Unconscious Arm Raising During Sleep: Should You See a Neurologist or Orthopedist? - Neurosurgery

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Based on your description of experiencing unconscious arm raising during sleep, along with associated discomfort and sleep disturbances, it is advisable to consult a neurologist. While both orthopedic and neurological issues can contribute to your symptoms, a neurologist is better equipped to evaluate potential neurological causes, such as nerve compression or sleep disorders.

Your symptoms suggest that you may be experiencing a form of sleep-related movement disorder or a neurological condition affecting your motor control during sleep. The fact that you are raising your arms unconsciously and experiencing discomfort upon waking could indicate that your body is not properly regulating muscle activity during sleep. This could be related to conditions such as sleep paralysis, REM sleep behavior disorder, or even restless leg syndrome, which can manifest as involuntary movements during sleep.

Additionally, the discomfort in your neck and shoulders may be indicative of muscle strain or nerve irritation, which could be exacerbated by your sleeping position. If your arms are raised above your head or placed under your head, this could lead to compression of nerves, particularly the brachial plexus or cervical nerves, resulting in pain or numbness upon waking. This is often referred to as "positional neuropathy," where the position of the limbs during sleep leads to temporary nerve compression.

A neurologist can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly imaging studies such as an MRI or CT scan to assess for any structural issues in the cervical spine. They may also recommend a sleep study (polysomnography) to monitor your sleep patterns and movements, which can provide valuable insights into your condition.

If the neurologist rules out any significant neurological issues, they may refer you to an orthopedist for further evaluation of musculoskeletal concerns. An orthopedist can assess your neck and shoulder alignment, muscle strength, and range of motion to determine if there are any underlying orthopedic problems contributing to your symptoms.

In the meantime, consider making some adjustments to your sleep environment and habits. Ensure that your pillow provides adequate support for your neck and that your mattress is conducive to proper spinal alignment. Experimenting with different sleeping positions may also help alleviate discomfort. Additionally, practicing relaxation techniques before bed, such as gentle stretching or mindfulness exercises, may improve your overall sleep quality and reduce the likelihood of involuntary movements during the night.

In summary, given the complexity of your symptoms, starting with a consultation with a neurologist is the best course of action. They can help identify any underlying neurological issues and guide you toward appropriate treatment, whether that involves further neurological evaluation, physical therapy, or orthopedic consultation. Taking proactive steps to address your symptoms can lead to improved sleep quality and overall well-being.