Involuntary Movements: Causes and Concerns in Teens

Involuntary movements

When I first started high school, my right leg would sometimes start to twitch involuntarily, and I thought it was probably nothing serious.
Recently, I've noticed that it has become more frequent, and now my left pinky finger also twitches involuntarily.
I'm not sure if this is related to a head injury I sustained in middle school, as the MRI results at that time showed no issues according to the doctor.

Niming, 10~19 year old female. Ask Date: 2016/03/21

Dr. Yang Shenggong reply Neurology

Based on your description, your issue seems to involve intermittent involuntary movements in your right leg and left foot.
Common possible causes include: 1) focal epilepsy 2) paroxysmal movement disorders 3) hyperthyroidism 4) myoclonus 5) cramps: this condition may involve pain 6) tics 7) tremors 8) other conditions.
Given the variety of potential causes, it is advisable to have a physician observe the movements directly for a more accurate diagnosis.
Since the patterns of involuntary movements can differ, so can their underlying causes.
It is recommended that you record a video of the movements, noting the timing and intervals, and consult with a nearby or trusted neurologist to address your symptoms and concerns.
Dr.
Yang Sheng-gong, Neurology Department, Changhua Hospital.

Reply Date: 2016/03/21

More Info

Involuntary movements, such as the ones you're experiencing with your right leg and left pinky finger, can be concerning, especially when they start to increase in frequency. It's important to understand that these movements can have various causes, and identifying the underlying issue is crucial for appropriate management.

One potential cause of involuntary movements is a condition known as tics, which are sudden, repetitive movements or sounds that individuals cannot control. Tics can be associated with Tourette syndrome, but they can also occur independently. Stress, anxiety, and fatigue can exacerbate tics, and they are often more noticeable during periods of heightened emotional states.

Another possibility is myoclonus, which refers to sudden, brief, involuntary muscle jerks. This can occur due to various reasons, including neurological conditions, metabolic disturbances, or even as a side effect of certain medications. Given your history of a head injury, it’s worth considering that the injury could have had an impact on your nervous system, even if initial imaging studies like an MRI did not show any abnormalities.

In your case, since the movements have become more frequent, it would be wise to consult a healthcare professional, preferably a neurologist. They can perform a thorough evaluation, which may include a detailed history, physical examination, and possibly additional imaging or tests to rule out any underlying neurological conditions.
It's also essential to consider the psychological aspects of involuntary movements. Anxiety and stress can lead to increased muscle tension and may contribute to the exacerbation of involuntary movements. Techniques such as mindfulness, relaxation exercises, and cognitive-behavioral therapy (CBT) can be beneficial in managing anxiety, which in turn may help reduce the frequency of these movements.

In addition, keeping a journal to track when these involuntary movements occur, what you were doing at the time, and any associated feelings or stressors can provide valuable information for your healthcare provider. This can help in identifying any patterns or triggers that may be contributing to the involuntary movements.

Lastly, while it’s understandable to feel concerned about these symptoms, it’s important to approach the situation with a mindset focused on finding solutions. Many individuals with involuntary movements lead fulfilling lives with the right support and treatment. Early intervention can often lead to better outcomes, so seeking help sooner rather than later is advisable.

In summary, involuntary movements in teens can arise from various causes, including neurological conditions, stress, and anxiety. Given your symptoms and history of a head injury, it’s essential to consult a healthcare professional for a comprehensive evaluation. They can help determine the cause of your symptoms and recommend appropriate treatment options, which may include medication, therapy, or lifestyle changes to help manage your condition effectively.

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