Uncoordinated Walking and Dizziness: Neurological Symptoms - Neurology

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Feeling uncoordinated and dizzy when starting to walk?


Hello Doctor,
I previously asked you whether I consider myself to have autonomic nervous system dysfunction.
During this follow-up period, I have been running or brisk walking for an average of one hour a day or two, and getting sunlight while taking B vitamins to improve my symptoms.
I have been tracking my daily steps with a mobile app, averaging around 15,000 steps.
I try not to dwell on my symptoms, but I still notice them appearing, and I feel like I can't control my thoughts about them.
Recently, I have started to experience uncoordinated movements in my hands and feet, along with soreness and weakness.
Using thicker chopsticks feels awkward, and I have a vague sensation of weakness and very slight tremors when typing on the keyboard.
I also frequently swallow, have a dry throat, and experience a racing heart upon waking up.
Today, to change my mood, I went singing with friends, but afterward, I noticed that I was unsteady while walking, feeling uncoordinated and dizzy, as if I might fall at any moment.
However, standing still or walking briskly seems to alleviate these sensations, though I'm unsure if this is real or just an illusion.
I had a brief chat with a friend studying military medicine about my current condition, and I wish I could get an MRI or similar examination right away.
I also feel that my running ability has gradually declined, and I experience a sense of weakness and instability.

In my family, there is no history of neurological diseases among my parents, so I wonder why I am experiencing this misfortune.
Recently, I have started to believe that I do not have autonomic nervous system dysfunction, as I do not have symptoms like frequent urination, headaches, or gastrointestinal issues that some patients exhibit.
I am genuinely concerned about potential neurological disorders or rare neurological diseases.
I feel mentally exhausted and do not know what to do with the endless cycle of doctor visits and waiting.

Shanwei, 20~29 year old female. Ask Date: 2020/07/12

Dr. Jiang Junyi reply Neurology


Hello, based on your description of limb weakness and pain, the causes could include not only muscle and nerve issues but also some metabolic disorders such as thyroid dysfunction and sleep disorders, among others.
MRI is primarily used to rule out structural problems in the brain and spinal cord.
If your symptoms of incoordination exhibit significant cerebellar signs, it is advisable to remain with the same hospital and consult different specialists who can examine and treat you from various perspectives.
If you wish to seek a second opinion, please ensure to obtain a complete copy of your previous medical records to provide to the next expert for reference.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Medical Center cares about you.

Reply Date: 2020/07/12

More Info


Uncoordinated walking and dizziness can be concerning symptoms that may indicate underlying neurological issues. Based on your description, it seems that you are experiencing a range of symptoms, including uncoordinated movements, muscle weakness, slight tremors, and dizziness, which can significantly impact your daily life and overall well-being.

Firstly, it’s important to understand that uncoordinated walking, or ataxia, can result from various neurological conditions. These may include issues with the cerebellum, which is the part of the brain responsible for coordination and balance. Conditions such as multiple sclerosis, Parkinson’s disease, or even peripheral neuropathy can lead to similar symptoms. Additionally, vitamin deficiencies, particularly B vitamins, can also contribute to neurological symptoms, so it’s good that you are taking B vitamins to support your health.

The sensation of dizziness and feeling unsteady while walking could also be linked to vestibular dysfunction, which affects balance and spatial orientation. This can be exacerbated by anxiety or stress, which may cause you to feel more aware of your symptoms, creating a cycle of worry that can amplify your experience of dizziness and unsteadiness.

Your mention of feeling weak when using utensils or typing suggests that fine motor skills are affected. This could be related to neurological conditions that impact motor control, such as essential tremor or even early signs of a condition like Parkinson’s disease. The slight tremors you experience while performing tasks may indicate that your nervous system is struggling to maintain smooth and coordinated movements.

The symptoms of dry throat and increased salivation can sometimes be linked to anxiety or stress responses, but they can also indicate other underlying issues. It’s essential to consider that these symptoms may not be isolated but part of a broader neurological condition that requires thorough investigation.

Given your family history and the absence of known neurological diseases in your parents, it’s understandable to feel frustrated and concerned about your symptoms. However, it’s crucial to approach this systematically. Consulting with a neurologist is a vital step. They may recommend imaging studies such as an MRI to rule out structural abnormalities in the brain or spinal cord. Additionally, they may conduct a series of neurological tests to assess your reflexes, coordination, and sensory functions.

While waiting for appointments and tests can be stressful, maintaining a healthy lifestyle can help manage some symptoms. Regular physical activity, as you are doing with walking, can improve overall strength and coordination. Mindfulness practices, such as meditation or yoga, may also help reduce anxiety and improve your mental well-being.

In conclusion, while your symptoms are concerning, they can stem from various causes, and a thorough evaluation by a healthcare professional is essential. Keep track of your symptoms, including when they occur and any potential triggers, as this information can be invaluable for your healthcare provider. Remember, you are not alone in this journey, and seeking help is the best step you can take towards understanding and managing your symptoms.

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