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Living with Cramp-fasciculation syndrome

A rare genetic nerve condition in adults that causes painful muscle cramps and twitching.

Understanding Cramp-fasciculation syndrome

Cramp-fasciculation syndrome is a rare genetic nerve condition in which overactive nerves cause painful muscle cramps and twitches (fasciculations).

It starts in adulthood. It also causes stiffness, muscle pain, and brisk reflexes. Other signs of an overly sensitive nervous system can include asthma, acid reflux, migraine, tremor, sensitivity to cold, and heart rhythm conduction problems. Some people have nerve pain, thinking problems, and anxiety.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Its summary mentions these:

  • Painful muscle cramps
  • Muscle twitching (fasciculations)
  • Muscle stiffness and pain
  • Brisk reflexes
  • Migraine and tremor
  • Nerve pain

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in TRPA1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would TRPA1 gene testing help me and my relatives?
What treatments can ease cramps and muscle pain?
Should my heart rhythm be checked?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesTRPA1

It is caused by changes in the TRPA1 gene. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticNeurological

Also known as: benign fasciculation cramp syndrome; benign fasciculation-cramp syndrome; syndrome of foley and denny-brown

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Cramp-fasciculation syndromeGARD ID 6205 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Cramp-fasciculation syndrome.

Explore the Cramp-fasciculation syndrome blog

Explore research for Cramp-fasciculation syndrome

Explore actively recruiting Cramp-fasciculation syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Cramp-fasciculation syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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