Eye and Hand Tremors: Causes and Solutions - Neurology

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Eyelid twitching and hand tremors?


Hello Doctor, 12 days ago, I started experiencing twitching in my left lower eyelid.
The frequency is quite rapid, and the amplitude of the twitching varies from large to small.
However, it has occurred every day for the past 12 days, and I feel it as soon as I open my eyes in the morning.
I even feel the twitching extending to the muscles/skin in my neck, chest, and arms.
It is not due to pulsation, as the twitching frequency is very fast.
I have been intentionally going to bed early and drinking a lot of milk these past few days, but the twitching still persists, and I don't know the cause, which has made me very anxious.
:( If it is caused by a calcium deficiency, can the condition be improved immediately?

Danxin de ren, 30~39 year old female. Ask Date: 2015/08/13

Dr. Lan Shengxing reply Neurology


Dear concerned individual, this condition is commonly referred to as eyelid spasm.
The exact cause is unknown, but it may be related to factors such as late nights and stress.
Most of the time, it resolves on its own; however, if your situation has persisted for a longer duration, it is advisable to consult a neurologist.

Reply Date: 2015/08/13

More Info


Hello! Thank you for your question regarding the eye and hand tremors you are experiencing. It sounds like you are dealing with a frustrating situation, and I understand how concerning it can be. Let's break down the potential causes and solutions for your symptoms.

Firstly, the involuntary twitching of the eyelid, known as myokymia, is often benign and can be triggered by several factors. Common causes include stress, fatigue, caffeine intake, and eye strain. Given that you mentioned feeling anxious and have been trying to improve your sleep habits, it’s possible that stress and fatigue are contributing to your symptoms.
The twitching you describe in your eyelid, which has persisted for 12 days, could also be related to muscle fatigue or overuse. If you have been spending extended periods looking at screens, this could lead to eye strain, which may manifest as twitching. Additionally, dehydration or nutritional deficiencies, particularly in magnesium or calcium, can also lead to muscle spasms.
You mentioned that you have been drinking a lot of milk, which is a good source of calcium. However, if your diet lacks other essential nutrients, such as magnesium, it may not be sufficient to alleviate the symptoms. It might be beneficial to ensure you are consuming a balanced diet rich in various vitamins and minerals. Foods high in magnesium include nuts, seeds, whole grains, and leafy green vegetables.

Regarding the tremors extending to your neck, chest, and hands, this could indicate a more systemic issue. While it is less common for these areas to twitch in conjunction with eyelid spasms, it may be related to anxiety or stress, which can cause muscle tension and spasms throughout the body. If the tremors are persistent and affecting your quality of life, it would be wise to consult a healthcare professional for a thorough evaluation.

In terms of immediate solutions, here are a few strategies you might consider:
1. Stress Management: Engage in relaxation techniques such as deep breathing exercises, meditation, or yoga. These practices can help reduce overall stress levels, which may alleviate the twitching.

2. Adequate Rest: Ensure you are getting enough sleep. Aim for 7-9 hours of quality sleep each night, as fatigue can exacerbate muscle spasms.

3. Limit Caffeine: If you consume caffeine, consider reducing your intake, as it can contribute to muscle twitching and anxiety.

4. Stay Hydrated: Drink plenty of water throughout the day to stay hydrated, as dehydration can lead to muscle cramps and spasms.

5. Nutritional Support: Consider incorporating foods rich in magnesium and potassium into your diet. If you suspect a deficiency, you might also discuss with your doctor the possibility of taking a supplement.

6. Eye Care: If you spend a lot of time on screens, practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds to reduce eye strain.

If your symptoms persist despite these measures, or if you experience additional symptoms such as significant pain, vision changes, or other neurological signs, it is crucial to seek medical attention. A healthcare provider can perform a comprehensive evaluation to rule out any underlying conditions that may require treatment.

In summary, while eyelid twitching and muscle tremors can often be benign and related to lifestyle factors, it is essential to monitor your symptoms and consult a healthcare professional if they persist or worsen. Taking proactive steps to manage stress, ensure proper nutrition, and care for your eyes can significantly improve your situation. I hope you find relief soon!

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