Muscle Twitches and Heartbeat Sensations: A Neurology Perspective - Neurology

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Feeling the heartbeat when touching the body?


Hello doctor, I have recently been experiencing muscle twitching (in my hands, feet, and face).
It tends to improve when I relax, but it starts again after a while.
My hands also get quite fatigued (especially when tying my hair), and I can feel my heartbeat when my hands touch other parts of my body.
My heart feels like it’s constantly racing.
I usually drink black tea and green tea; could this be related? This issue has been bothering me for a long time, making it difficult for me to sleep peacefully.
I often end up falling asleep around 2 to 3 AM, and I feel very anxious...
My mother is very busy, so I can't see a doctor.
Are there any ways to improve this situation?

Xiao An, 10~19 year old female. Ask Date: 2015/07/08

Dr. Gao Chunde reply Neurology


It is recommended to schedule an appointment with a physician to check for hyperthyroidism, which only requires a blood test.

Reply Date: 2015/07/08

More Info


Muscle twitches and sensations of heartbeat can be concerning and may stem from various underlying causes. From a neurology perspective, it’s essential to understand the relationship between muscle activity, anxiety, and cardiovascular sensations.

Muscle twitches, or fasciculations, can occur in various parts of the body, including the hands, feet, and face. These involuntary contractions are often benign and can be triggered by several factors, including stress, fatigue, caffeine intake, and dehydration. In your case, you mentioned that relaxation helps alleviate the twitching, which suggests that anxiety or tension may be contributing to the issue. Anxiety can lead to increased muscle tension and hyperactivity of the nervous system, resulting in muscle twitches and discomfort.

The sensation of feeling your heartbeat in other parts of your body, especially when you touch them, is known as "palpitations." This can be a normal physiological response, particularly if you are experiencing heightened anxiety or stress. When you are anxious, your body releases stress hormones, which can increase your heart rate and make you more aware of your heartbeat. Additionally, factors such as caffeine consumption from drinks like red tea and green tea can stimulate the heart and exacerbate feelings of palpitations.

Your description of feeling your heart "pounding" and experiencing muscle fatigue, especially when doing activities like tying your hair, may also indicate a combination of anxiety and physical strain. When you are tense or anxious, your muscles can become fatigued more quickly, leading to discomfort and a sensation of heaviness or strain.

To address these issues, consider the following strategies:
1. Stress Management: Engage in relaxation techniques such as deep breathing exercises, meditation, or yoga. These practices can help reduce anxiety and muscle tension, potentially alleviating twitching and palpitations.

2. Limit Stimulants: Reduce your intake of caffeinated beverages, as they can increase heart rate and contribute to feelings of anxiety. Opt for herbal teas or decaffeinated options instead.

3. Stay Hydrated: Ensure you are drinking enough water throughout the day, as dehydration can lead to muscle cramps and twitches.

4. Regular Exercise: Incorporate regular physical activity into your routine. Exercise can help reduce anxiety, improve mood, and promote better sleep.

5. Sleep Hygiene: Establish a calming bedtime routine to improve your sleep quality. This may include limiting screen time before bed, creating a comfortable sleep environment, and setting a consistent sleep schedule.

6. Seek Support: If your symptoms persist or worsen, consider discussing your concerns with a healthcare professional when possible. They can provide a thorough evaluation and recommend appropriate interventions.

While it can be challenging to manage these symptoms without immediate access to a healthcare provider, implementing these strategies may help improve your overall well-being. Remember that your mental and physical health are interconnected, and addressing anxiety can lead to improvements in both muscle twitching and heart sensations.

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