Body Tremors: Possible Causes and Connections to Scoliosis

Body tremors

Hello Doctor: For the past six months, I have been experiencing a pulsating sensation on the upper right side of my body.
I can also feel it when I touch the area.
Sometimes it feels not just like a pulsation but also like rolling or shifting.
The affected areas include the side of my breast, armpit, axillary breast tissue, shoulder blade, and multiple ribs.
I would like to ask what possible causes this could be? (I have a 26-degree scoliosis with a right curve; I wonder if this is related.)

35, 10~19 year old female. Ask Date: 2021/02/06

Dr. Zhang Junwei reply Neurosurgery

First, take some B-complex vitamins and observe for 2-3 weeks.
If there is no improvement, it is recommended to consult a neurologist.

Reply Date: 2021/02/06

More Info

Hello! Thank you for sharing your symptoms and concerns. Based on your description of experiencing a sensation of tremors or movements in the right upper body, particularly around the breast, armpit, shoulder blade, and ribs, there are several potential causes to consider, especially in relation to your known scoliosis.

Possible Causes of Your Symptoms
1. Muscle Spasms or Fasciculations: The sensations you describe could be due to muscle spasms or fasciculations. These involuntary contractions can occur in response to muscle fatigue, stress, or irritation of the nerves that innervate those muscles. Given your history of scoliosis, the uneven distribution of muscle tension and strain on your body could lead to these spasms.

2. Nerve Compression or Irritation: Scoliosis can lead to changes in the alignment of the spine, which may cause compression or irritation of the spinal nerves. This can result in abnormal sensations, including twitching or rolling feelings in the muscles supplied by those nerves. If the curvature of your spine is affecting the thoracic or cervical regions, it could explain the sensations in your upper body.

3. Myofascial Pain Syndrome: This condition is characterized by the presence of trigger points in the muscles, which can lead to referred pain and abnormal sensations. The stress and strain from scoliosis may contribute to the development of myofascial pain, resulting in the sensations you are experiencing.

4. Anxiety and Stress: Psychological factors can also play a significant role in physical symptoms. Anxiety can manifest as muscle tension and twitching, particularly in individuals who may be more attuned to bodily sensations. If you have been experiencing stress or anxiety, it could exacerbate the physical symptoms you are feeling.

5. Underlying Neurological Conditions: While less common, certain neurological conditions can cause abnormal sensations or movements. Conditions such as multiple sclerosis or peripheral neuropathy could lead to similar symptoms. However, these are typically accompanied by other neurological signs.

Connection to Scoliosis
Your scoliosis, particularly with a 26-degree curvature, could indeed be related to the symptoms you are experiencing. The uneven distribution of forces on your spine and surrounding musculature can lead to muscle imbalances, which may contribute to spasms or abnormal sensations. Additionally, the curvature may affect the way your body compensates during movement, potentially leading to increased tension in certain muscle groups.

Recommendations
1. Consult a Specialist: It would be beneficial to consult with a neurologist or an orthopedic specialist who has experience with scoliosis. They can perform a thorough examination and may recommend imaging studies (like an MRI) to assess for any nerve compression or other underlying issues.

2. Physical Therapy: Engaging in physical therapy may help address muscle imbalances and improve your posture. A physical therapist can provide exercises tailored to your specific needs, focusing on strengthening weak muscles and stretching tight ones.

3. Stress Management Techniques: If anxiety or stress is a contributing factor, consider incorporating relaxation techniques such as yoga, meditation, or deep-breathing exercises into your routine.

4. Monitor Symptoms: Keep a detailed record of your symptoms, noting when they occur, their intensity, and any associated factors (like stress levels or physical activity). This information can be valuable for your healthcare provider in determining the underlying cause.

5. Lifestyle Adjustments: Ensure you maintain a healthy lifestyle, including regular exercise, a balanced diet, and adequate hydration. These factors can influence muscle health and overall well-being.

In conclusion, while your symptoms may be related to your scoliosis, it is essential to explore all potential causes with a healthcare professional. By addressing both the physical and psychological aspects of your symptoms, you can work towards finding relief and improving your quality of life. Please do not hesitate to reach out for further assistance or clarification on any of these points. Wishing you the best in your journey towards better health!

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