Unexplained Hand or Foot Tremors: When to Seek Medical Advice - Neurology

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Uncontrollable trembling of the hands or feet?


My boyfriend first noticed it when he felt a slight twitch in my hand while I was sitting relaxed on the back of his motorcycle.
He asked if I was cold, wondering why I twitched.
I said no and didn't realize I was twitching.
Recently, I've noticed it happening more frequently, almost every day.
The twitching is actually very small; for example, when I try to squeeze contact lens solution into a bottle, I might tremble just enough to accidentally squeeze it a centimeter away from the bottle.
I'm unsure how serious this is since it hasn't affected my daily life and occurs sporadically.
If I see a doctor, they might not be able to observe the twitching in real-time.
My boyfriend wants me to seek medical attention, and I would like to know your opinion, or if you have any idea what my condition might be?

Ai Jia, 30~39 year old female. Ask Date: 2017/04/02

Dr. Jiang Junyi reply Neurology


Hello: You mentioned that muscle spasms are rapid involuntary muscle contractions, resembling a jolt.
While in more severe cases, myoclonus can be a physical condition that affects a person's normal life, physiological myoclonus (such as hiccups, sleep myoclonus, and muscle twitches that occur during fatigue or stress) is also commonly seen in the daily lives of healthy individuals, generally without structural abnormalities.
Additionally, excessive caffeine intake or lack of sleep can lead to more frequent limb twitching.
I recommend discussing examination and treatment options with a neurologist.
Wishing you good health, peace, and joy.
Dr.
Tao, Neurology, cares about you.

Reply Date: 2017/04/02

More Info


Unexplained hand or foot tremors can be concerning, especially when they occur frequently and without an obvious cause. While it’s understandable that you might not feel these tremors are severe enough to warrant immediate medical attention, there are several factors to consider when deciding whether to seek medical advice.

Firstly, it’s important to recognize that tremors can arise from a variety of causes, ranging from benign to more serious conditions. Common benign causes include anxiety, fatigue, or even caffeine intake, which can lead to temporary tremors. However, if the tremors are persistent, increasing in frequency, or accompanied by other symptoms such as weakness, changes in coordination, or alterations in sensation, it may indicate an underlying neurological condition that requires further evaluation.

In your case, the tremors you describe—small, almost imperceptible movements that occur when you are relaxed—could be classified as benign essential tremors, which are often hereditary and can manifest in various parts of the body. However, it’s crucial to differentiate these from other types of tremors, such as those associated with Parkinson’s disease or other neurological disorders, which may present with more pronounced symptoms and additional signs.

Given that your boyfriend has noticed these tremors and expressed concern, it might be wise to consult a healthcare professional. A neurologist would be particularly suited for this evaluation, as they specialize in conditions affecting the nervous system. During your visit, you can discuss your symptoms in detail, and if possible, provide a video recording of the tremors occurring. This can help the physician understand the nature of your tremors better, even if they don’t occur during the appointment.

When you see a doctor, they may perform a physical examination and possibly recommend tests such as blood tests, imaging studies (like an MRI), or even an electromyography (EMG) to assess the electrical activity of your muscles. These tests can help rule out conditions such as thyroid dysfunction, which can cause tremors, or neurological conditions that may require treatment.

In the meantime, it may be helpful to keep a journal of your tremors, noting when they occur, their duration, and any potential triggers (like stress, fatigue, or caffeine consumption). This information can be invaluable for your healthcare provider in determining the cause and appropriate management of your symptoms.

In summary, while your tremors may not currently impact your daily life significantly, it is advisable to seek medical advice, especially given their frequency and your boyfriend's concerns. Early evaluation can lead to better understanding and management of your symptoms, ensuring that any potential underlying issues are addressed promptly. Remember, it’s always better to err on the side of caution when it comes to unexplained medical symptoms.

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