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Hand and arms clenching - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1762 Questions
User :   Ever since I can remember, I have had the urge to shake my arms rapidly. I can control it, but my arms become very tense, and I have to hold onto something or squeeze my hands together. Sometimes after getting home from school or in a public place, I will go to a place and just let it all out. It is like a stress releaver. I notice that when I hold it in, my mind becomes (for lack of a better term) snappy. I become agitated.
Doctor :   Hi
Doctor :  
Let me read it first
Doctor :  
Please give me few minutes
User :   ok
Doctor :  
Ok now put your questions
User :   Im sorry?
Doctor :  
What is your age?
User :   18
Doctor :  
Ok this is normal
Doctor :  
Every human can have their own ways of stress relief
Doctor :  
this is the way you relieve the stress
User :   No, i really dont think this is normal. It becomes INTENSE. Sometimes when i leave a public place, i do it so long that my arms hurt..
Doctor :  
Can you put the problem tht you face while doing such acts?
User :   no, like i said its always been happening to me, since i can remembr
User :   Would chronic be a proper term?
Doctor :   What are your thoughts before you do such arm acts?
Doctor :  
How long do you do ?
Doctor :  
each time?
User :   Its interesting that you ask. Its like when im doing it, my mind goes into an imaginative state.
User :   I can do it for 45 minutes or more. Depending on the day
User :   Sometimes it happens more than once a day
User :   What im thinking and feeling when this happens is very hard to describe...
Doctor :  
Can you recollect the usual timings or situations that you frequently you are in while you do such acts
User :   Well, when i become exited about something, In public i have to squeeze my hands together. I have to hold onto my self to keep from doing it.
User :   I do intend on seeing my family physician but frankly i am deeply imbarrased, and i want to have an idea of whats going on before i go in.
Doctor :  
Obviously if you do for so long time you get hurt, I understand
User :   Yes, my elbows hurt sometimes...
User :   That and it sucks down all of my energy
Doctor :  
You are not able to say the situations and perceptions that you are in those situations
Doctor :  
That is very important
User :   I dont know what you mean.
Doctor :  
Do not be embarrased to meet your Doctor
Doctor :   You are not able to say the situations and perceptions that you are in while you have this tension

User :   I can have these "attacks" if you will, anywhere, at any time.
Doctor :   Ok
User :   Like i said, i can manage it, i can keep it under control but it makes my very unconfortable
Doctor :  
Your problem can be completely solved by a Doctor
Doctor :  
specially by a Counsellor
Doctor :  
He / she tries to probe into your thoughts before you have such situations
Doctor :  
He then tries to analyze
User :   I don't think that this is just a mental thing...
Doctor :  
and will help you reduce the thoughts
Doctor :  
and do some other acts that helps in stress relieving
User :   I dont know what you mean reduce the thoughts.
User :   Its not that i only do this when i am stressed, its that afterwards i feel relieved.
User :   I dont have to be stressed out to have these attacks. Its just when i bottle up these urges my body has, its like someone is grabbing my brain and squeezing it...
Doctor :   I can really feel how much you are in
Doctor :  
the suffering
User :   its like a tick
Doctor :   I am able to understand
User :   ok. I cant stress enough that this is not a result of outside influences. I have virtually no stress. Im smart, 7th in my class, im well on my way to becoming a nuclear engineer...Im almost finished with my freshman year in college...life is awesome
Doctor :   Wow
Doctor :  
That is great
User :   But this "thing" i have has been plaguing me all of my life...
Doctor :  
YOu are so positive that you have acheived even though this is happening
Doctor :  
to you for so long
Doctor :  
You have that energy
Doctor :  
Let me ask you few general questions
Doctor :  
Do you have tiredness by the end of the day?
Doctor :   Are you angry with others even by slightest mistakes ?

User :   yes. As a matter of fact, this has been getting worse. I am finally paying attention to this "thing" because the attacks have been becoming more intense and frequent. Now that you mentioned it, i fell asleep on the sofa twice last week right after school...
User :   no not at all
Doctor :   Are your menstrual periods regular?
User :   um...im a male...
Doctor :  
Oh sorry
Doctor :  
Do you engage well with your friends and family?
User :   yes
Doctor :  
Are you sexually active?
User :   haha...not with a partner but yes...
Doctor :   Fine
Doctor :  
Did any of your friends as you that you look tensed and bothered about your acts?
Doctor :  
*ask
User :   yes, sometimes they ask why i am clenching my hands so hard...and why i must hold my arms closely to my body
Doctor :  
Do you have any symptoms of weakness , tingling and numbness in the hands?
User :   no
Doctor :  
Do you do only with your hands or legs too?
User :   only the arms and hands
Doctor :  
Do you had any injury in the past?
User :   never broken a bone in my body
User :   never any head trauma, no severe injury ever
Doctor :  
How frequent are these things happening, say in a month?
User :   once or twice a day
Doctor :  
How frequent when they started?
User :   well its pretty much one contenuous thing once it starts. Its not like a series of attacks
Doctor :  
Did your folks at home say that you have a disturbed sleep, turning your body around on the bed
User :   Never mentioned anything to me...then again they dont watch me sleep...no, i have never heard anything about unusual sleeping patterns
Doctor :  
legs banging etc
User :   My mother has mentioned to me that i grind my teeth
Doctor :  
I do not relate your problem to any medical illness with your history
Doctor :  
Probably a physical examination by a Doctor can help reveal more details if there is some problem really
Doctor :   I could recollect few patients that I have personally seen
Doctor :  
having such problems
Doctor :  
but they are more stress related
Doctor :  
Here you do not have any stressors
User :   From what ive researched online myself, my symtoms of "feeling confined, like someone squeezing my brain" resembles tourettes...
User :   I mean the feeling i get when i restrict it, or hold it in
Doctor :  
so might be a physical examination by a Family Doctor to start with can help
User :   well i get my blood work done yearly, and also a yearly physical and im completely healthy.
User :   According to those two things
Doctor :   Yeah I feel you are completely healthy
User :   hmm.
User :   Curios though isnt it.
Doctor :  
Why cant you take a specialist opinion
Doctor :  
from a Neurologist from our panel over email
Doctor :   Then you can decide whether you have real problem or not
User :   ok
User :   wait, you were speaking of sleep, and i just remembered something
User :   I dont know if this will help you or not, but it couldnt hurt to tell you about it
Doctor :  
Ok
Doctor :  
WWW.WWWW.WW User :   This happens very rarely, like once a year MAYBE, but, i will fall asleep, and wake up except that I cannot move. It is like im trapped in between a state of conciousness and unconcessness. I can think normally, i just cannot get my body to move. Also, sometimes when im waking up from this, I get like this surge through my body, like someone has hooked me up to jumper cables. It makes me very scared when this happens. It is frightening
Doctor :  
this is the link where you can ask a Neurologist
Doctor :  
your query
User :   It happens so rarely i almost forgot about it
Doctor :  
Ok that is normal if it is rare
Doctor :  
and not related to your present problem
User :   last time it happened it was late june
User :   ok
Doctor :  
Any other things that you could think of
User :   no, not really
User :   you know what, ill just take this to my family physician. I dont think ill send an email to that neurologist. He wont understand without me talking to him like i have you.
Doctor :  
The picture would be clear for me if you get a physical examination by yoru Doctor
Doctor :  
and then if needed then you take the Neurologist opinion
User :   agreed
Doctor :  
as the Neuro will get understanding
Doctor :  
after the Fp's answer
User :   agree'd
User :   For now, i shall bid you farewell.
Doctor :  
Pleasure speaking
Doctor :  
to you
Doctor :  
Please let me know what the FP has told you
Doctor :   after his examination
Doctor :  
I will get a rough idea if I miss anything
User :   ok. Farewell.
Doctor :  
Thanks for consulting me
Doctor :  
Bye for now
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