Muscle Tremors: Causes and Solutions for Neurological Concerns

Q: Muscle Tremors: Causes and Solutions for Neurological Concerns

Hello Mr. <br>Chen： Your symptoms may need to be considered as physiological tremors. <br>1. <br>Physiological tremors： These do not occur under normal circumstances but only in certain situations such as stress, anxiety, or anger. <br>Some medications, such as bronchodilators, a

Muscle twitching

Hello, I have noticed that my arms and thighs experience slight tremors when they are suspended, exerted, or extended at certain angles, similar to the shaking sensation when stretching.
Essentially, I can feel the tremors while exerting force and when my limbs are suspended, which persist until I relax.
The tremors are more pronounced immediately after stretching but improve after a few seconds.
I understand that muscles can shake when unsupported, but it seems that the tremors were not as noticeable in the past.
Additionally, when I bite my lip, the muscles in my neck tremble slightly, and when I partially blink with one eye, my cheek shakes.
My fingers also tremble at certain angles and positions.
Since I play the piano, the tremors in my fingers become more severe after activity or exertion but also improve afterward.
I would like to know if this is due to muscle tension or another issue, and if there are any methods to address it.
Thank you!

Mr. Chen, 20~29 year old female. Ask Date: 2021/07/23

Dr. Jiang Junyi reply Neurology

Hello Mr.
Chen: Your symptoms may need to be considered as physiological tremors.
1.
Physiological tremors: These do not occur under normal circumstances but only in certain situations such as stress, anxiety, or anger.
Some medications, such as bronchodilators, as well as the consumption of beverages like coffee, tea, or cola, can also lead to physiological tremors.
2.
Psychological tremors: These can occur intermittently without a fixed pattern, and treatment focuses on addressing the underlying mental health issues and stress management.
3.
Essential tremors: The exact cause of the tremors cannot be determined; they may be due to a specific constitution or hereditary factors.
Typically, tremors are more pronounced when holding objects, and some individuals may experience tremors while writing or performing specific actions.
I recommend consulting a neurologist for discussion and treatment, and it is important to rule out issues such as hypoglycemia or hyperthyroidism.
Thank you for your inquiry! Wishing you good health and peace.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital, cares about you.

Reply Date: 2021/07/23

More Info

Muscle tremors can be a concerning symptom, especially when they occur in various parts of the body, such as the arms, thighs, and even facial muscles. Your description of the tremors occurring during specific activities, such as holding your arms up or stretching, suggests that they may be related to muscle fatigue or tension rather than a more serious neurological condition.
Tremors can be classified into several types, including resting tremors, action tremors, and postural tremors. Based on your description, it seems like you are experiencing action tremors, which occur during voluntary movement. This type of tremor can be caused by several factors, including muscle fatigue, anxiety, or even the effects of prolonged muscle tension from activities like playing the piano.

1. Muscle Fatigue and Tension: When muscles are held in a contracted position for an extended period, they can become fatigued, leading to tremors. This is particularly common in musicians, who may experience tremors in their fingers or hands after prolonged practice. The act of playing the piano requires fine motor control, and if your muscles are not accustomed to such activity, they may respond with tremors as they tire.

2. Anxiety and Stress: Psychological factors can also contribute to muscle tremors. Anxiety can lead to increased muscle tension and hyperactivity of the nervous system, which may manifest as tremors. If you have been experiencing stress or anxiety, this could be a contributing factor to your symptoms.

3. Posture and Ergonomics: The way you position your body while playing the piano or engaging in other activities can also affect muscle tension. Poor posture can lead to muscle strain and discomfort, which may exacerbate tremors. Ensuring that you have an ergonomic setup while playing can help reduce unnecessary strain on your muscles.

4. Hydration and Nutrition: Dehydration and electrolyte imbalances can also lead to muscle tremors. Ensuring that you are well-hydrated and consuming a balanced diet rich in essential nutrients, including potassium and magnesium, can help support muscle function.

5. Rest and Recovery: Allowing your muscles adequate time to recover after intense activity is crucial. Incorporating rest days into your practice schedule and engaging in stretching exercises can help alleviate muscle tension and reduce the frequency of tremors.

6. Consultation with a Specialist: If the tremors persist or worsen, it may be beneficial to consult a neurologist or a physical therapist. They can conduct a thorough evaluation to rule out any underlying neurological conditions and provide tailored recommendations for managing your symptoms.

In summary, while muscle tremors can be alarming, they are often benign and related to factors such as muscle fatigue, anxiety, or poor posture. By addressing these contributing factors through proper ergonomics, stress management, hydration, and rest, you may find relief from your symptoms. If necessary, seeking professional guidance can further assist in understanding and managing your condition effectively.

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