Is It Normal to Experience Hand Tremors After Waking Up? - Neurology

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I would like to ask if this is normal?


When I just wake up in the morning and lie in bed, I can move my hands without any issues, but when I try to bend them, they shake.
However, once I actually get out of bed, this problem disappears.
Now, I have developed a habit of lingering in bed after waking up, feeling a lack of motivation.
Throughout the day, I also get tired easily compared to before; I used to sleep around 6 hours, but now I find myself sleeping much longer.

Niming, 20~29 year old female. Ask Date: 2021/10/22

Dr. Cai Zongzhang reply Neurology


Hello: It is recommended to visit the neurology outpatient clinic for an examination.

Reply Date: 2021/10/22

More Info


Experiencing hand tremors upon waking can be concerning, but it is not uncommon. There are several factors that could contribute to this phenomenon, and understanding them can help alleviate your worries.

Firstly, it's important to recognize that tremors can occur for a variety of reasons, including physiological and psychological factors. When you wake up, your body is transitioning from a state of rest to activity. During sleep, your muscles are relaxed, and your nervous system is less active. Upon waking, your body may take a moment to adjust, which can lead to temporary muscle tremors or shakiness, especially if you are trying to move your hands or fingers right away.

Another potential cause of hand tremors in the morning could be related to sleep quality. If you are experiencing poor sleep or have been sleeping longer than usual, it may indicate that your body is not getting the restorative sleep it needs. Factors such as stress, anxiety, or even changes in your sleep environment can affect sleep quality. When you wake up feeling tired or unrefreshed, your body may respond with tremors as it struggles to regain its normal function.

Additionally, if you have been feeling less motivated and more fatigued throughout the day, it could suggest an underlying issue such as sleep apnea, depression, or even nutritional deficiencies. For instance, low levels of certain vitamins and minerals, such as magnesium or vitamin B12, can lead to muscle weakness and tremors. It may be beneficial to evaluate your diet and consider whether you are getting adequate nutrition.

Moreover, if you have been experiencing increased stress or anxiety, this can also manifest physically through tremors. The body's stress response can lead to muscle tension and involuntary movements. Practicing relaxation techniques, such as deep breathing, meditation, or gentle stretching, may help reduce these symptoms.

If the tremors persist or worsen, or if you notice other concerning symptoms such as weakness, numbness, or coordination problems, it would be wise to consult a healthcare professional. They can perform a thorough evaluation, including a neurological examination, to rule out any serious underlying conditions such as essential tremor, Parkinson's disease, or other neurological disorders.

In summary, while experiencing hand tremors upon waking can be normal, especially if you are adjusting from sleep to wakefulness, it is essential to pay attention to your overall health and well-being. Improving sleep quality, managing stress, and ensuring proper nutrition can significantly impact your symptoms. If you have ongoing concerns, seeking medical advice is always a prudent step to ensure your health is on the right track.

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