[20M] Experiencing internal shaking sensation when lying down

Patient Description

A 20-year-old male reports an internal shaking sensation in the shoulders, back, legs, and arms that occurs when lying down. Described as a static-like feeling, it starts in the chest and moves downward, consistently present upon lying down and sometimes waking him from sleep. The sensation is more intense when lying on the side compared to the back. The patient has been experiencing this since Monday. No external tremors are observed, and the sensation does not affect speech or walking. There is no associated numbness, tingling, or recent injury. The patient is experiencing increased stress and anxiety due to the unknown nature of these symptoms. He is not currently on any medication, has no known drug allergies, and has not been prescribed any medications in the past year. There is no family history of neurological conditions, and the patient has no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's possible that you're experiencing:

  • Benign Fasciculation Syndrome (BFS): This is a neurological disorder characterized by fasciculation (or twitching) of various voluntary muscles in the body. The twitching can occur in any voluntary muscle group but is most common in the eyelids, arms, legs, and feet. The twitching can be occasional or nearly continuous.

    • There's no specific treatment for BFS. It's generally recommended to reduce stress and anxiety, as these can exacerbate the symptoms.
  • Restless Legs Syndrome (RLS): This is a condition that causes an uncontrollable urge to move your legs, usually because of an uncomfortable sensation. It typically happens in the evening or nighttime hours when you're sitting or lying down. Moving eases the unpleasant feeling temporarily.

    • Treatment for RLS usually involves lifestyle changes, such as regular sleep, exercise, and quitting smoking. Medications can also be prescribed by a doctor if symptoms are severe.
  • Anxiety: Sometimes, anxiety can manifest as physical symptoms like the ones you're experiencing. Stress and anxiety can cause a variety of physical symptoms, including muscle twitching and spasms.

    • Treatment for anxiety often involves a combination of therapy and medication. Lifestyle changes, such as regular exercise, a healthy diet, and reducing caffeine, can also help.

What you can do

  1. Try to reduce stress and anxiety: Regular exercise, a healthy diet, adequate sleep, and relaxation techniques can all help reduce symptoms of stress and anxiety.

  2. Maintain a regular sleep schedule: Going to bed and waking up at the same time every day can help regulate your body's internal clock and can help you sleep better.

  3. Avoid caffeine, alcohol, and tobacco: These substances can interfere with sleep and can exacerbate symptoms of BFS and RLS.

  4. If your symptoms persist or worsen, seek medical attention: While the conditions mentioned above are not life-threatening, they can interfere with your quality of life. If your symptoms persist or worsen, it's important to seek medical attention.

What you should look out for

  • If you notice any other symptoms, such as weakness, numbness, or difficulty moving, you should seek medical attention immediately.
  • If your symptoms interfere with your sleep or daily activities, you should also seek medical attention.
  • If your symptoms persist or worsen despite lifestyle changes, you should seek medical attention.

Please remember that while I strive to provide accurate and helpful information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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9 mo ago


People Also Ask


What is Benign Fasciculation Syndrome (BFS) and how is it managed?

Benign Fasciculation Syndrome (BFS) is a neurological disorder characterized by muscle twitching in various voluntary muscles. It is generally harmless and can be managed by reducing stress and anxiety, as these can exacerbate symptoms.


What are the symptoms and treatment options for Restless Legs Syndrome (RLS)?

Restless Legs Syndrome (RLS) causes an uncontrollable urge to move the legs due to uncomfortable sensations, typically occurring in the evening or at night. Treatment includes lifestyle changes like regular sleep and exercise, and medications may be prescribed if symptoms are severe.


Can anxiety cause physical symptoms like muscle twitching?

Yes, anxiety can manifest as physical symptoms, including muscle twitching and spasms. Stress and anxiety can lead to various physical manifestations, and managing anxiety can help alleviate these symptoms.


What lifestyle changes can help reduce symptoms of stress and anxiety?

Lifestyle changes that can help reduce stress and anxiety include regular exercise, maintaining a healthy diet, ensuring adequate sleep, practicing relaxation techniques, and avoiding caffeine, alcohol, and tobacco.


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