Should You Worry About Your Leg Shaking? Insights from Neurology - Neurology

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About leg shaking?


Hello, doctor.
I am the person who has been asking about ALS-related concerns for the past six months.
I’m not sure if I’m just being overly anxious about my health again.
I often shake my left leg as a long-term habit (when I sit at my computer desk, I tend to lift my right leg onto the chair and shake my left leg while sitting sideways).
Today, I noticed that my left leg seems to be more agile than my right leg.
Should I be worried about this? I have tested my strength myself, and it seems fine.

Biyezheng, 20~29 year old female. Ask Date: 2021/09/13

Dr. Jiang Junyi reply Neurology


Hello, sir: You can compare the strength of your left and right legs by using more strenuous activities such as climbing stairs.
Typically, in the clinic, we ask patients to sit down and stand up from a chair without armrests to assess their strength.
Thank you for your question, and feel free to discuss any related issues further! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Hospital, cares about you.

Reply Date: 2021/09/13

More Info


When it comes to leg shaking, especially if it has become a habitual action, there are several factors to consider from a neurological perspective. First and foremost, it’s essential to differentiate between benign habits and potential neurological issues.
Leg shaking can often be a result of anxiety or nervous energy, which many people experience in various situations, particularly when sitting for extended periods. This behavior is sometimes referred to as "restless leg syndrome" (RLS), which is characterized by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. However, if you are not experiencing discomfort or an overwhelming urge to move, it may simply be a habit or a way to relieve tension.

You mentioned that you have a habit of shaking your left leg while sitting at your computer desk, and that you’ve noticed it seems more agile than your right leg. This could be due to several reasons:
1. Muscle Conditioning: If you frequently use your left leg in this manner, it may have developed more muscle tone or responsiveness compared to your right leg. This is not uncommon, especially if you tend to favor one side of your body in certain activities.

2. Nervous System Activity: The nervous system controls muscle movements, and sometimes, habitual movements can lead to increased neural activity in the muscles involved. This could explain why your left leg appears to be more "active" or responsive.

3. Psychological Factors: Anxiety and stress can manifest physically in various ways, including leg shaking. If you find yourself feeling anxious or restless, this could contribute to the shaking.
4. Neurological Concerns: While it’s less likely, persistent shaking or tremors can sometimes indicate underlying neurological conditions, such as Parkinson's disease or essential tremor. However, these conditions typically present with additional symptoms, such as resting tremors, stiffness, or balance issues.

Given that you have tested your strength and found no issues, this is a positive sign. However, if you notice any accompanying symptoms such as weakness, changes in sensation, or if the shaking becomes more pronounced or bothersome, it would be wise to consult a neurologist. They can perform a thorough evaluation, which may include a physical examination and possibly imaging studies or nerve conduction tests, to rule out any underlying conditions.

In summary, while leg shaking can be concerning, especially if it is a new symptom or if it changes in nature, it is often benign and related to habits or psychological factors. Monitoring your symptoms and maintaining open communication with your healthcare provider is essential. If you feel that your leg shaking is affecting your daily life or causing you distress, seeking professional advice is always a prudent step.

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