Vibratory Sensations and Balance Issues: A Neurology Perspective

Head movement with a sensation of tremors in the legs?

Hello doctor, my symptoms are as follows: Since November of last year, I have felt tremors while sitting.
When I brush my teeth or wash my hair (sitting on a small stool facing down) or while doing dishes, I feel my calves vibrating as if my phone is vibrating.
A few days later, I experienced unsteady walking and severe tinnitus in one ear (a low-frequency engine sound).
I went to the hospital, and the doctor diagnosed me with vestibular neuritis.
I took medication for about two months, but when I returned to a small clinic, the doctor said that this symptom shouldn't take that long to resolve and that it might be a misdiagnosis, so I stopped taking the medication.
Now, a year later, the issue of feeling vibrations while brushing my teeth, washing my hair, or doing dishes still exists.
Initially, it happened daily, but now it occurs about every 2-3 days (mostly before sleep).
I no longer feel tremors while sitting or have tinnitus, but recently I have started to feel vibrations while sitting (not on the small stool or sofa).
In the past couple of days, I have also felt it while lying down, but the duration is still short.
After getting up for 2-3 hours, all symptoms disappear.
Doctor, what could these symptoms indicate? Which specialist should I visit? Additional information: I am 178 cm tall, weigh 85 kg, and my blood pressure is approximately 138/140/138.
I have a sedentary lifestyle and have had skin issues for 15 years.
My blood pressure readings are 106/95, 94/102, and 102/114.

Mr. Luo, 20~29 year old female. Ask Date: 2023/12/12

Dr. Peng Shiwei reply Neurology

It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary.
Thank you.

Reply Date: 2023/12/12

More Info

Your symptoms of experiencing vibratory sensations in your legs, along with balance issues and severe unilateral tinnitus, can be quite concerning. Based on your description, it seems you have been dealing with these sensations for quite some time, and they have not resolved despite previous medical consultations.
The sensation of your legs vibrating or feeling like they are shaking, especially when sitting or performing certain activities, can be indicative of several underlying issues. One possibility is that these sensations could be related to peripheral neuropathy, which is a condition that affects the peripheral nerves and can lead to abnormal sensations such as tingling, numbness, or vibrations. This can be caused by various factors, including diabetes, vitamin deficiencies, or even prolonged pressure on nerves due to poor posture or prolonged sitting.

Your history of vestibular issues, such as the diagnosis of vestibular neuritis (often referred to as vestibular neuronitis), suggests that there may have been an initial problem with your inner ear balance system. While vestibular neuritis typically causes symptoms like vertigo and imbalance, it can sometimes lead to lingering sensations even after the acute phase has resolved. However, if you are experiencing persistent symptoms like vibrations in your legs, it may warrant further investigation to rule out other conditions.

Given that your symptoms have persisted and evolved over the past year, it would be advisable to consult with a neurologist. A neurologist can perform a comprehensive evaluation, including a detailed medical history, neurological examination, and possibly imaging studies such as an MRI or CT scan to assess for any structural issues in the brain or spinal cord that could be contributing to your symptoms.
Additionally, it may be beneficial to evaluate your blood pressure readings and overall cardiovascular health, as fluctuations in blood pressure can sometimes lead to sensations of dizziness or imbalance. Your reported blood pressure readings appear to be on the higher side, which could also contribute to your symptoms.
In summary, I recommend that you seek an appointment with a neurologist to discuss your symptoms in detail. They can help determine whether your sensations are related to a neurological condition, vestibular dysfunction, or another underlying issue. It is essential to address these symptoms promptly, especially considering your history of balance issues and the potential for them to impact your daily life.
In the meantime, try to maintain a healthy lifestyle, including regular physical activity (as tolerated), a balanced diet, and proper hydration. These factors can significantly influence your overall well-being and may help alleviate some of your symptoms.

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