Sleep Jerks: When to Seek Medical Advice for Your Partner - Neurology

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Sleep myoclonus


My boyfriend often shakes his legs/body/hands while sleeping at night.
It's not just a quick jolt like being startled; the shaking frequency is quite high (about 7-8 times within 5 minutes), and I can feel the movements even while lying next to him! He snores every night, but he never feels well-rested and is always tired.
Should we consider going to the hospital for an examination, or is it something that could be attributed to stress as suggested online?

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

Dr. Cai Zongzhang reply Neurology


Hello: Based on the symptoms mentioned, there is a possibility of having sleep apnea.
It is recommended to visit our sleep center for an evaluation.

Reply Date: 2020/07/12

More Info


Sleep jerks, also known as myoclonic jerks, can be concerning, especially when they occur frequently during sleep. These involuntary muscle contractions can happen in various forms, such as twitching of the limbs or even more generalized body movements. In your boyfriend's case, the high frequency of these jerks, combined with his excessive snoring and feelings of fatigue, suggests that it may be more than just a benign phenomenon.

Firstly, it’s essential to understand that sleep disturbances can stem from various underlying issues. Conditions such as sleep apnea, restless leg syndrome, or even stress and anxiety can contribute to these symptoms. Sleep apnea, in particular, is characterized by repeated interruptions in breathing during sleep, which can lead to poor sleep quality, excessive daytime sleepiness, and even jerking movements as the body struggles to regain normal breathing patterns. The fact that your boyfriend snores heavily could be a significant indicator of sleep apnea, which is often associated with other health risks, including cardiovascular problems.

Given the symptoms you described—frequent jerking movements, snoring, and persistent fatigue—it would be advisable for your boyfriend to seek medical evaluation. A healthcare provider can conduct a thorough assessment, which may include a sleep study (polysomnography) to monitor his sleep patterns, breathing, and movements during the night. This study can help determine if he has sleep apnea or other sleep disorders that may require treatment.

In addition to seeking medical advice, there are several lifestyle changes and home remedies that may help improve sleep quality and reduce the frequency of sleep jerks:
1. Sleep Hygiene: Encourage your boyfriend to establish a regular sleep schedule by going to bed and waking up at the same time every day. Creating a relaxing bedtime routine can also help signal to the body that it’s time to wind down.

2. Stress Management: Since stress can exacerbate sleep disturbances, incorporating relaxation techniques such as deep breathing exercises, meditation, or yoga may help reduce anxiety and improve sleep quality.

3. Limit Stimulants: Reducing or eliminating caffeine and nicotine, especially in the hours leading up to bedtime, can help promote better sleep.

4. Create a Comfortable Sleep Environment: Ensure that the bedroom is conducive to sleep—dark, quiet, and cool. Consider using blackout curtains, earplugs, or white noise machines if necessary.

5. Physical Activity: Regular physical activity can help improve sleep quality. However, it’s best to avoid vigorous exercise close to bedtime.

6. Dietary Considerations: Eating a balanced diet and avoiding heavy meals before bedtime can also contribute to better sleep.

7. Limit Alcohol Consumption: While alcohol may initially make someone feel sleepy, it can disrupt sleep patterns and lead to poorer sleep quality.

While these strategies may provide some relief, they should not replace professional medical advice. If your boyfriend's symptoms persist or worsen, it’s crucial to consult a healthcare professional. Early intervention can lead to better outcomes and help address any underlying conditions that may be affecting his sleep and overall health.

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