Head Tremors and Numbness: Possible Causes and Solutions - Neurology

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Understanding the symptoms you are experiencing—specifically the left side of your head feeling numb, tremors, and the sensation of dizziness—can be complex. Based on your description, there are several potential causes to consider, and it’s essential to approach this systematically.


Possible Causes
1. Anxiety and Stress: Given that you mentioned being a nervous person, anxiety could be a significant factor. Anxiety can manifest physically in various ways, including tremors, numbness, and dizziness. The body's response to stress often involves the release of adrenaline, which can lead to increased heart rate and changes in blood flow, potentially causing the symptoms you describe.

2. Neurological Issues: The symptoms of numbness and tremors could indicate a neurological issue. Conditions such as multiple sclerosis, migraines, or even transient ischemic attacks (TIAs) can present with similar symptoms. While these conditions are less common, they should be ruled out, especially if symptoms persist or worsen.

3. Circulatory Problems: You mentioned that one doctor suggested poor blood circulation. This could lead to insufficient blood flow to the brain, causing dizziness and numbness. Conditions like orthostatic hypotension (a drop in blood pressure when standing) could also contribute to these symptoms.

4. Vestibular Disorders: The sensation of your head shaking or not being able to stand steadily could be related to vestibular disorders, which affect balance. Conditions such as benign paroxysmal positional vertigo (BPPV) or vestibular neuritis could cause dizziness and balance issues.

5. Allergies and Sinus Issues: Since you mentioned having nasal allergies, it’s possible that sinus congestion could be contributing to your symptoms. Sinus pressure can lead to headaches and feelings of dizziness, especially if the sinuses are inflamed or blocked.

6. Autonomic Nervous System Dysfunction: Dysregulation of the autonomic nervous system can lead to symptoms like dizziness, fatigue, and tremors. This condition can be exacerbated by stress and anxiety, leading to a cycle of worsening symptoms.


Recommendations
1. Consult a Neurologist: Given the complexity of your symptoms, it would be prudent to consult a neurologist. They can perform a thorough examination, possibly including imaging studies like an MRI or CT scan, to rule out any serious neurological conditions.

2. Manage Anxiety: If anxiety is a contributing factor, consider speaking with a mental health professional. Cognitive-behavioral therapy (CBT) and relaxation techniques can be beneficial in managing anxiety and its physical manifestations.

3. Monitor Blood Pressure: Since you mentioned having a slow heart rate, it may be helpful to monitor your blood pressure regularly, especially when changing positions (sitting to standing). Keeping a log of your symptoms and any potential triggers can also be useful for your healthcare provider.

4. Lifestyle Modifications: Ensure you are maintaining a healthy lifestyle, including regular exercise, a balanced diet, and adequate hydration. These factors can significantly impact both physical and mental health.

5. Allergy Management: If allergies are suspected to be a contributing factor, consider discussing with your doctor about allergy testing or treatments that may alleviate your symptoms.

6. Physical Therapy: If balance issues persist, a physical therapist specializing in vestibular rehabilitation may help improve your balance and reduce dizziness.


Conclusion
Your symptoms warrant careful evaluation to determine the underlying cause. While anxiety and stress may play a significant role, it’s essential to rule out other potential medical issues. By working closely with healthcare professionals, you can develop a comprehensive plan to address your symptoms and improve your overall well-being. Remember, it’s crucial to listen to your body and seek help when needed.