Muscle Twitches: A Guide to Stress and Neurological Issues - Psychiatry

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Muscle spasm


Hello Dr.
Ding,
I would like to ask a question on behalf of my family member.
Recently, he has been experiencing muscle twitches before going to sleep, similar to the sensation of suddenly falling into a deep hole, causing him to jerk.
However, I have noticed that he has been having continuous twitches lately.
I searched online and am unsure if this could be classified as autonomic nervous system dysfunction.
If he has insufficient sleep the night before, he may even twitch suddenly while sitting in a chair during the day, which initially only occurred at night before sleep.
Now, it happens during the day as well, and in severe cases, even while driving.
Additionally, if he discusses stressful topics, he will twitch suddenly; however, when he is calm, it occurs less frequently.
But how is it possible to live without any stress?
Could you please help me understand what this issue might be? How can it be improved? Furthermore, he has difficulty concentrating; he can watch TV for a long time, but he struggles to focus on work or while listening to others.
His memory has also worsened; he often forgets people and events he just dealt with, sometimes within a day or two, and only remembers after being reminded of the context.
This has severely impacted his work, and I am unsure how to improve the situation.
Would medication be helpful?
Thank you for your response.

Sincerely,
Fan Ren

Fan Ren, 40~49 year old female. Ask Date: 2010/11/14

Dr. Ding Shuyan reply Psychiatry


Hello, muscle spasms or involuntary tremors can have various causes.
In addition to epilepsy and neurological disorders, factors such as alcohol or drug addiction, anxiety disorders, depression, and even fatigue from lack of sleep can contribute to these symptoms.
As mentioned in your letter, if your family member is experiencing poor attention and memory that affects their work, it is advisable to see a doctor.
Considering the many possibilities, medication can be very effective, so don't waste time.
Life is short; it's important to get well in order to work effectively.
Wishing you all the best.
Sincerely, Dr.
Ding Shuo-Yan.

Reply Date: 2010/11/14

More Info


Hello,凡人:
Thank you for reaching out with your concerns regarding your family member's muscle twitches and associated symptoms. It sounds like a challenging situation, and I appreciate the opportunity to provide some insights.

Muscle twitches, or myoclonus, can occur for a variety of reasons, and understanding the underlying causes is crucial for effective management. The symptoms you've described—muscle twitches occurring at night, during the day, and particularly in stressful situations—suggest that there may be a connection to stress and possibly an underlying neurological issue.

1. Stress and Anxiety: Stress is a well-known trigger for muscle twitches. When the body is under stress, it can lead to increased muscle tension and involuntary contractions. The fact that your family member experiences these twitches more frequently when discussing stressful topics or after a night of poor sleep indicates that stress may play a significant role. Stress can also lead to sleep disturbances, which can further exacerbate muscle twitching.

2. Sleep Deprivation: Lack of sleep can significantly affect the nervous system. Sleep is essential for recovery and regulation of various bodily functions, including muscle control. When sleep is compromised, it can lead to increased irritability of the nervous system, resulting in muscle twitches. The phenomenon of feeling like one is falling, which you mentioned, is known as a hypnic jerk and is common during the transition from wakefulness to sleep.

3. Neurological Factors: While muscle twitches can be benign, persistent or worsening symptoms warrant further investigation. Conditions such as essential tremor, myoclonus, or even more serious neurological disorders could be at play. The inability to concentrate and memory issues you mentioned could also be linked to stress, anxiety, or even a neurological condition.
4. Lifestyle Factors: It’s important to consider lifestyle factors that may contribute to these symptoms. Regular physical activity, a balanced diet, and proper hydration can help improve overall muscle function and reduce stress levels. Additionally, practicing relaxation techniques such as mindfulness, yoga, or deep-breathing exercises can be beneficial.

5. Medical Evaluation: Given the persistence and severity of the symptoms, it would be wise for your family member to consult a healthcare professional, preferably a neurologist. They can conduct a thorough evaluation, which may include a physical examination, neurological assessment, and possibly imaging studies or blood tests to rule out any underlying conditions.

6. Medication: Depending on the diagnosis, medication may be helpful. If anxiety or stress is a significant factor, anti-anxiety medications or antidepressants may be prescribed. Muscle relaxants or anticonvulsants may also be considered if the twitches are severe. However, medication should always be discussed with a healthcare provider to weigh the benefits and potential side effects.

In conclusion, while muscle twitches can be benign, the combination of symptoms you’ve described—especially the impact on concentration and memory—suggests that a comprehensive evaluation is warranted. Addressing stress through lifestyle changes and seeking professional medical advice will be key steps in managing these symptoms effectively.
I hope this information helps you and your family member find a path toward relief and improved well-being. Please feel free to reach out with any further questions or concerns.
Best wishes for your family member's health and recovery.

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