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Suggest treatment for body tremors, neck pain and insomnia caused by anxiety

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Posted on Tue, 19 Jul 2016
Question: Hello.. Im a male 32 years of the age.my problem is thar i have been experiencing some kind of vibrations/twitching in my body whenever i try to fall asleep since last 10 days . Few days back before this started as my sleeping cycle got disturbed .so i slept around 5 in the morning but what i started experiencing was the vibrations travelling in different parts of my body first it started in my lower back and thn both the legs then it stopped and started in my upper back and back of the head ... It lasted for 30 mins and didn't allow me to sleep but some how i told my wife to help me out so she started pressing my head and i went off to sleep.. A dr . Friend of mine advice me to take etizolam .25 said this s anxiety..the medicine helped me to fall asleep but whenever i start thinking about those vibrations it follows my thoughts starts again but very low frequency after the medicine making me .. Frequency is so high as if someone has implanted a XXXXXXX phone in my body but this actually happens when i try to fall asleep .also there s a pain in back of my neck I don't know due to what it s I guess few days back i had head massage and I remember the person gave lots of pressure massage at the back side of my neck may be because of that ..let me tell you one more thing that since 2008 when i lost my father i have been living in lot of pressure and tensions ...worrying about everything small this hs becme the part of my nature ...please help me out i want to get rid of these vibrations ..tell me some good medicine.is it some kind of disease or just anxiety as google is making me think over it again n again.and im really scared of visiting hospitals
Last nite also it happend i cudnt sleep as i ve stopped the pill and sensation is still there .. Please help me.. :(

Thanks
doctor
Answered by Dr. Chintan Solanki (55 minutes later)
Brief Answer:
go for sleep hygiene, do check up,clonazepam for short duration is helpful

Detailed Answer:
Hello Alay,

Thanks for writing to us.

I can understand your concern.

Your symptoms do not feet in any specific disorder and it is likely anxiety. This anxiety is causing insomnia. I recommend evaluation by doctor once. Routine physical examination, serum B12 level, thyroid level and if needed cervical x-ray as you are complaining of neck pain should be done to check for any physical problem.

For better sleep follow sleep hygiene. You can learn the same from following link.

sleepfoundation.org/ask-the-expert/sleep-hygiene

Drinking a cup of warm milk before going to bed helps in 30-40 of patients and they do not need medicines as per my clinical experience.
In your case anxiety is causing distress as night. Etizolam is really a good drug but it does not give sedation. Clonazepam will help in relieving anxiety, tremors/vibrations as well as in getting sleep. I recommend short course of it. You can taper and stop the drug as per doctor's advice after improvement.

Yoga, meditation and relaxation exercise will surely help.

If you can consult psychiatrist after routine check-up comes normal, cognitive behavior therapy (CBT) can be used to make you relax and live better life.

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (45 minutes later)
Thank you doctor.. Would like to know clonazepam how much mg should be taken and the next day would i able function properly wnt feel sleepy??
doctor
Answered by Dr. Chintan Solanki (1 hour later)
Brief Answer:
to be started with the lowest dose

Detailed Answer:
Hi,

Thanks for follow up.

Clonazepam is a prescription drug and you need to consult psychiatrist/doctor for the same. In your case 0.25 mg should be started at present. It can be increased depending upon response.
You can function properly on next day without feeling sleepy or any problem.

Take care.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (1 hour later)
One thing i want to ask that so many weirdvibrations are really part of anxiety and is it common with people who have anxiety
doctor
Answered by Dr. Chintan Solanki (3 hours later)
Brief Answer:
it favors the diagnosis of anxiety

Detailed Answer:
Hi Dear,

Yes, so many different weird vibrations in your case suggest anxiety. Many people with anxiety have such problem. If there is physical problem, it should be almost continuous and in particular part of the body while it is occurring at night only in your case.

However I recommend check up once, mentioned before to rule out possibility of physical problem.

Wish you good health.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Chintan Solanki (16 hours later)
Hello doctor... Just want to say thank you..
After taking petril md i had a good night sleep though i slept late around 4 as i was traveling felt only 10 percent of the vibrations that too for very short period but finally got success in getting a good night sleep ...
doctor
Answered by Dr. Chintan Solanki (2 hours later)
Brief Answer:
welcome

Detailed Answer:
Hello,

You are welcome. This incident suggests that you have only anxiety likely and you can be treated well. Please try to go ahead with m recommendations.

If still any query there, I will be happy to answer if not, you can close the discussion and if feasible give your feedback and rating so I can improve my service.

In future if you wish you can contact me directly on this site with following link:
http://bit.ly/drchintansolanki

by clicking on 'Ask me a question' on same page with three follow up questions.

Take care.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Answered by
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Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest treatment for body tremors, neck pain and insomnia caused by anxiety

Brief Answer: go for sleep hygiene, do check up,clonazepam for short duration is helpful Detailed Answer: Hello Alay, Thanks for writing to us. I can understand your concern. Your symptoms do not feet in any specific disorder and it is likely anxiety. This anxiety is causing insomnia. I recommend evaluation by doctor once. Routine physical examination, serum B12 level, thyroid level and if needed cervical x-ray as you are complaining of neck pain should be done to check for any physical problem. For better sleep follow sleep hygiene. You can learn the same from following link. sleepfoundation.org/ask-the-expert/sleep-hygiene Drinking a cup of warm milk before going to bed helps in 30-40 of patients and they do not need medicines as per my clinical experience. In your case anxiety is causing distress as night. Etizolam is really a good drug but it does not give sedation. Clonazepam will help in relieving anxiety, tremors/vibrations as well as in getting sleep. I recommend short course of it. You can taper and stop the drug as per doctor's advice after improvement. Yoga, meditation and relaxation exercise will surely help. If you can consult psychiatrist after routine check-up comes normal, cognitive behavior therapy (CBT) can be used to make you relax and live better life. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.