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What causes twitching and tremoring in hands with stiff muscles?

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General & Family Physician
Practicing since : 1986
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Hi I am 21 year old female and for the past few years I have been having a lot of strange symptoms that are worsening drastically over time . My hand is constantly twitching and tremoring while moving and at rest, my muscles are always stiff and I have nonstop muscle spasms and cramps, I have limited range of mobility in my neck and pull my muscles a lot in my sleep without straining them, my doctor was extremely concerned about that and Im not sure why... I have been experiencing numbness, tingling, burning and nerve pain more frequently and widespread. Friends and family always ask me whats wrong when I am happy, it seems that I always loook sad when I am happy. Doctors have brought up the possibility of neurological conditions... I don't know if I should be concerned. I've also been falling and dropping things constantly, trouble speaking known words and so on, I get frustrated reading and talking. I have a lot of preexisting health conditions, trigeminal neuralgia, degenerative discs disease, tmj, anxiety, hypothyroidism to name a few... Many doctors are baffled by me,,, I am embarrassed to raise a lot of these concerns with my doctor because I am already being treated for so many things and I don't want to sound crazy. I would just like to know what could cause these symptoms and if i should be concerned? And is it important to talk to my doctor about them? I have been tested for MS in the past, the MRI came back negative. I'm just extremely frustrated at this point and I dont know what to do and Im just wondering if the symptoms I am experiencing are normal. Any insight would be greatly appreciated, Thank you.
Posted Fri, 21 Feb 2014 in Brain and Spine
Answered by Dr. Haseena Hamdani 3 hours later
Brief Answer: Hypothyroidism needs reassessment.. Detailed Answer: Hi, I feel that your hypothyroidism is not well controlled. All above symptoms, could be due to Hypothyroidism. As you might be knowing that it is a systemic disese, and affects every function of our body. Depression, myopathy and neuropathy could all be due to that. You have not mentioned, which medicines you are taking. In my opinion, you should be given Duloxetin, for Fibromyalgia and Depression. These symptoms are worsening your conditions due to your Anxious personality. Just relax, do physical and mental exercises, keep yourself busy in your study, or career. Hypothyroidiam is very common disease, and once you take the right doses for it, and do regular follow up, it would be fine. Are you sure that you have degenerative Disc disease? Other possible reason for above symptoms was multiple sclerosis, and it has been ruled out. If you wish, you can provide more information about your medicines etc, so I could help you better. Dr H Hamdani
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Follow-up: What causes twitching and tremoring in hands with stiff muscles? 9 hours later
Yes I am positive of the degenerative discs disease, I had an MRI of done on my spine when I was 18, I also have degeneration in other joints but the doctor said that is to be expected with the condition at my age , most problems arise from back and jaw. I am possibly in need of surgery on my jaw due to constant dislocation and the nerves in my face that are involved . My hypothyroidism is actually well controlled I have labs done monthly and see my endo regularly and have only had it for the last 6 months or so after a partial thyroidectomy I had done 2 years ago. I am currently on robaxin, xanax, motrin, topamax, norco and synthroid. I might add my primary care doctor and maxillofacial surgeon have been pushing for referrals to the neurologist for a while now its just a matters of my insurance approving it. But my doctor and endo insist my thyroid is spot on and even looked at my pituitary gland during the mri of my brainHe has mentioned fibromyalgia but has said he wants me to see the neurologist just in case its not anything more serious because are a lot of conditions that mock it but my insurance is always putting up a fight and im wondering what other conditions he might be speaking of
Answered by Dr. Haseena Hamdani 15 hours later
Brief Answer: Would recommend also for Neurologist consultation. Detailed Answer: Hi, Welcome back to XXXXXXX I feel that you must go to see Neurologist, if you have not seen anyone until now.ay be you do not have any Neuromuscular conditions, and just Fibromyalgia, but it is better to be examined by neurologist, do some necessary Investigations to rule out certain diseases. In my opinion, it is better, we do not give you list of conditions which we are suspecting, and making you awful. it is better we come to some conclusion then definitely your Doctor will explain you about the actual disease you are having. I feel that you have one disease which is affecting also your Jaw,and spines. After final diagnosis, your Doctor can make better decision about the need of surgery for jaw, and trigeminal neuralgia. I would also emphasize that you are taking multiple drugs, and most of them having same side effects, which could be reasons for your weakness, unable to hold things, tremors and twitching, though spasticity should not be there. You must ask your Doctor to review all your medicines, and guide you about dosage and timings for each medicine. I do not know about your Insurance policy, but this problem is everywhere. I am sure once you provide them necessary documents, proof of referral and consultations etc, Your insurance will agree to pay. In any case, we do not have to compromise on health issues. Do not worry. Wish you speedy recovery. Dr H Hamdani
Above answer was peer-reviewed by
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