Involuntary movements of the upper body?
Hello doctor, I would like to ask if I need to get an examination.
Since elementary school, I have experienced sudden shaking in my upper body.
It occurs whether I am standing or sitting, and it happens suddenly and uncontrollably, with a strong shake that lasts only for a moment.
Before the shaking, I feel a tingling sensation in my upper body, followed by the shaking.
The most frequent occurrence is about twice a day, but there have been times when it hasn't happened for up to half a month.
It does not affect my daily life, so I have not sought medical attention.
Thank you for your response, doctor.
yu, 10~19 year old female. Ask Date: 2023/01/06
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to undergo a neurological examination to check for any underlying neurological disorders.
Reply Date: 2023/01/06
More Info
Uncontrollable upper body tremors can be concerning, especially when they have been present for a long time. Based on your description, it seems that you have been experiencing these tremors since elementary school, which suggests that this may be a chronic condition. However, the sudden onset of tremors accompanied by a sensation of numbness or tingling in the upper body warrants further evaluation.
Tremors can arise from various causes, including neurological disorders, metabolic issues, or even anxiety. Given that your symptoms include a preceding sensation of numbness followed by a strong tremor, it is essential to consider the possibility of neurological conditions such as essential tremor, Parkinson's disease, or even multiple sclerosis. While these conditions may not be the cause of your symptoms, they are worth investigating, especially if the tremors have changed in frequency or intensity over time.
Since you mentioned that these tremors do not significantly impact your daily life, it is understandable why you have not sought medical attention until now. However, it is crucial to recognize that any change in your symptoms, such as an increase in frequency or severity, or the emergence of new symptoms (like weakness, coordination issues, or changes in sensation), should prompt you to seek medical evaluation.
When considering whether to seek medical attention, here are some key factors to keep in mind:
1. Frequency and Duration: If the tremors become more frequent or last longer than before, it is advisable to consult a healthcare professional.
2. Associated Symptoms: The presence of other symptoms, such as weakness, changes in vision, difficulty speaking, or coordination problems, should prompt immediate medical evaluation.
3. Impact on Daily Life: Even if the tremors do not currently affect your daily activities, if they begin to interfere with your ability to perform tasks, it is time to seek help.
4. Family History: If there is a family history of neurological disorders, it may be beneficial to discuss your symptoms with a healthcare provider.
5. Psychological Factors: Anxiety and stress can exacerbate tremors. If you notice a correlation between your emotional state and the occurrence of tremors, it may be helpful to address these factors with a professional.
In summary, while your symptoms may not currently be debilitating, it is essential to monitor any changes and consider seeking a medical evaluation, particularly if you experience any new or worsening symptoms. A healthcare provider can perform a thorough assessment, which may include a neurological examination, blood tests, and possibly imaging studies, to determine the underlying cause of your tremors. Early intervention can be crucial in managing any potential underlying conditions effectively.
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