Unusual Sensations: What Your Body Might Be Telling You - Family Medicine

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Strange sensations in the body?


Hello, Doctor.
Since March 12 of this year, I have been experiencing some strange sensations: 1.
I feel as if my ankle or arm is being grabbed, or that someone is pressing down heavily on the top of my head.
There was also an instance where I felt a heavy pressure near my neck on the right shoulder, and after that pressure disappeared, I developed a stiff neck.
2.
I sometimes feel something moving on my body, like a snake or some elongated object crawling on my head or moving back and forth on my limbs and ribs.
3.
Occasionally, while focusing on other tasks, I suddenly feel goosebumps? I can't quite describe this sensation, but my attention is immediately drawn to that area.
This feeling usually does not exceed the size of a fist.
4.
I experience intermittent hot and cold sensations.
Typically, I feel hot before bed, sometimes accompanied by a headache.
At other times, it varies and is not consistent.
5.
There was one instance where I felt as if I was being pricked by a needle? It occurred in about two or three different locations on my upper body, and I only remember one being on my arm.
It wasn't very painful, but I felt a warmth about the size of a coin.
All of these sensations occur while I am awake.
They happen more often when I am lying in bed or sitting in a chair, but sometimes they also occur while I am walking.
Most of the sensations that occur while I am still tend to disappear after I move or brush my hand over the area a couple of times.
Although these strange perceptions do not significantly affect my daily life, I would still like to know what is happening and how to address it.
Thank you, Doctor.

unknown, 10~19 year old female. Ask Date: 2022/04/07

Dr. Lin Zhebin reply Family Medicine


Hello: Based on your description, from a Western medical perspective, we would likely start by addressing the abnormal sensations and consider the following conditions: 1.
Endocrine disorders (such as diabetes or thyroid issues), which may sometimes be accompanied by menstrual irregularities.
2.
Spinal disorders, particularly cervical spine issues, which often present with numbness and tingling sensations, sometimes exacerbated by neck movements.
3.
Autoimmune diseases, such as lupus erythematosus.
4.
Micronutrient deficiencies (such as vitamin B12 or folate), particularly if the individual is a vegetarian or has a restricted diet.
5.
Medications, specifically if any new medications have been recently started.
6.
Psychosomatic disorders.
If you are concerned about any of these conditions, it is advisable to visit a hospital for evaluation.
If you are unsure which department to consult, family medicine is a good option.

Reply Date: 2022/04/07

More Info


Understanding unusual bodily sensations can be quite perplexing, and your description of various symptoms raises several important considerations. It’s essential to approach this matter with a comprehensive understanding of potential underlying causes, as well as appropriate management strategies.

Firstly, the sensations you describe, such as feeling as though your limbs are being grabbed or experiencing pressure on your head and shoulders, could be indicative of a neurological issue. Conditions such as peripheral neuropathy, which can result from diabetes or vitamin deficiencies (like Vitamin B12 or folate), may lead to abnormal sensations in the limbs. Additionally, cervical spine issues, such as herniated discs or cervical spondylosis, could cause referred sensations or pressure-like feelings in the arms and shoulders.

The sensation of something moving on or under your skin, often described as "formication," can also be associated with several conditions. This includes anxiety disorders, where heightened sensitivity to bodily sensations can lead to misinterpretation of normal physiological processes. It can also occur in conditions like fibromyalgia, where patients experience widespread pain and unusual sensory perceptions.

The sudden onset of goosebumps or localized sensations that draw your attention could be linked to heightened anxiety or stress responses. These sensations may be your body’s way of signaling that something is off, potentially related to emotional or psychological factors. It’s worth noting that stress and anxiety can manifest physically, leading to a variety of somatic symptoms.

The episodes of feeling hot or cold, particularly at night, accompanied by headaches, could suggest a dysregulation of your autonomic nervous system. This could be related to sleep disturbances, hormonal fluctuations, or even anxiety. It’s also important to consider whether these sensations correlate with any changes in your lifestyle, diet, or medication, as these factors can significantly impact your overall well-being.

The sensation of being pricked by a needle, along with localized warmth, may indicate a transient nerve irritation or even a mild inflammatory process. If these sensations are fleeting and resolve with movement, they might not be indicative of a serious condition but could warrant further investigation if they persist or worsen.

Given the complexity of your symptoms, it is advisable to seek a thorough evaluation from a healthcare professional. A family medicine physician or a neurologist would be well-suited to conduct a comprehensive assessment, which may include a physical examination, blood tests to check for vitamin deficiencies or endocrine disorders, and possibly imaging studies to evaluate your cervical spine and rule out any structural issues.

In the meantime, consider keeping a symptom diary to track when these sensations occur, their duration, and any potential triggers. This information can be invaluable for your healthcare provider in diagnosing and managing your condition.

Lastly, while it’s understandable to feel concerned about these unusual sensations, many cases can be managed effectively with appropriate medical intervention and lifestyle adjustments. Engaging in stress-reduction techniques, such as mindfulness or relaxation exercises, may also help alleviate some of the anxiety associated with these sensations.

In summary, your experiences warrant a careful evaluation to determine the underlying cause and appropriate treatment. Don’t hesitate to reach out to a healthcare provider to discuss your symptoms in detail and explore potential management options.

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