascular decompression – may be required to relieve facial twitching caused by nerve damage or hemifacial spasm.

Facial Twitching Treatment in New York

The treatment of facial twitching depends on the underlying cause and may include stress reduction, getting enough rest, reducing caffeine intake, medications, Botox injections and surgery. If you experience persistent facial twitching, contact us at New York Facial Paralysis today to schedule a consultation or visit our office in New York City. Our team can help determine the underlying cause of your facial twitching and appropriate treatment.

Posted on behalf of New York Facial Paralysis

Grand Park Building, 110 East 40 Street, Suite 501
New York, NY 10016

Phone: (212) 434-4050

FAX: (212) 434-4059


Monday - Friday: 8:30 AM – 5:00 PM



New York Facial Paralysis

At Manhattan Eye, Ear, and Throat Hospital

Grand Park Building, 110 East 40 Street, Suite 501
New York, NY 10016

(212) 434-4050 (212) 371-3223 (FACE)

Opening Times: Monday - Friday: 8:30 AM – 5:00 PM

If you are interested in discussing your case with the NYFP specialists: