Neurology

Ask a neurologist. Get answers to your neurology questions.

Ask a Doctor,
Get an Answer ASAP!

My arms shake/trimmer.. I've had a brain MRI, a cervical…

Customer Question
My arms shake/trimmer.. I've had...
My arms shake/trimmer.. I've had a brain MRI, a cervical MRI, a thoracic MRI, an EEG test and an ENG (nerve) test done and all came back negative. Neither my neurologist or spine surgeon can seem to narrow down what's causing this condition. My neurologist
said it could be anxiety.. my spine doctor said it may be a physical reaction to pain in my body stemming from my back (i have minor scoliosis).. What can possibly be causing this condition??
Submitted: 3 years ago.Category: Neurology
Show More
Show Less
Ask Your Own Neurology Question
Answered in 35 minutes by:
6/5/2015
Neurologist: Dr. Bob, Neurologist (MD) replied 3 years ago
Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5,791
Experience: Neurology & Int Medicine (US Trained): 20 yrs experience
Verified
What part of your arms are affected by this? How long has it been going on?
Ask Your Own Neurology Question
Customer reply replied 3 years ago
been going on for about a year (started noticing it more about 6 months ago).. It effects from elbow down to the fingers.. When i am tired or anxious/excited it gets worse..
Neurologist: Dr. Bob, Neurologist (MD) replied 3 years ago
Is it a slow, steady, rhythmic shaking that moves the arm or hand slightly, or is it a more rapid, intermittent twitching that you can feel or see but does not appreciably move the limb?
Ask Your Own Neurology Question
Customer reply replied 3 years ago
it is rapid twitching and really only noticeable when lifting the arms/holding things it is also worse when the palm is facing upwards or inwards (holding an iphone).. at rest, the arm/hand does not shake.
Neurologist: Dr. Bob, Neurologist (MD) replied 3 years ago
I see. So it is not a true tremor...more like fasciculations. Have you heard this term? Do you agree with this?
Ask Your Own Neurology Question
Customer reply replied 3 years ago
i just wiki'd the term. That would be closer to what I am experiencing, however, the EMG test did not pick up on any of that.... what i really wonder is could this condition be a result of anxiety/lack of physical excersise?my spine surgeon mentioned the small chance it may be a reaction to muscle pain in my back and this is how my body is dealing with it.. he prescribed me "Cymbalta", but i am skeptical because the side effects are alarming and i don't think it's the right cure..Please let me know what u think on these 3 comments..
Neurologist: Dr. Bob, Neurologist (MD) replied 3 years ago
Fasciculations are very common, affecting just about everyone at one time in their life or another. They are almost always benign and transient (and migratory, meaning they may move from one spot to another, with common sites including the arms, legs and face).
They are heavily associated with health anxiety, which is often exacerbated by stress, fatigue, poor sleep, overwork, inadequate exercise, sometimes medications or caffeine). In the absence of other neurological symptoms such as weakness, atrophy, spasticity, loss of balance, they rarely turn out to be an actual disorder or disease process. When they are part of a disease process they are typically picked up by EMG, so a normal study is very reassuring.
Concentrated, persistent pain can be a risk factor for neuromuscular irritability which is the origin of fasciculations, so this may be one component. Cymbalta is a generally safe and effective medication for anxiety and its consequences, and often helps with chronic pain, so this seems like a reasonable measure. It may mitigate much of your anxiety and reduce or resolve your fasciculations.
Sometimes the only way to know if a medication will work is to try it for a few weeks or months. Most people that do so eventually get off the medication when circumstances (and one's anxiety) improve. :-)
Ask Your Own Neurology Question
Customer reply replied 3 years ago
i appreciate all of that informationhowever, with all of that being said... from all your clinical experience is there some way i can naturally reduce the amount of Concentrated & persistent pain in my back, which is causing the neuromuscular irritability, to a level that it will no longer cause fasciculations?.. rather than just have myself depend on medicines to do that.. ?
Neurologist: Dr. Bob, Neurologist (MD) replied 3 years ago
I think your best bet, in addition to regular exercise, a healthy balanced diet and 7-8 hours of good sleep every night, would be to work with some ancillary health care providers. Many individuals benefit from working with a physical therapist on stretching, strengthening, body mechanics, posture and good work (and computer) habits. In addition, many benefit from yoga and meditation, acupuncture, and even self hypnosis techniques. Most of these approaches can be very helpful and satisfying as they place control in your hands, as opposed to that of the pharmaceutical industry. :-)
Ask Your Own Neurology Question
Neurologist: Dr. Bob, Neurologist (MD) replied 3 years ago
Did you have any additional questions? If so, let me know and I'll do what I can to assist you further.
Regards,
Doctor-Bob
Ask Your Own Neurology Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a neurologistLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Bob Your Own Question
Dr. Bob
Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5,791
5,791 Satisfied Customers
Experience: Neurology & Int Medicine (US Trained): 20 yrs experience

Dr. Bob is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Mark

Dr. Mark

Neurologist (MD)

2,191 satisfied customers

Neurosurgeon - Brain, spine, and peripheral nerve surgery

Jack Scariano Jr

Jack Scariano Jr

Neurologist (MD)

1,056 satisfied customers

Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine

Dr. Bob

Dr. Bob

Neurologist (MD)

5,791 satisfied customers

Neurology & Int Medicine (US Trained): 20 yrs experience

healthydoc

healthydoc

Board Certified Physician

1,851 satisfied customers

Board Certified U.S. Neurologist

Dr. F

Dr. F

Board Certified MD

266 satisfied customers

Neurosurgeon with more than 20 years experience in practice and teaching.

Phytube.com

Phytube.com

Neurologist (MD)

86 satisfied customers

Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications

Stroke Doc

Stroke Doc

Board Certified Physician

51 satisfied customers

I am board-certified in Neurology and the subspecialty Vascular Neurology.

< Previous | Next >

Related Neurology Questions
My husband is not able to walk at this time. He has had
My husband is not able to walk at this time. He has had MRI's of his lumbar spine, cervical spine, nerve tests on his legs, mri's of his brain. So far nothing has shown up Do you have any suggestions?… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
2,191 satisfied customers
This question is being posted for Dr. Subbanna. Question: In
This question is being posted for Dr. Subbanna.Question: In December 2016 I suffered a fall and fractured my skull. I was hospitalized for four for months and have been diagnosed as having tbi. My lef… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Can't afford it. And frankly I can't find a single piece of
Can't afford it. And frankly I can't find a single piece of information on what I'm experiencing … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I had a lumbar spine fusion on August 13th,2015. I still
I had a lumbar spine fusion on August 13th,2015. I still have tingling in my left foot. I had a nerve conduction study on my left leg and foot and nothing was really found, other than still healing. B… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Just wondering about Polyneuropathy and absent Planter Snaps
just wondering about Polyneuropathy and absent Planter Snaps on the left side.Working with Primary Care Physician referrals to Neurologist after lower back injury and Transforminal injection to block … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,236 satisfied customers
I have had some issues with my right hand/thumb for a few
Hello, I have had some issues with my right hand/thumb for a few months. Symptoms are weakened grip, loss of either subcutaneous fat or muscle (not sure), pain in different areas at different times (m… read more
Ken
Ken
Post-Doctoral Degree
5,285 satisfied customers
In March of this year I started having "problems" and pain.
In March of this year I started having "problems" and pain. I had muscle spasms in my legs (more my left) and muscle cramps in my back and legs that were bad enough I had trouble sleeping and would fe… read more
Ken
Ken
Post-Doctoral Degree
5,285 satisfied customers
I have constant pain in my calves and thighs for a few
I have constant pain in my calves and thighs for a few weeks. It's a little better when lying in bed. Shoulders and wrists also hurt but much less than my legs. I've been to 3 neurologists during this… read more
Ken
Ken
Post-Doctoral Degree
5,285 satisfied customers
MRI 19 Sept 2012 of 46 y.o. female -- injured May 31, 1997 -
MRI 19 Sept 2012 of 46 y.o. female -- injured May 31, 1997 - t-boned from passenger side while driving + hit in right side of head with full small red gas can flying though vehicle- subsequent fall se… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
I am suffering from what is thought to be a trapped nerve in
I am suffering from what is thought to be a trapped nerve in my thoracic spine. (I have a mild scoliosis). This is causing me to have "fainting" episodes every day. It used to happen only when I stood… read more
HouseDoc
HouseDoc
Attending Neurologist
Doctoral Degree
1,313 satisfied customers
I have had pins n needles sensation lower legs and slightly
Hi I have had pins n needles sensation lower legs and slightly on arms for 2 wks saw a neurologist and today had mri brain and c spine...I have the results but no doc to interpret untill Thurs. MRI sp… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
2,191 satisfied customers
I really would like someone a neurosurgeon spinal doctor to
I really would like someone a neurosurgeon spinal doctor to answer this question. This is my MRI results. C2-C5 all demonstrate central disc protrusion with mild unconvertebral joint and facet joint h… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
2,191 satisfied customers
I have shaking in my left hand and left leg it so bd
i have shaking in my left hand and left leg it so bd sometimes i fall down is this siesue or something else [ also get heachs dizzineness what is taking so long [ thought this was going to be asap… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
2,191 satisfied customers
I have been suffering from severe pain in lower left side of
Hello. I have been suffering from severe pain in lower left side of rib cage for over a year. I have been to gastroenterologist, had many tests, I have been told i have ibs, ulcers, acid reflux, along… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
2,191 satisfied customers
My husband has been experiencing progressive weakness and
My husband has been experiencing progressive weakness and muscle atrophy to his right arm and leg also increased fatigued, difficulty writing and he is right handed. also is only able to walk very sho… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
2,191 satisfied customers
Possible areas for tsi or strokes? None showing in brain
possible areas for tsi or strokes? None showing in brain from MRI with and without contrast. Gait prolems, Balance, leans to left. 78 years old. Slow reflexes. Rheumatoid Arthritis, controlled Diabete… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
2,191 satisfied customers
I have several nerve root cysts on my spinal cord, have been
Hi! I have several nerve root cysts on my spinal cord, have been with extreme back pain for 1 year, intermittent loss of vowel and urine control, wake up with no feeling on arms and legs, after pressi… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
2,191 satisfied customers
I have been in touch before because I am afraid of having a
I have been in touch before because I am afraid of having a brain or spinal tumour. I have seen a Neurologist who is sure I donot have a tumour but believes I have a trapped nerve in my neck.He said i… read more
Dr. Sophie :: Neurology
Dr. Sophie :: Neurology
Neurologist
Post-Doctoral Degree
1,832 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x