Discussions By Condition: I cannot get a diagnosis.

Muscle Cog wheeling/Ratcheting

Posted In: I cannot get a diagnosis. 1 Replies
  • Posted By: Anonymous
  • October 12, 2010
  • 11:05 AM

Hello,

For some time now I have a symptom that I can only describe as muscle "ratcheting" or "cog wheeling". I'll give an example - If I move, lets say, my shoulders up and then down, during movement there will be some sort of resistance that will create a tremor/shaky movement in my muscle. It affects most, if not all of the muscles groups in my body so it must be a neurological problem? There is no tremor if my muscles are at rest.

Any information as to what's causing this would be great.

Thanks,

Chris

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  • Hello, For some time now I have a symptom that I can only describe as muscle "ratcheting" or "cog wheeling". I'll give an example - If I move, lets say, my shoulders up and then down, during movement there will be some sort of resistance that will create a tremor/shaky movement in my muscle. It affects most, if not all of the muscles groups in my body so it must be a neurological problem? There is no tremor if my muscles are at rest. Any information as to what's causing this would be great.Thanks,ChrisAny family history? May I ask your age? I hope this might be a little helpful. Essential Tremor: This tremor usually begins in early adulthood but can begin at any age. The tremor slowly becomes more obvious and becomes more noticeable as people age. Thus, it is sometimes incorrectly called senile tremor. It is usually rapid and fine but may be slow, coarse, or both. Some forms of essential tremor, called benign hereditary tremor, run in families. What causes essential tremors is unknown, but these tremors (while they can be disabling if severe) do not indicate a serious disorder. Essential tremor can affect the hands, head, and voice. Usually, the tremor stops during rest and worsens when the limbs are held in uncomfortable positions. The tremor often becomes obvious when the limbs are outstretched. For example, a tremor of the hand or wrist may become obvious when the wrist is bent upward and the fingers are spread apart. The tremor typically affects both sides of the body but may affect one side more than the other. Sometimes the head trembles and bobs, and the voice becomes shaky. Any factor that makes normal (physiologic) tremors worse (such as stress, fatigue, or consumption of caffeine) can make essential tremors more noticeable. Drinking alcohol usually makes the tremor less noticeable. Usually, essential tremor remains mild. However, it can be troublesome and embarrassing. It can affect handwriting and make using utensils difficult. In some people, the tremor gradually worsens over time, eventually resulting in disability.Essential tremor diagnosis: The doctor asks what drugs the person is using, whether the person is experiencing anxiety or stress, and whether an alcoholic beverage makes the tremor less noticeable. A blood test to check for hyperthyroidism is done.or... Intention Tremor: This tremor occurs when a person ends a purposeful movement (such as pressing a button) or aims for a target (as when reaching for an object with the hand). The person may miss the targeted object because of the tremor. Intention tremors are relatively slow and coarse. These tremors may result from damage to the cerebellum or its connections. Thus, cerebellar tremors and intention tremors may be used synonymously. Multiple sclerosis is a common cause. Stroke, Wilson's disease, alcoholism, and overuse of sedatives or anticonvulsants can cause the cerebellum to malfunction, resulting in an intention tremor.Intention tremor diagnosis: An imaging procedure, such as CT or MRI, is often done to look for damage to the brain, especially the cerebellum.Intention tremors are difficult to treat, but if the condition affecting the cerebellum can be corrected, the tremor may resolve. If the condition cannot be corrected, a therapist may put wrist and ankle weights on the affected limb to reduce the tremor. Or people may be taught to brace the limb during activity. These measures sometimes help. Deep Brain Stimulation: Tiny electrodes are placed in the area of the brain involved in tremors. The electrodes deliver a painless shock to block the impulses causing tremors. Deep brain stimulation is sometimes done when drugs cannot control a severe, disabling essential tremor or a resting tremor. For essential tremors, the thalamus (a collection of nerve cells at the base of the brain) is stimulated. Such procedures are available only at special centers.Hope you get this solved. Feel better!
    keanhe 86 Replies
    • October 13, 2010
    • 06:35 AM
    • 0
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