Uncontrollable Leg Tremors and Numb Fingers: Possible Neurological Issues - Neurology

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Involuntary trembling of the legs and numbness in the fingers?


Hello, Doctor: My legs shake uncontrollably when I stand straight or adopt any other position that requires slight exertion (or even after walking a little), and I cannot stop them even if I try.
My friends also notice that my legs are constantly shaking (both legs are shaking)! Additionally, all ten of my fingers have a "numb" sensation, although my palms do not have this feeling.
While I don't experience much difficulty when holding things, I often have a lack of sensation in my fingers, and I cannot fully clench my fists.
I would like to ask the doctor what this condition might indicate and if there are any self-help methods I can try.
Thank you for your response, and I wish you good health!

A Yi, 20~29 year old female. Ask Date: 2011/01/04

Dr. Gao Chunde reply Neurology


To gain a better understanding of the onset time, progression speed, and the extent of related muscle strength and sensory deficits, I cannot specify a diagnosis at this moment.
Conditions affecting both the central and peripheral nervous systems could be involved.
I recommend scheduling an appointment with a neurologist for further evaluation.

Reply Date: 2011/01/04

More Info


The symptoms you are describing—uncontrollable leg tremors and numbness in your fingers—are concerning and could potentially indicate underlying neurological issues. The tremors in your legs, especially when standing or exerting yourself, could be a sign of several conditions, including essential tremor, Parkinson's disease, or even anxiety-related tremors. The numbness in your fingers, coupled with the inability to grip tightly, may suggest peripheral neuropathy or a condition affecting the nerves that supply your hands.


Possible Conditions
1. Essential Tremor: This is a common movement disorder that causes involuntary shaking, often in the hands and legs. It can worsen with movement and may be more noticeable when you are trying to hold a position.

2. Peripheral Neuropathy: This condition results from damage to the peripheral nerves and can cause symptoms such as numbness, tingling, and weakness in the limbs. Diabetes, vitamin deficiencies, and certain medications can lead to peripheral neuropathy.

3. Multiple Sclerosis (MS): MS can cause a wide range of neurological symptoms, including tremors, numbness, and weakness. It is an autoimmune condition that affects the central nervous system.

4. Anxiety or Stress: Sometimes, psychological factors can manifest as physical symptoms, including tremors and numbness. Anxiety can lead to hyperventilation, which may cause temporary numbness and tingling in the extremities.

5. Cervical Radiculopathy: If there is compression or irritation of the nerves in the neck, it can lead to symptoms in the arms and hands, including numbness and weakness.


Self-Help Strategies
While it is essential to consult a healthcare professional for a thorough evaluation and diagnosis, there are some self-help strategies you can consider:
1. Stress Management: Techniques such as deep breathing, meditation, and yoga can help reduce anxiety and may alleviate some tremors.

2. Physical Activity: Regular exercise can improve overall muscle strength and coordination, which may help manage tremors.

3. Dietary Adjustments: Ensure you are getting adequate vitamins and minerals, particularly B vitamins, which are crucial for nerve health. A balanced diet can also help manage any underlying conditions like diabetes.

4. Avoid Stimulants: Caffeine and other stimulants can exacerbate tremors. Reducing or eliminating these from your diet may help.

5. Ergonomic Adjustments: If you are experiencing numbness while using your hands, consider adjusting your workspace to ensure proper posture and reduce strain on your hands and arms.


When to Seek Medical Attention
Given the complexity of your symptoms, it is crucial to seek medical attention. A neurologist can perform a comprehensive evaluation, including a physical examination, neurological tests, and possibly imaging studies or nerve conduction studies, to determine the underlying cause of your symptoms. Early diagnosis and intervention can significantly improve outcomes and help manage symptoms effectively.

In summary, while there are several potential causes for your symptoms, a thorough evaluation by a healthcare professional is necessary to arrive at an accurate diagnosis and appropriate treatment plan. In the meantime, implementing stress management techniques and maintaining a healthy lifestyle may provide some relief.

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