It feels like my brain is shaking?
Hello Doctor, recently I have been feeling like my head is swaying almost all day long.
It feels as if someone is tightly wrapping my head with a string and pulling it back and forth, side to side.
It’s very tense, and I constantly feel like my head is moving on its own.
This sensation is basically present all the time, but it’s less noticeable when I’m active; it becomes very pronounced when I’m still.
However, it doesn’t affect my daily life, though it does make me feel quite irritated and anxious.
Sometimes I experience headaches, but they are not very severe.
The main sensation is that my entire head feels very tight and heavy, as if my head is contracting.
The area affected is roughly below the crown of my head, behind my nose and eyes, and above my neck.
I feel like the center of gravity in my head is swaying, but in reality, I do not lose my balance.
This situation started about 1 to 2 weeks after I was diagnosed in early February this year.
I have seen an ophthalmologist who said there is no nystagmus, and an ENT specialist who also found nothing abnormal.
I underwent extensive blood tests in immunology, and everything came back normal.
Finally, a neurologist said there were no neurological abnormalities, and an EEG showed normal results.
I asked the doctor if I needed an MRI, but they said it wasn’t necessary and advised me to exercise more, eat B vitamins, and maintain a regular routine.
I spent March undergoing various tests at the hospital and waiting for reports, but everything came back normal.
Later, in May and June, I felt like it had improved somewhat and wasn’t as noticeable (I’m not sure if it actually improved, as I didn’t specifically focus on the symptoms), but recently I’ve started feeling the same heavy and tight sensation in my head all day long again, and I don’t know what to do.
I am really very anxious.
I have been Googling every day, but I rarely find information about these symptoms and I don’t know what kind of specialist to consult… I am very worried that this symptom will never go away…
HSN, 20~29 year old female. Ask Date: 2023/08/09
Dr. Cai Zongzhang reply Neurology
Hello HSN: The symptoms mentioned above are suspected to be caused by vestibular nerve dysfunction leading to balance disorders.
It is recommended to continue follow-up treatment at the neurology outpatient clinic.
An MRI scan should only be considered if there is no improvement after multiple treatments.
Reply Date: 2023/08/09
More Info
It sounds like you're experiencing a complex set of symptoms that are causing you significant distress. The sensations of tightness and the feeling of your head being pulled or moving, especially when you're still, can be quite unsettling. Given that you've already consulted various specialists, including ophthalmologists, ENT doctors, and neurologists, and have undergone numerous tests without any significant findings, it’s understandable that you might feel frustrated and anxious about your condition.
From a medical perspective, your symptoms could be related to several factors, including tension-type headaches, anxiety, or even a form of somatic symptom disorder. Tension-type headaches are often characterized by a feeling of tightness or pressure around the head, and they can be exacerbated by stress, anxiety, and muscle tension in the neck and shoulders. The fact that your symptoms seem to improve with activity suggests that they may be related to muscle tension or stress rather than a neurological issue.
Anxiety can also manifest physically, leading to sensations that may feel like your head is moving or heavy. When we are anxious, our bodies can become tense, and this tension can lead to discomfort and unusual sensations. It's important to address both the physical and psychological aspects of your symptoms. Here are some strategies that may help:
1. Relaxation Techniques: Incorporating relaxation techniques such as deep breathing exercises, progressive muscle relaxation, or mindfulness meditation can help reduce anxiety and muscle tension. These practices can promote a sense of calm and may alleviate some of the tightness you're feeling.
2. Physical Activity: Regular physical activity can help reduce tension and improve overall well-being. Activities like yoga or tai chi can be particularly beneficial, as they combine movement with mindfulness and relaxation.
3. Posture and Ergonomics: Pay attention to your posture, especially if you spend long hours sitting or working at a computer. Poor posture can contribute to muscle tension in the neck and shoulders, which may exacerbate your symptoms. Consider ergonomic adjustments to your workspace.
4. Cognitive Behavioral Therapy (CBT): If anxiety is a significant component of your symptoms, talking to a mental health professional about cognitive behavioral therapy may be beneficial. CBT can help you develop coping strategies and change negative thought patterns that contribute to anxiety.
5. Consultation with a Specialist: If your symptoms persist, consider seeking a second opinion from a neurologist or a headache specialist. They may have additional insights or treatment options that could be helpful.
6. Lifestyle Modifications: Ensure you are getting adequate sleep, maintaining a balanced diet, and staying hydrated. These factors can significantly impact your overall health and well-being.
7. Avoiding Triggers: If you notice that certain activities or situations exacerbate your symptoms, try to identify and avoid these triggers when possible.
It's understandable to feel anxious about the possibility of your symptoms being chronic, but it's important to remember that many people experience similar sensations, and they can often be managed effectively with the right approach. Keep communicating with your healthcare providers about your concerns, and don't hesitate to seek further evaluation if you feel it's necessary. Your well-being is paramount, and finding the right support can make a significant difference in managing your symptoms.
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