Persistent Vibration Sensation: Possible ENT Issues

Long-term vibration sensation?

Hello doctor, my symptoms are as follows: Since November of last year, I have felt a sensation of shaking while sitting.
When I brush my teeth or wash my hair (sitting on a small stool facing down) or 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 last that long with medication and that it might be a misdiagnosis, so I stopped taking the medication.
Now, a year later, the issue of feeling vibrations in my legs while brushing my teeth, washing my hair, or doing dishes still exists.
Initially, it happened every day, but now it occurs about every 2-3 days (mostly before sleep).
I no longer feel shaking while sitting or tinnitus.
In the past few months, sometimes when I turn my head, I would suddenly feel dizzy for a second, but recently that has not happened.
Lately, I have also started to feel vibrations in my legs while sitting, and in the last couple of days, I have felt it while lying down, but the duration is still short.
After getting up, for 2-3 hours, I do not experience any symptoms.
Doctor, what could these symptoms indicate? Additional information: I am 178 cm tall and weigh 85 kg.
My blood pressure readings are approximately 138/140/138.
I have a sedentary lifestyle and have had skin issues for 15 years without exercising.
My blood pressure readings are 106/95, 94/102, and 102/114.

Mr. Luo, 20~29 year old female. Ask Date: 2023/12/13

Dr. Zheng Jueyi reply Otolaryngology

Hello, if there is no improvement, it is recommended to undergo a detailed examination and evaluation by a neurologist.

Reply Date: 2023/12/13

More Info

Based on your description of persistent vibration sensations, it appears that you have been experiencing a range of symptoms that could be linked to various underlying issues. The sensations of vibration in your legs, the feeling of instability while walking, and the severe tinnitus (ear ringing) you mentioned are significant and warrant further exploration.

Your initial diagnosis of vestibular neuritis (inflammation of the vestibular nerve) could explain some of your symptoms, particularly the balance issues and dizziness. However, the persistence of your symptoms, especially the vibration sensations, suggests that there may be additional factors at play. It's important to consider that vestibular disorders can sometimes overlap with other conditions, and a comprehensive evaluation is necessary to rule out other potential causes.

1. Neurological Considerations: The sensation of vibration in your legs could be related to neurological issues. Conditions such as peripheral neuropathy, which can be caused by diabetes, vitamin deficiencies, or other systemic diseases, may lead to abnormal sensations in the limbs. A thorough neurological examination, including nerve conduction studies, may be beneficial to assess the integrity of your peripheral nerves.

2. Circulatory Issues: Given your description of symptoms that improve after being upright for a while, it may also be worthwhile to evaluate your circulatory system. Conditions such as orthostatic hypotension (a drop in blood pressure when standing) can cause dizziness and instability. Additionally, venous insufficiency or other vascular issues could contribute to the sensations you're experiencing.

3. Musculoskeletal Factors: As a "久坐族" (sedentary individual), prolonged sitting can lead to muscle imbalances and tension, particularly in the lower back and legs. This can sometimes manifest as unusual sensations or discomfort in the legs. Engaging in regular physical activity and stretching may help alleviate some of these symptoms.

4. Psychological Factors: Anxiety and stress can also manifest physically, leading to sensations such as vibrations or tingling. If you find that your symptoms are exacerbated during stressful periods, it may be beneficial to explore stress management techniques or speak with a mental health professional.

5. ENT Evaluation: Since you have experienced significant ear-related symptoms, a thorough evaluation by an Ear, Nose, and Throat (ENT) specialist is recommended. They can assess for any underlying conditions affecting your inner ear, which may contribute to your symptoms.

6. Lifestyle Modifications: Given your sedentary lifestyle, incorporating regular physical activity, maintaining a balanced diet, and ensuring adequate hydration can have a positive impact on your overall health. Additionally, addressing any skin issues you mentioned may also contribute to your overall well-being.

In summary, while your symptoms may initially suggest vestibular neuritis, the persistence and nature of your sensations warrant a more comprehensive evaluation. A multidisciplinary approach involving a neurologist, ENT specialist, and possibly a physical therapist may provide you with a clearer understanding of your condition and appropriate management strategies. It’s crucial to communicate openly with your healthcare providers about your symptoms and any changes you observe, as this will aid in reaching an accurate diagnosis and effective treatment plan.

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