Involuntary Hand Tension: Causes and Health Implications - Neurology

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Involuntary hand clenching?


Due to involuntary muscle contractions in my hand, I only realize I've been exerting force when my hand becomes very sore.
Blood tests revealed a creatine phosphokinase (CPK-MM) level of 100.0 and copper level of 50.9.
I would like to ask: 1.
Is a CPK-MM level of 100.0 considered elevated? 2.
If a copper level of 50.9 is low and left untreated, what could happen? What could be the causes? Additionally, I recently found that my hemoglobin levels are lower than before and my cholesterol levels are higher than before.
Could this be related to copper levels? Thank you.

vivian, 20~29 year old female. Ask Date: 2017/07/03

Dr. Jiang Junyi reply Neurology


Hello, based on your description, a disease related to copper ions that should be considered is Wilson's disease, which causes abnormal copper metabolism leading to excessive copper deposition in the liver, brain, cornea, heart, and other areas.
Clinical manifestations include symptoms related to the liver, nervous system, psychiatric conditions, and hematological issues.
Typically, early onset patients primarily present with liver symptoms such as fatigue, abdominal pain, hepatomegaly, and jaundice, with blood tests showing mildly elevated or normal levels of AST (GOT) and ALT (GPT).
Neurological or psychiatric symptoms often manifest as movement disorders, including dysarthria, dysphagia, rigidity, drooling, muscle weakness in limbs, unsteady gait, or dystonia, as well as headaches.
During physical examination, a brown-green ring may be observed around the cornea, and renal issues may include the presence of kidney stones.
Endocrine abnormalities can include hypoglycemia, hypoparathyroidism, osteoporosis, and menopause.
Hematological findings may reveal hemolytic anemia.
Diagnostic tests for Wilson's disease include decreased ceruloplasmin, decreased serum copper, and a 24-hour urinary copper excretion exceeding 100 mg.
It is recommended that you consult with a neurologist, hepatologist, or ophthalmologist for further evaluation.
Wishing you good health and peace.
Dr.
Tao, concerned about you.

Reply Date: 2017/07/03

More Info


Involuntary hand tension can be a perplexing issue, often leading to discomfort and pain. Understanding the underlying causes and health implications is crucial for effective management and treatment. Let's break down your questions regarding creatine phosphokinase (CPK-MM) levels, copper levels, and their potential implications on your health.

1. CPK-MM Levels: A CPK-MM level of 100.0 U/L can be considered elevated, depending on the reference range used by the laboratory conducting the test. CPK-MM is an enzyme found primarily in skeletal muscle, and elevated levels can indicate muscle damage or stress. Common causes of elevated CPK levels include intense physical activity, muscle injury, or conditions such as rhabdomyolysis. If you are experiencing involuntary hand tension and associated pain, it may be worth discussing with your healthcare provider whether further investigation into muscle health or potential underlying conditions is warranted.

2. Copper Levels: A copper level of 50.9 µg/dL is generally considered low, as normal ranges typically fall between 70-140 µg/dL. Copper is an essential trace mineral that plays a vital role in various bodily functions, including iron metabolism, the formation of connective tissue, and the functioning of the nervous system. Low copper levels can lead to anemia, weakened immune function, and neurological issues. If left untreated, low copper levels may exacerbate existing health problems, including fatigue and muscle weakness, which could contribute to your involuntary hand tension.

3. Relationship Between Copper and Other Health Indicators: Your recent health check revealing lower hemoglobin levels and higher cholesterol levels could indeed be interconnected. Low copper levels can impair iron absorption, potentially leading to anemia, which may explain the lower hemoglobin levels. On the other hand, elevated cholesterol levels can be influenced by various factors, including diet, lifestyle, and metabolic health. While copper deficiency is not directly linked to high cholesterol, it is essential to maintain a balanced diet rich in essential nutrients to support overall health.

4. Potential Causes of Involuntary Hand Tension: Involuntary hand tension can stem from various factors, including muscle fatigue, repetitive strain injuries, stress, or neurological conditions. If you find yourself unconsciously tensing your hands, it may be beneficial to explore stress management techniques, ergonomic adjustments in your daily activities, and regular breaks during tasks that require prolonged hand use. Additionally, physical therapy may help in addressing muscle imbalances and improving overall hand function.

5. Recommendations: Given your symptoms and lab results, it would be prudent to consult with a healthcare professional. They can provide a comprehensive evaluation, including a detailed history and physical examination, to determine the underlying causes of your symptoms. They may also recommend dietary adjustments or supplementation to address low copper levels and further investigate the reasons behind your elevated CPK levels.
In conclusion, involuntary hand tension can be a multifaceted issue influenced by various physiological factors. Monitoring your symptoms, maintaining open communication with your healthcare provider, and making lifestyle adjustments can significantly improve your quality of life and overall health.

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