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What Causes Tremors In Hands And Muscles In Legs?

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Posted on Mon, 15 Feb 2016
Question: In February 2015 I noticed a slight tremor in both of my hands and the muscles in my legs would ache terribly, especially at night when I was trying to go to sleep. My doctor prescribed a muscle relaxant, and it helped me sleep but that was about all. Over the next couple of months the tremors got worse and I was extremely tired most of the time. The doctor checked my for lyme, which came back negative but did show that I had EBV. Again I was still having the tremors, now headaches that last for several days to more than a week, my fingers are now numb, I drop things constantly and my short term memory is now also a problem. I've been prescribed Primidon for the tremors and headaches, it's not helping it to does help me sleep. I feel I'm being medicated but not gotten to the root of the problem.
Thank you in advance for your input
XXXX
doctor
Answered by Dr. Muhammad Hanif (15 hours later)
Brief Answer:
Can be due to thyroid disease and hypertension. So, need screening for that

Detailed Answer:
Warm Welcomes. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services.
I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.

Tremors in hands, painful weak muscles of extremities, frequent falls, loss of memory and hand grips may have many reasons with some of the overlapping symptoms.

These may be Thyroid disease; Chronic Hypertension; Fluid and electrolyte imbalance, nutritional deficiencies (vitamin deficiency, calcium and magnesium loss). Loss of function of the kidneys and heart is also a cause of weakness in muscles of legs.

You need to consult an Endocrinologist to see the status of your Thyroid gland. It is mandatory for you to go for serial Thyroid profile testing as to see how is it working. Whole of the body functions depends on it. If there is a disease, we may see tremors. Also he will have to rule out normal functioning Parathyroid glands for that is also important for keeping a calcium balance in body (between blood, muscles, teeth and bones).

Vitamin B12 and Vitamin D deficiency also impacts on bodily functions. Need is to test their levels. Your Primary care physician will help you in this regard. Also ask him to test your blood pressure as high blood pressure is one of the major causes for your symptoms. Your Physician will also test you for serum electrolytes and mineral levels.

Ask your Physician to go for a thorough heart evaluation as pump failure of the heart is also a major cause for symptoms you have as a failing heart is unable to pump properly and this causes lack of nutrient supply to the muscles of legs and hands.

Once work up is complete, diagnosis can be made and based on that treatment goes accordingly.
Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Please give your 'rating' (if agreed, Five Stars) to help me assist patients in a better way; and, please don't forget to click on 'Close The Discussion'.
For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).


Regards!
DR. HANIF
USA
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Muhammad Hanif (6 hours later)
I am on medication for my thyroid and high blood pressure, and have been for many years. Even though I'm on medication for my thyroid , do you think that could still be part of the problem?
doctor
Answered by Dr. Muhammad Hanif (3 hours later)
Brief Answer:
Yes, it can still be possible and needs review of the disease status !!!

Detailed Answer:
Welcome back with a follow up. Thanks for adding details here and I am happy to assist you in this regard.

Yes, it is still possible that you may have issues even being on medications. Taking medications never promises that a patient and nonpatient will be same. Disease and its side effects on the body still remains there even if the disease is well under control.

You need to consult your treating Physician and an Endocrinologist for thorough evaluation of the disease status and review of medications you are on.

Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Please give your 'rating' (if agreed, Five Stars) to help me assist patients in a better way; and, please don't forget to click on 'Close The Discussion'.
For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).


Regards!
DR. HANIF
USA

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Muhammad Hanif

General & Family Physician

Practicing since :2009

Answered : 2369 Questions

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What Causes Tremors In Hands And Muscles In Legs?

Brief Answer: Can be due to thyroid disease and hypertension. So, need screening for that Detailed Answer: Warm Welcomes. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services. I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems. Tremors in hands, painful weak muscles of extremities, frequent falls, loss of memory and hand grips may have many reasons with some of the overlapping symptoms. These may be Thyroid disease; Chronic Hypertension; Fluid and electrolyte imbalance, nutritional deficiencies (vitamin deficiency, calcium and magnesium loss). Loss of function of the kidneys and heart is also a cause of weakness in muscles of legs. You need to consult an Endocrinologist to see the status of your Thyroid gland. It is mandatory for you to go for serial Thyroid profile testing as to see how is it working. Whole of the body functions depends on it. If there is a disease, we may see tremors. Also he will have to rule out normal functioning Parathyroid glands for that is also important for keeping a calcium balance in body (between blood, muscles, teeth and bones). Vitamin B12 and Vitamin D deficiency also impacts on bodily functions. Need is to test their levels. Your Primary care physician will help you in this regard. Also ask him to test your blood pressure as high blood pressure is one of the major causes for your symptoms. Your Physician will also test you for serum electrolytes and mineral levels. Ask your Physician to go for a thorough heart evaluation as pump failure of the heart is also a major cause for symptoms you have as a failing heart is unable to pump properly and this causes lack of nutrient supply to the muscles of legs and hands. Once work up is complete, diagnosis can be made and based on that treatment goes accordingly. Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Please give your 'rating' (if agreed, Five Stars) to help me assist patients in a better way; and, please don't forget to click on 'Close The Discussion'. For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time). Regards! DR. HANIF USA