[63F] Experiencing random vibrations and anxiety episodes

Patient Description

A 63-year-old female reports experiencing random, continuous vibrations in her legs and upper body, particularly noticeable when in contact with surfaces like a bed or the floor. These vibrations do not worsen with movement and occur even when still. The patient also experiences a tingling sensation at times but no numbness. She has a history of high blood pressure, diagnosed around age 32, which has improved with significant weight loss. She has food allergies for which she received allergy shots as a child. Currently, she is not taking any medications. The patient has been diagnosed with complex PTSD due to past trauma from domestic violence, leading to high anxiety and reactions that can feel out of context when triggered. She has been on disability for this condition since 2013. Her anxiety can be triggered by situations where someone tries to make her look like the problem, especially if they have narcissistic personality disorder traits. When triggered, she feels shaking inside and manic anger, with episodes lasting for hours. She manages her anxiety by avoiding arguments, breathing deeply, and attempting to calm down.

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Arora's Assessment

What might be happening

Based on the symptoms and information you have provided, here are some possible explanations:

  • Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause sensations such as tingling, numbness, and vibrations. It can be associated with diabetes, infections, or other underlying conditions.

    • Treatment: Management of the underlying cause, medications to manage symptoms, and lifestyle changes such as maintaining good blood sugar control if diabetic.
  • Restless Legs Syndrome (RLS): This neurological disorder causes uncomfortable sensations in the legs and an irresistible urge to move them. Symptoms often occur in the evening or at night when lying down.

    • Treatment: Lifestyle changes, such as regular exercise and avoiding caffeine, medications, and addressing underlying conditions like iron deficiency.
  • Anxiety and Stress: Given your history of complex PTSD and high anxiety, these sensations could be psychosomatic, meaning they are physical symptoms caused by psychological factors.

    • Treatment: Therapy, stress management techniques, and possibly medications prescribed by a healthcare professional.
  • Essential Tremor: This is a nervous system disorder that causes rhythmic shaking. It can affect various parts of the body, including the legs and upper body.

    • Treatment: Medications, physical therapy, and sometimes surgical interventions.

What you can do

While you should consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Keep a Symptom Diary: Note when the vibrations occur, their duration, and any potential triggers. This information will be useful for your healthcare provider.
  2. Practice Relaxation Techniques: Deep breathing, meditation, and progressive muscle relaxation can help manage anxiety and stress, which might be contributing to your symptoms.
  3. Maintain a Healthy Lifestyle: Regular exercise, a balanced diet, and adequate sleep can improve overall well-being and potentially reduce symptoms.
  4. Avoid Stimulants: Reduce or eliminate caffeine and alcohol, as these can exacerbate symptoms of anxiety and restless legs syndrome.
  5. Stay Hydrated: Ensure you are drinking enough water, as dehydration can sometimes cause or worsen symptoms.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening Symptoms: If the vibrations become more intense or frequent.
  • New Symptoms: If you develop numbness, weakness, or pain in your legs or other parts of your body.
  • Impact on Daily Life: If the symptoms significantly interfere with your daily activities or quality of life.
  • Mental Health Concerns: If you feel overwhelmed by anxiety or stress, consider reaching out to a mental health professional for additional support.

Remember, while this information can help guide you, it is essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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5 mo ago


People Also Ask


What are the common causes of peripheral neuropathy?

Peripheral neuropathy can be caused by diabetes, infections, autoimmune diseases, vitamin deficiencies, and exposure to toxins. It involves damage to the peripheral nerves, leading to symptoms like tingling, numbness, and vibrations.


How can anxiety and stress lead to physical symptoms like vibrations?

Anxiety and stress can lead to physical symptoms through the body's stress response, which can cause muscle tension, increased nerve sensitivity, and changes in blood flow. These can manifest as vibrations, tingling, or other sensations.


What lifestyle changes can help manage restless legs syndrome?

Lifestyle changes for managing restless legs syndrome include regular exercise, maintaining a consistent sleep schedule, avoiding caffeine and alcohol, and ensuring adequate iron levels. These changes can help reduce symptoms and improve sleep quality.


What are the treatment options for essential tremor?

Treatment options for essential tremor include medications such as beta-blockers and anticonvulsants, physical therapy to improve muscle control, and in some cases, surgical interventions like deep brain stimulation to reduce tremors.

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