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tremors during sleep
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This patient support community is for discussions relating to apnea, children’s sleep issues, jet lag, insomnia, narcolepsy and snoring.

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Avatar_m_tn
I swore i had central apnea as well. I bought an o2 sat and heart rate recorder. My o2 drops at night, but drs looked at chart and said it is not that low. Low o2 seemed to correlate with vibrations. Very confusing. Insurance covered most of Mayo. Their rates are no different than the others.  
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Avatar_m_tn
Thanks again Toby.  I think one of the differences between your symptoms and mine (correct me if I'm wrong), is that when I wake up with the vibrations, I seem to be having a momentary anxiety attack which makes it feel even more like I wasn't breathing (or stopping breathing results in some anxiety).  It passes quickly although it makes the wakenings even more distressing. And sometimes I'm almost aware of having gasped slightly just before I become conscious. Depending on how deeply you sleep, it might not take much of a cessation in breathing to wake you up and so your 02 wouldn't drop that much.

The problem is, I'm almost always in the middle of a dream when this happens.  So I think this almost always occurs during REM sleep which is another reason I think it's central sleep apnea. Of course, the anxiety and the fact that I'm dreaming also leads some of my doctors to believe that it's "just anxiety."

-b
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Avatar_m_tn
How lov does o2 sat get wen sleeping?  
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Avatar_m_tn
When I was using my own pulse-oximeter, it was around 95 with drops to 91. And the drops didn't always correspond with my waking times. But again, CSA doesn't always result in significant 02 drops. Half the time, I feel like my problems are breathing-related and half the time not.  I mean, any kind of anxiety reaction can make you feel like you were having trouble breathing.

-b
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Avatar_m_tn
I have the same o2. If you slow your breathing down enough to get to 91. It damn near makes you pass out. Do you have any reason for the low o2?
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Avatar_m_tn
No, I don't have any reason for the low O2.  Unless of course it's due to some sort of sleep apnea.

-b
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Avatar_m_tn
I hate to report this. I have tremors back and iron is normal. I dont know what to do at this point. Getting worse.
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Avatar_m_tn
What a bummer. Really, I was so hoping we were onto something.  I am still planning on having my ferritin checked on 6 Jun.  Because you managed to get some relief, I am still wondering if there isn't a connection between your  thyroid and iron.  
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Avatar_m_tn
Just saw my endo dr. yesterday.  Waiting now for all the lab tests.  Should have them some time this coming week.  

How are the two of you doing?  Hope you are still hanging in there and following this thread.  

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Avatar_m_tn
Still having issues. Cant help thinking this is not a blood flow issue. My heart rate drops to mid to upper forties in the middle of the night. Always about the same time my issue starts. The cardio said i am just healthy. I am mid forty n sit behind desk pushing 250. Not sure of his reasoning behind that. I guess i will head down that avenue. Getting discouraged. Vibrations now are radiating to hands. I seen that in earlier blogs.  
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Avatar_m_tn
I'm sorry to hear that toby.  You must be very frustrated.  I'm still having the vibrations.  I decided to go ahead with being treated for Lyme even though my Lyme tests were just slightly positive. The antibiotics are doing a number on me which is not helping my sleep any.  I've also seen another sleep neurologist to get a second opinion since I don't agree with the first one's conclusions.  He is going to have me do an at-home sleep study first to test for sleep apnea and then we'll take it from there. My thyroid numbers completely turned around in my last tests to being on the low side of normal so I'm not sure what's going on there. I'll be getting another at least another TSH level done at my yearly physical in July. So unfortunately, I don't have anything new to report on the vibrations.

-b
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Avatar_m_tn
My vibrations are very mild now.  I honestly think they began subsiding the minute I went on the anti-yeast diet...no sugar, fermented foods and very few carbs.  

My diet is protein, sardines, very little fruit, but lots of steamed vegetables. Not the most exciting meals, but at least I am sleeping.  As I mentioned before, I am on 100 mg Fluconozole for another year which is an anti-yeast medication. This particular doctor is the only one in this area that is knowledgeable on how to treat chronic yeast in the digestive tract. I do not have any other symptoms for yeast. Didn't even know I had it in my digestive tract.

-b are you taking some kind of probiotics while you are on such strong antibiotics for Lymes?
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Avatar_m_tn
Yes.  I'm taking probiotics. I'm also taking Nystatin to guard against fungal growths.

-b
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Avatar_m_tn
I have been periodically checking night O2 and heart rate for the past year. As my symptoms increase over time i am noticing my heart rate is getting lower after about 4 hours of sleep. I started at 52 bpm and now hitting 43 bpm when i am experiencing vibrations. Seems like i need to run this to ground. May still tie to lyme or thyroid as both cause bradycardia.
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Avatar_m_tn
Thanks for the update toby.  You know that you'll need to find a "Lyme Literate MD" to really be tested and/or treated for Lyme right? What part of the country do you live in?

My update:

I had an endoscopy yesterday because I was having some reflux issues and my voice was getting hoarse. Everything was normal except that they found that I had a "minor" hiatal hernia. Don't know if that could have anything to do with the vibrations (I didn't even bother asking the gastroenterologist), but just reporting it for the record.  They really don't do anything to treat small hiatal hernias except to treat any symptoms such as reflux with acid blockers.

-b
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Avatar_m_tn
Interesting about your acid reflux.  I, too, went in last year for the same reason...my voice was getting hoarse.  Apparently, I have slient reflux since I have never experienced any heartburn ever.  No hiatal hernia, however. I try to keep myself propped up at night with an extra pillow.This all happened before they diagnosed my thyroid problem.  don't want to take acid reducers unless it becomes absolutely necessary.  I am doing better with not being as hoarse.

Speaking of thyroid...the endo reduced my synthroid from 100 mcg to 88 mcg daily.  I talked him into switching me on to Armour, which he did, at 60 mg.  I am supposed to try this for a couple of months and then come back in for testing.  I wanted Naturethyroid, but because he wasn't familiar with it, he would not try it.

How are you doing with your treatment for Lyme's?  Hope Toby is surviving.  It is interesting to me that all my troubles with this nerve vibration stared after I got a tick bite back in July 2011.
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Avatar_m_tn
The saga continues. Long story short, I saw a neuro Fri. She is positive my issue is my gas exchange is too low while sleeping. I had a CO2 blood test and MRI on brain. She said that when i am getting into REM sleep my breathing is too shallow trapping CO2 in portions of my lungs.

I am so exhausted trying to figure this out. But, try this. When you have tremors stay relaxed for a while and see if they are constant.  If you do nothing else but take deeper breaths, you will notice the symptom goes away. This may be why people are having the same issue with different problems. Lyme will slow your stuff.

I am an Engineer, i fix things thats what i do. I will find the answer. Possibly getting close. Try a cpl deep breaths and see if symptom goes away for a little while. Hmmmm.
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Avatar_m_tn
That's a good theory.  Is your neuros opinion based on the results of your CO2 blood test and MRI?  What did they show?

Deep breathing is one of the things I do to make the vibrations go away.  Then they come right back again when I drift off. But that also reinforces my GP's opinion that this is anxiety-related (which I don't believe). Did the neuro have any suggestions?  Would adding O2 to your CPAP help this?

I'm also and engineer and I'm trying to be very analytical about this. Drives my GP crazy, but too bad. I'm seeing the 2nd sleep neurologist at the beginning of August and I'll tell him what your neuro said.

Thanks for keeping us informed.

-b
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Avatar_m_tn
OK, MRI clear. CO2 came back normal but CO2 is quickly changing. Test was a waste of time as it wasnt taken when I had problem. Neuro wants to consult with sleep neuro on trying a Bipap machine.  The funny part is it only takes a couple deep breaths to clear the issue. It is not anxiety when we are sleeping. Haha. They just dont get it. We were anxious months ago but not any more. We are getting close. I have some new blood test tomorrow to rule something else out. Not sure what it is. I know this is CO2. Hypoventalation i think she is thinking. I need to research.
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Avatar_m_tn
So are you using a straight CPAP right now with constant pressure?  That's what I was using for a while, but it does nothing for me now.  The 2nd sleep neuro that I'm seeing seemed surprised as if that was antiquated technology. Maybe it is since I was prescribed it 6 years ago. Some more advanced CPAP machines today can actually record various events you might be having during sleep.

As for the CO2, various blood tests that I've had recently show blood CO2 slightly to the high side, but not outside the normal range.  But you're right, I'm not sure how diagnostic that is since the measurement isn't taken during sleep.  I'm surprised no one is suggesting that you do a second sleep study where your O2 and CO2 levels could be measured more effectively.

One question I have though.  Had this new neuro you're seeing ever heard of these kinds of vibrations?  Or is she just assuming from other symptoms you've described that it's hypoventilation?

I still haven't gotten the results of my home sleep study yet.  Very frustrating...

-b
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Avatar_m_tn
Sad to say my new neuro hasn't seen exact symptoms but simular. I do have a newer cpap. It will increase pressure if it detects breathing stoppage. It records events.

I feel another sleep study coming, but have never slepped more than a cpl hours and study is a fail. I need to hit deep sleep. I had a blood draw today. I do not recall the name. It is to detect some issue with lung muscle.

I have been dropping some pounds to decrease fat around my lungs. I do have a beer gut. I have been trying to take as little amatriptalyne as tolerable. I think it helps with sensations but makes problem worse. I cant go off of it completely.

I should be back at it on Monday. I have an Alaskan fishing trip comin up mid August. Hope to have an answer by then.
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Avatar_m_tn
Thanks for the update.  The neuro I saw that was familiar with this symptom immediately said that it was anxiety. His solution is anti-anxiety meds like Klonopin.  Benzodiazapines are also respiratory depressants. No thanks. Sigh...  

One question about your symptoms, do you get the vibrations only when you wake from deep sleep?  That's when they happen to me, but I also sometimes feel the vibrations just as I'm about to drift off.

I also think that amitryptilene helps with the symptoms for some reason.  But I typically feel like crap the next day.  I've been off of it for a while and my symptoms haven't changed appreciably.

-b
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Avatar_m_tn
You described it exactly.

It started with strange dizzy feeling once in a while. Then progressed to a little electrical sensation down my neck. Then more severe tremors. I take just 2.5 to 5 mg a night. Dry mouth sux. It just takes off the edge. If I have a real bad night it seems like I am shakey (shaky) during the day. Jitters

I am curious about your home study. Did you sleep and have symptoms?
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Avatar_m_tn
I'm not sure I have the electrical sensation in my neck, but I definitely have the tremors which vary in severity. I take 10mg of Ami every now and then.  I don't seem to suffer from dry mouth, but I feel pretty weak the next day.  I also feel jittery/anxious the next day when I have a particularly bad night.

The home study thing is really pissing me off. I think I mentioned that there was a problem with the recording unit.  When I woke up that morning, it was powered off.  Maybe I leaned on the power button in my sleep or maybe it malfunctioned. I called the sleep center and they said the best thing to do was to turn it in so they could download the data and determine whether enough was recorded.  If not, I could do the test again. I've now called them twice and haven't found out the results yet.  The last time I called, they said it could take 2 weeks to get the results.  2 weeks was up this past Friday so I guess I'll call again on Monday and then call the sleep neuro if I get no joy.  But to answer your question, yes I slept and I did have the symptoms.  I haven't had a night without the symptoms in quite some time.

One more question.  When you get the vibrations, do you feel like you're having any GI problems?  Rumbling in your stomach or anything like that?

-b
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Avatar_m_tn
No GI issues.

I still cant keep wondering if it is not Bradycardia. What is your heart rate while sleeping?  When monitor is on and I take a deep breath my rate goes up to 70 from low 50's. It only takes a little while and it is bac in lo 50's. Where are you located?  
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Avatar_m_tn
I'm not sure what my heart rate is lately.  For a while it was definitely on the lowish side. mid 50s while lying down.  I'll do a another couple of nights with my pulse oximeter and let you know the results. I'm in Chelmsford, Mass.  About 40 minutes northwest of Boston.

-b
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Avatar_m_tn
Had a rough night last night. Be a 10 mg night.
I got the rest of my blood tests from last week. My PO2 blood gas was 78. Lower norm limit is 85.

I need to call neuro tomorrow and see if her test came back yet. Off to the pulminary spec prob.

Getting close to the root i feel.
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Avatar_m_tn
78 while you were awake?  Yeah, that's pretty low.  Looks like you're on to something.

-b
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Avatar_m_tn
Funny my pulse ox is usually 98-95 during the day. I wonder what the dif is. I am wearing halter mon tonight to get that out of the way. I was sure hoping to get somewhere before trip to Alaska in August. Not looking promissing.
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Avatar_m_tn
I'm still with you both, hoping you are going to be able to figure this thing out before much longer.

Just reporting my MRI showed a slightly bulged disc in by neck between C5 & 6.  Not sure that has anything to do with anything, but will be meeting with the Neuro dr. on 15 Jul to discuss it. When you had your MRI done, did you have it done on your neck or your brain?  

Still trying out the new dosage for my thyroid medicine, keeping my fingers crossed it will keep me from losing any more hair.

Yes, my vibrations will cease when I take a couple of deep breaths.  I am not on a CPAP and as far as I know I believe I have sleep apnea.
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Avatar_m_tn
My last message posted before I was ready.  I meant to say I "don't believe I have sleep apnea."
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Avatar_m_tn
I meant to say 68-95 on pulse ox.  Lol
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Avatar_m_tn
Well... Halter monitor. Bradycardia, but does not seem to be a problem. Heart slow at night but dont think it would cause my symptoms. WTF
blood test for some muscle disorder normal. Lyme test tomorrow.

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Avatar_m_tn
Cardio called and said he would like me to go to a pulmonologist next. He said heart rate of 40 when sleeping is not that uncommon. That will probably be the last stop. I have been to everyone else twice.

-b any word on your sleep study?

ieagan my MRI was on brain stem and brain. I have an air bubble that is a normal thing from birth. Everything else is normal.
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Avatar_m_tn
No word on sleep study yet.  Probably won't find out until I see the neuro beginning of August.

-b
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Avatar_m_tn
I go to pulmanologist third week in August.
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Avatar_m_tn
Are you going to have a Pulmonary Function Test (PFT) done?  Or maybe you won't know that until you see the pulmonologist. I did that a while back.  All tests were normal.
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Avatar_m_tn
Met with my Neurologist yesterday concerning my MRI...she seems to think the bulge in the disc in my neck could definitely be causing the tremors or vibrations depending on how much it is pressing on the spinal column or nerves.  

Have either of you had your necks examined, either x-ray or MRI?

I will be calling a Physical Therapist she has recommended and she is requesting they set me up with a home neck traction device.  Will keep you posted.
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Avatar_m_tn
I have had xray only. I have some arthritis in my neck. That would be cool if that turns out to be the issue. I have doubts as if i do not move the vibrations stay. If i take a big breath they go away.

I had pulm func test and they found some minor issues 8 months ago. They were not concerned at the time. I think we are getting to the bottom soon. Glad we are working in parallel.
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Avatar_m_tn
I, too, have my doubts, but it may take trying to fix everything else before we find the actual problem.  An MRI would definitely give a more complete picture especially if there is a bulging disc problem.  

I am doing some neck exercises for now until I can get in to see the Physical Therapist. And making sure my pillow doesn't push my neck too far forward when sleeping.  In the past, I tried to prop myself up to help prevent any acid reflux and may have compounded the neck problem since I have a tendency to slide back down while sleeping.

My vibrations will also stop if I just lightly touch my neck. Not sure what that is supposed to mean.

Will be anxiously waiting to find out the results on your pulmonary test.
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Avatar_m_tn
Latest for me is that my home sleep study showed nothing.  No central sleep apneas and very few obstructive sleep apneas. Sleep neuro says that home tests are not that accurate so he's agreed to order a "real" sleep study. He's not familiar with the sleep vibration thing and doesn't seem to be to impressed by this particular symptom.  He listed a bunch of sleep medications I could take, but I'm not interested. So I'm not expecting much from him. At the very least, I'm hoping for a good sleep study to assess my current level of sleep apnea if any.

How is everyone else doing?

-b
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Avatar_m_tn
FYI.  After some recent googling, I ran into another medhelp thread about sleep vibrations.  Maybe you've found it already.  In this thread, a number of people state that they found relief from the sleep vibrations when they were taking SSRIs.  It's definitely not something I want to do, but I might consider it if it fixes this problem and helps me get some sleep.

http://www.medhelp.org/posts/Heart-Rhythm/Waking-up-with-body-vibrations/show/1133873

-b
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Avatar_m_tn
-b

I will check out the other site.
The problem with the clinical study is you cannot sleep. I have done 3. No issues found, but never slept good enough to agrivate the condition. Seemed i was holding my own for a while, but it now has moved to the next stage. I am now vibrating all night and cannot get out of it. I feel jittery all day and am having concerns that permanant nervous system damage may happen.

I feel my options are limited. I have tried so many doctors that look cross at me because they havent had a patient with my problem. Not sure what to do at this point.

I also wonder what happened to the people that formed this thread. Where did they go?  
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Avatar_m_tn
The thread was interesting. It does however lead me to believe that the answer is not attainable. I am going to try Ami again to see if it gives some relief. Going to Alaska in a week.

Curious if SSRI meds do the same as Ami.
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Avatar_m_tn
I had actually been sleeping a bit better.  I was able to fall asleep easily, but still wake up multiple times throughout the night. So I figured that if that continued, I'd sleep enough to get more data to at least diagnose whether or not I have sleep apnea.  Unfortunately, my sleep has also deteriorated for the last few nights.  For 2 nights, I also vibrated all night.  Last night, I didn't vibrate at all, but couldn't get to sleep.  Hard to tell what's going on. Phase of the moon or something?  In any case, I may delay the sleep study until I think I can get enough sleep to make it worthwhile.

I'm really getting the impression that (for me at least) this is somehow tied to digestion, hiatal hernia, and the vagus nerve.  Vagus nerve involvement would also explain the afib I had for a short time not too long ago.  In fact, the cardiologist called it "vagally mediated afib" which means the vagus nerve was telling my heart to beat when it shouldn't have.  The vagus nerve is the nerve responsible for a lot of the autonomic nervous system functions which would explain why this tends to happen during sleep.  Not that this helps with a solution though...

-b
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Avatar_m_tn
I have seen the Physical Therapist twice now.  He is helping to relax all the muscles in my neck and back.  Apparently they were all very tight due to spending extended hours on the computer with my work.  I have 4 exercises he wants me doing at home as well.

My tremors are very mild now and do not seem to be waking me up as often at nights.  If do notice them, I adjust my head so it is level and directly above my shoulders, and then I am able to go back to sleep fairly quickly.

I had chiropractic treatments 2 yrs. ago when this first started, but I feel the physical therapy will be more helpful with the exercises to keep my muscles strengthened.  Otherwise, the minute I walk out of the chiropractors, everything gets out of alignment again too quickly.

I live in the Salt Lake City, Utah area so we are not anywhere close.  I do hope you both are still hanging in there.  I will be going in for my thyroid tests the first part of September and will let you know how I am doing.
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Avatar_m_tn
Just returned from Alaska. What a beautiful place. I was only sleeping 6 hrs a night and fishing all day. No tremors at all. Worked my a.. off on the boat. I too spend several hours on the computer at work every day. I will try and do exercises to strengthen shoulders and upper back.

My son wrecked his car this morn and got flown to hospital. Really amped up the stress. He is going to be ok, but broke his leg pretty bad. My ears are screaming right now.

Talk more soon.
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Avatar_m_tn
Son is doing well. Going to take some time to recover. Thank god he was not hurt worse. His car was broke in two pieces.

I saw the lung specialist. He said he had some ideas he was going to present to his team. Seemed like he was challenged to find the issue. Suppose to call me next week with some ideas.
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Avatar_m_tn
So sorry I am so late in responding...I don't seem to be getting the email notifications.  Glad to learn your son is doing so well and so glad he wasn't hurt worse.  Just sorry you both had to have all this stress especially after such a wonderful vacation.

Speaking of vacations, we are leaving today for the Idaho mountains where I grew up.  Will be gone a week.  I am doing very well with my tremors right now.  They are very mild so I am going to continue to see the physical therapist and do my neck exercises.  I am watching very closely that when I am at the computer I keep my ears over my shoulders and not leaning into the computer or over the keyboard.

Haven's heard from b1218.  Hope he is still with us.  Keep us posted on how you and your son are doing?

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Avatar_m_tn
I'm still here.  Glad to hear your son is going to be ok Toby.  Nothing new to report on my vibrations unfortunately. Should have the results of my latest sleep study in a week or so although I don't think it will tell us anything.  I'm also considering seeing a PT, Chiro, or D.O. to see if some sort of manipulation will help.

-b
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Avatar_m_tn
Thanks for your kindness.
My tremmors are now moving in to my hands. It is better than my trunk area. I can sleap better, but jittery all day.
No word from pulminologist. Ieagin, glad ur getting some relief. Hope that pans out.
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Avatar_m_tn
ieagen, were you diagnosed with anything that led you to a PT, or did you just do that on your own?

-b
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Avatar_m_tn
I went to see the Neurologist in Oct 2011. She wanted to do an MRI on my neck then, but I waited until now to have it done so Medicare would cover it.

They found a bulging disc in my neck between C5 & C6.  I am doing the neck exercises to strengthen my neck muscles and to get the other neck muscles to relax that I use too much while on the computer.

I, too, went to the Chiropractor several times for an adjustment, which I am sure helped, but the physical therapist has helped the most. I don't know if this is going to be the answer for you or toby, but I would really encourage you both get an MRI of your necks or wherever you think you vibrations are.

That still doesn't explain why just taking a deep breathe would stop the vibrations, but all I know is I am sleeping all night now most nights.  If I do wake up, it is because my neck is pushed forward in the wrong position.

Maybe the breathe helps the muscles to relax, I just don't know.  I am so hoping this is the answer for all of us.    
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Avatar_m_tn
Had another treatment with the Physical Therapist today.  Things just seem to be getting better so I am encouraged.  Here is a website for bulging disc in the neck and/or pinched nerve.  He gives some simple but effective exercises you guys could try, some of the same exercises that my PT has me doing at home.

http://www.youtube.com/watch?v=CMuJvQ9y6Ms

It might help you to determine if this is the same problem for you.  I am wondering if toby's vibrations in his hands now might mean a pinched nerve .  My PT was quite surprised I didn't have any numbness or tingling in my hands.
He also encouraged me to sleep with only 1 pillow instead of 2.  He wants my neck in a neutral position...not pushed forward at all.

Keep me posted how you both are doing when you can.
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Avatar_m_tn
Very helpful ieagen.  Thank you!

-b
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Avatar_m_tn
Looks like i am going to Mayo again to continue study. My cardio is refering me. I am doing ieagan's recomended exercises. I am in a very bad place now. My condition is getting more severe.

I am back on Ami to get sleep again. Hoping things turn around.  
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Avatar_m_tn
Good luck Toby.  Let us know what happens.  Have you ever had a head/spine MRI like ieagen?  Maybe something to run by the folks at Mayo. I'm seeing the neurologist on Monday to go over my latest sleep study and I'm going to discuss that with him.

-b
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Avatar_m_tn
This time I hope Mayo will do an MRI of your entire spine.  I am really surprised they didn't do any when you were there before.  

When I first started with these  vibrations, I actually felt it on the inside of my right leg in the pelvic area.  That was why I thought it might be from the tick bite I received on my right thigh. The neurologist seems to think I probably had a bulged disc lower in my spine at that time and then it went up to my neck 5 months later and stayed there.

The treatments from the Physical Therapist are great and I think are helping more than just doing the exercises at home. I am really hoping and praying you both can find some relief immediately.

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Avatar_m_tn
Met with the sleep neuro today to go over the results of my sleep study.  Looks like I still have significant sleep apnea although much reduced from a few years ago.  15 episodes/hour during NREM and 30 episodes during REM (down from 60).  So we're going to try CPAP again.  I doubt this will do anything for the vibrations, but maybe it will help me sleep through them better. I'm doubtful, but hopeful.  I asked about having a head/spine MRI and he said he would never got that past the insurance company.  Not sure why when others (like ieagen) have had one.  He wants me to try CPAP for a month or so and see what affect that has. I might also try to find another (more flexible) neuro to pursue the MRI thing and/or just visit a Chiro or PT.  I'm also looking for a Functional Medicine doctor to try to figure out my fatigue issues which I don't think can be completely blamed on the sleep/vibrations issues.

Thats all I have for now.  Hope everyone is hanging in there.

-b
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Avatar_m_tn
Well, just started  a chiropractor . I do have arthritus in c5-6-7. Got adjusted. My gut says that this is not my answer, but I would try anything. My issue is getting more intense and now having issues during the day. I have an appointment at mayo on the 24th of November. Hope the chiropractor is the answer so i can cancel the appointment. Starting out with 3 adjustments per week. I have been taking ami every night now. I might try and suggest testing for MS. I'm not sure what else to do.
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Avatar_m_tn
The chiropractor should definitely help, but it didn't completely solve the problem for me.  However,  I feel it helped to keep things from getting worse.  I, too, have some arthritis, in my neck.  I take a Glucosamine/Chondroitin supplement and it really helps. You can get them at the health food store or order online.

I think the discs can get inflamed, which may cause them to start bulging and pressing on the spinal cord, which then could cause the vibrations. If this progresses, then the vertebrae, which are probably out of alignment, can begin to pinch the nerves, as well, which can cause the tingling and numbness in the hands or else where. The worse case would be a ruptured disc. I shake Turmeric on most everything I eat to help with any inflammation.

The neck and back exercises are vital in order to hold the alignment of the spine after you get your treatments.  I, too, was wondering about MS, but your head MRI should have shown if you had any lesions, so I am hoping that will be the case.

b- Sorry to hear your doctor doesn't feel he could get your insurance to approve a neck MRI.  My doctors always tell me they have to code it in such a way that the insurance companies will cover it. Of course, mine was through Medicare.

Even if you can't get an MRI, a visit to a PT, I feel, would definitely be beneficial.  They give you a treatment similar to the Chiropractor plus send you home with the very exercises that will help strengthen the muscles that hold everything in place.

Please hang in there...the only other thing I am doing is the thyroid and anti-yeast medication.  Still trying to get the thyroid medications just right.  When the medication is off, I have a difficult time getting to sleep and staying asleep, regardless of any vibrations I may feel.
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For some reason, I didn't get email notifications for the last two posts. I've started and CPAP again (with new machine and mask) last night and it might actually have helped a bit.  Still woke up a couple of times with significant vibrations and anxiety, but I think I woke up fewer times and slept later.

Ieagen, so if I went to a PT, would they do some sort of tests to determine what therapy/exercises I need?  Or do I need to see a Dr first to determine what the problem actually is so that that information can be given to a PT? I mean, if I told a PT that I was having sleep vibrations I'm sure they wouldn't know what to do about that. That was one of the reasons I wanted to start out with a Chiropractor.

I'm also going to take a different avenue.  I've made an appointment at Dr Mark Hyman's (you may have seen him on TV or be familiar with his books) UltraWellness Center in Lenox, MA. This will be in November. This is a center for Functional Medicine where they try to get to the root of your problem rather than just look at a bunch of standard tests that appear to be normal. They also do additional testing that most traditional MDs don't do.  It's pretty expensive and most of it won't be covered by insurance.  But at least for now, I'm lucky enough to be able to afford this.  And I can't think of anything more important to spend my money on than my health.  As always, I'll keep you informed.

-b
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My brother messaged me the other day and told me about Dr. Hyman. I read some of the posted info and am curious to fid out what you learn. Seems like it makes sense to try and treat the illness vs the symptoms.

I have tried chiro for 5 visits so far. I do not see a change yet. I am still a little skeptical. I am trying to shed a few pounds as well.
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I have something to share that i found out last night. When I wake up with tremors, i have always took deep breaths or moved around to get them to stop. If I do nothing at all, the tremors will stop on there own. It takes about three or four minutes. If I move around, it starts the tremmors over in a few minutes. If I continue to stay still, they will stop. This is why I thought breathing stopped tremmors. It was because I never moved and they subsided automatically.

Try to wake up with tremmors and stay calm and not move. See if they stop. I think when I move in my sleep, it is setting off the event and wakes me up. Then I keep resetting the events by moving again.
I know this does not explain why we are having tremors. It is just another clue.
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I think this is pretty much consistent with what I experience. I'll typically wake up with the tremors, breathe or sit up, then change the side I'm sleeping on and the tremors will start again a while later.  One difference that I've been experiencing lately is that since I've started using CPAP again, I can sleep on my back.  I *think* my sleep has changed a bit because of this.  I *might* be having fewer occurrences of waking up.  I'm not sure yet as I've restarted CPAP only 4 days ago.

More questions:  Do any of you have any other upper-respiratory problems? I ask because I saw a thread not too long ago where some people who believed they were suffering from chronic sinus infections were reporting similar sleep problems. And I just got hit with some sort of sinus problem (not yet diagnosed) a couple of weeks ago. I've had sinus problems for a while now that I think about it.  I've constantly had to change the side I'm sleeping on during the night to let one sinus or the other drain during the night. This has been true for over a year and pre-dates the whole vibration thing. I've also been suffering from fatigue for a while which I attributed to not sleeping well.  But maybe it's actually due to some sort of chronic infection?  I know that some sinus infections can cause all sorts of problems some of which seem neurological.

This is something I'm going to discuss with the folks at the UltraWellness center.

Too many variables...
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Oh one more thing.  It seems like email notificationshave stopped working (at least for me).  So I'll make it a point to check this thread periodically.

-b
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I, too, am having to check this thread as I am not getting the email notifications either.

I wish I could show you both my MRI with the bulging disc in my neck.  The neurologist sent me to the physical therapist with a picture of my MRI requesting a home neck traction devise as well as treatment so, yes, you will probably want to go to a Dr. first.  

The physical therapist wanted to see how much he could manually straighten out my neck first and has not felt the traction devise was needed.  I had my last treatment last Thursday.  I still have very slight tremors, and yes mine go away shortly after they start without me doing anything.  

However, I have found they go away sooner and pretty much stay away if I slightly tuck my chin and straighten out my neck from behind by  pulling my head back without bending it.  I do believe sleeping on my back rather than on either of my sides helps to keep my neck in the right position.  It's hard to stay that way all night, though, so I do turn on my sides.  When I do, I make sure my head is not curled forward or down towards my chest.  

Toby, hopefully, the chiropractic treatments will in time help with the numbness or tingling in your hands and arms.  All I know is anything pressing on the spinal column or pinching a nerve can't be good.  After my treatments, my neck and back muscles were much more relaxed and not tied in knots so much.  Did your x-rays only show some arthritis in your neck or was there any kind of misalignment?

b- I have heard about Dr. Hyman and am so glad you have this opportunity.  I am not aware of having any sinus problems for myself.  I have noticed my voice isn't as hoarse and so I think my silent reflux is doing much better now.  Could be because I am on thyroid medication now.

Glad to hear your new CPAP seems to be helping somewhat. Hopefully, you will continue to be able to sleep better and have more energy.  

Wish you both could get in for your dr. appointments sooner than November.  Do keep posting and I, too, will keep checking this thread often.
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Sorry, i forgot to answer your question. I have no sinus issue at all and have not had any for some time.
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take a look at this neurologist's website sleep, videos and vitamin d hormone sections:
http://drgominak.com/
wake up tremor is caused by poor sleep and vitamin d3 deficiency or overdose and additionally in bad cases secondary deficiencies to vitamin d3 of all 8 b vitamins.
vitamin d3 is required to be between 60 and 80 ng/ml and deep sleep (i.e.slow wave sleep and rem sleep) must be of sufficient duration.
deep sleep creates chemicals that repair the whole body and that includes wake up tremor.
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Thanks for the information me_a_name.  I've actually seen Dr Gominak's videos before.  She's considered pretty controversial.  Regardless, I did notice that my Vit D was low and started supplementing.  At the time that my D was in the 50s, I was still having sleep vibrations. My B12 was fine, but I haven't had my other B vitamins measured.  My wife's vit D is in the 30s and she sleeps like a rock.

It certainly wouldn't hurt for everyone to check their Vit D levels and supplement if they're low (which most people are).  You'll probably want to supplement with a good form of magnesium such as magnesium glycinate or citrate since Vit D metabolism uses up magnesium. Lots of good information on Vit D here: http://www.vitamindcouncil.org/ and here: http://www.grassrootshealth.net/
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thank you for your mayo clinic posts.
i hope you do not have to go back in november.
did you continue with vitamin d3... maybe reduce to 5000 iu daily?
have you considered magnesium glycinate or magnesium taurate for calming effect and help with sleep?
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thanks for reply.

in my case i have up to 30 random sleep interference trains and planes noise events per night and have decided not to move.
insufficient deep sleep results in wake up tremor.
dr gominak should be involved with research on deep sleep repair.
is her statement in her 2010 video that it will require 5 years for someone else to get a handle on deep sleep repair happening?
do you have any sources or information on her being controversial or on deep sleep repair?

i have supplemented vitamin d3 for 1 year (4000 iu daily) and recently magnesium glycinate (400 mg magnesium daily) at bedtime.
the vitamin d3 has resulted in less frequent and less severe wake up tremor and elimination of (non-painful) migrane (migraine).
the magnesium glycinate should have a calming effect and help with sleep.
i notice your post in 1/2014 that you supplement d3 5000 iu and magnesium glycinate 400 mg.
do you have any effects?
have you considered magnesium taurate for calming effect and help with sleep?
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Here's another possible theory on what might be causing this problem (at least for some of us): laryngospams.  Here's some information I found: http://www.fauquierent.net/vcd.htm. And a (fairly old) research paper on the same: http://www.scielo.br/pdf/anp/v53n1/08.pdf.

What if the vibrations are actually part of some kind of anxiety reaction to being woken up?  I've definitely felt varying levels of anxiety when this happens.  And maybe that breathless feeling is actually a laryngospasm? I haven't had the "jumping out of bed gasping" level, but I've definitely had some pretty bad anxiety on occasion. And I've definitely something like maybe my throat closing for just a split second before this happens. The references talk about possible causes being: GERD (which I've had), sinus problems (which I think I may still have), allergies, etc.  ieagen has had some thyroid issues which can also produce sleep issues and anxiety. In the research paper they cite on case where the patient was successfully treated with Amitryptilene.  I'm beginning to think that Amitryptilene can paper over a multitude of problems. My sleep issues have definitely raised my general anxiety level (many of the patients in the study were perceived to have had some level of anxiety) which was admittedly higher than average to begin with.

In other news, I haven't had any vibrations in the last two nights. Is this a result of my re-starting CPAP? I'm still not sleeping through the night, but for the last two nights when I did wake up, I didn't feel like I stopped breathing and I didn't have any anxiety.
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Hi me_a_name.  I don't have any references regarding Dr Gominak being controversial.  I just remember some statements (possibly in the comments posted with her videos) contesting some of her findings.  I don't know for a fact that she's wrong or right. I've been supplementing with various forms of Magnesium for 2 years and it hasn't helped the vibrations.  Although last night I tried Magnesium Malate and maybe that had something to do with it.  I stopped Vit D supplementation for a while, but maybe I'll start again.  Maybe the combination of magnesium, D3, and CPAP will do the trick.
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I had tried magnesium and D3 for quite a while. It did not help vibrations. I was low when I started and went all the way to the top of suggested levels with no help. I seem to be headed in a bad direction. My tremors are progressing and getting more severe. I have very little anxioty at all when sleeping. It has been so long. My tinnitus is directly tied to the quality of sleep I get. It is to the point I can predict it by morning. I am now also having issues during the day. It is even getting hard to stop the tremors. Sorry for all the I's.

Amatriptalyne is not helping much any more. The side effects are horrendous and makes for long days. It feels tiring and dries my mouth. I am at 25mg per night. It is supposedly a small dose. It does not feel that way to me.

Honestly, I do not see the end. It has been slowly progressing for over a year. I have been working as a maintenance manager at a power plant. It is getting so hard to perform. I'm hoping Mayo can come up with the answer this time. Or b comes back with a solution from Dr Hyman.
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Are you doing any anti-yeast medication along with cutting out all sugar and alcohol? Yeast thrive on both of these.  b is taking Nystatin and I am on 100 mg Fluconazole, both good anti-yeast products.

Have you done any detox?  I have only tried the coffee enema about 3 times now.  It is supposed to stimulate the liver to release any heavy metal or toxins.  I don't do them very often, it causes more of my hair to fall out...probably because of all the toxins.

Have you heard of the 12 Homeopathic Cell Salts?  I just started taking some of these about a month ago. I get mine at the health food store or you can order them for less at vitacost.com. I am taking the Silicea 6X for my hair and nails, and the Kali Phos 6X for stress and simple nervous tension and sleeplessness.

It is hard to tell, as my vibrations have been pretty mild for the last few months, but I believe the Kali Phos. 6X is helping as I am sleeping most of the night. If I do have a tremor, it is very mild...no anxiety, I just adjust my neck and can usually go back to sleep without too much trouble. I did just noticed today my eye lashes seem to be growing in thicker so only time will tell if the Silicea 6X will help with my hair.  I am sure hoping so.

I am hoping and praying you can find some immediate relief . If you should decide you want to try the anti-yeast medications, you may want to see an integrated or alternative doctor unless you can not find a medical doctor that will work with you on this.

Please keep us posted.

  


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congratulations on stopping wake up tremor.

i have no experience with any of the laryngospams triggers.
amitryptilene sounds like treating wake up tremor which is a symptom and not treating the cause of wake up tremor.
according to toby1101 amitryptilene has bad effects and in the long run does not work.

wake up tremor is caused by poor sleep.

vitamin d3 assists the body make repairs during deep sleep which stops anxiety and wake up tremor.
magnesium glycinate or magnesium taurate(i have not tried this) is used before bedtime for calming effect and help with sleep and since vitamin d metabolism uses up magnesium.
vitamin d3 and magnesium may require a few months to show effects.
too much vitamin d3 causes negative health effects.
dr gominak states too much vitamin d3 causes vitamin d3 not to work.

i do not use cpap.
dr gominak would say cpap allows you to get sufficient deep sleep which allows your body to make chemicals and repairs which stops anxiety and wake up tremor.
dr gominak claims if you get your vitamin d3 blood levels between 60 to 80 ng/ml and you get sufficient deep sleep you may not need to use cpap.

some points from the following expert on vitamin d3 supplementation.
uses a list of negative health effects to determine too much vitamin d3.
greater than daily 1000 iu will probably have some negative health effect.
does more good than harm.

ctheblog.cforyourself.com/2008/12/overdosing-on-vitamin-d-side-effects.html

some points from the following expert on magnesium supplementation.
good absorption is required.
overdose only occurs if you have kidney problems.
magnesium malate is used during the day because it provides energy.
magnesium glycinate or magnesium taurate is used before bedtime
for calming effect and help with sleep.


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Very interesting information on both Vit D and Magnesium me_a_name. Thank you!  Unfortunately, I don't keep a very good health log (big mistake), but I had a sneaking intuition that some of my flare ups might have coincided with increasing my Vit D supplementation. Maybe I'll take an extended vacation and spend some time visiting my mother in Phoenix to get more sun exposure. In any case, I'm going to stop my Vit D supplementation for a while and see what happens.

The magnesium information is also very interesting.  I believe at least some (or maybe most) of my problem stems from a very bad reaction I had to an antibiotic called Cipro almost 2 years ago.  There is strong evidence to suggest that the fluoroquinolone class of antibiotics (aside from doing a lot of other damage) drastically depletes magnesium. I think I'm going to switch to using mag malate during the day and mag glycinate at night and see what happens.

Just one correction ieagen, I am no longer taking Nystatin as I stopped the Lyme protocol I was doing.  My Lyme diagnosis was always iffy and the Lyme doctor I was seeing was somewhat "eccentric" and didn't inspire confidence.

Continued good luck to everyone epsecially Toby.

-b
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Today we had a wellness day at work. They set up several booths. I spoke with a naturalist doctor for a long time about my issue. She set a private appointment for tomorrow. Supposedly she can bring my nutrient level in every aspect to the top so your cells go into regeneration mode and you body will fix whatever ails it. She swears I will cancel my upcoming doctor appointment in November.

At this point what the hell. I appreciate everyone's help and responses. I will report back what she tells me.

I'm currently on a Low sugar carb free diet.
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Sounds promising Toby!
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So I saw Dr. lee today. She said that I have a lot of information and my tongue is swollen. She was able to read my eyes, my skin and my face and tell what's wrong with me. She is going to analyze all the information received today and I'm to go back next week. I'm supposed to start off with Braggs vinegar three times a day and one drop of oregano oil under my tongue once a day.

I'm still a little skeptical at this point. I can't see where this can do any harm. She spent most the interview reviewing a lot of cases you have in the past with success to try to gain my confidence.
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I assume you meant "inflammation." ;-) What kind of practitioner is Dr Lee?  Is she a naturopath? Lots of people (especially complementary medicine professionals) swear by the positive health affects of apple cider vinegar. It's supposedly great for digestive health and many other things.  Google it.  Don't forget to shake the bottle before you take it.  And if it's too harsh for you, just dilute it in some water and/or add a little bit of honey. Oregano oil is considered a natural antibiotic and is used a lot by naturopaths. Hope this helps.

In other news, I've been using CPAP for a couple of weeks now.  My CPAP machine collects data on an SD card and I've been looking at some of that data with some open source software called SleepyHead.  I need to collect a few more nights data, but so far I think I can see that my respiration rate goes way down just before I wake up. A certain number of central sleep apneas is normal during the night especially when transitioning through sleep phases.  It's more a question of how long they last. Maybe I sleep too lightly or am particularly sensitive to these events and thats why I wake up.  And maybe the vibrations are an anxiety reaction or a reaction to low O2.  I'm going to try using my pulse-oximeter to see whether I can correlate low O2 to the waking events.  I have an appointment with the  sleep neuro in a couple of weeks and want to present some of this data to him.

-b
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b
You're describing the problem that I've had since the beginning. It seems like no one can ever find the issue though. If you spend the night at a sleep study you don't sleep good enough and your breathing never slows down to see it.

My AutoCorrect doesn't work that great sometimes. Information inflammation
haha.

I still believe the vibrations are from my neurological system not get enough O2. Anytime I wake up having issues, I just breathe deeper couple times and they go away. I have an O2 sat monitor that will record for 24 hours. I can definitely see a correlation between my O2 sat and when my event starts happening. It seems that the more nights that I have issues the harder it is to get out of them.

I have a large belly and am trying to diet.
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Hi Toby,

Do I remember correctly that you also have sleep apnea and are using CPAP?  If so, does your CPAP collect data which could be analyzed?

-b
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Yes and yes. I have not put the SD card in my computer, but have seen the results at the sleep clinic. Unfortunately it does not show respiration rate. It does show that it works good at 10 ". I Had asked about central sleep apnea. They had tested me for that and said it was not my problem.
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There's free software called SleepyHead which you can use to look at the data on your SD card.  It might show you more than the sleep clinic showed you. I don't know what machine you have and so it might not be compatible.  But it might be worth checking it out: http://sourceforge.net/projects/sleepyhead/
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Well, seemed as if I turned a corner for a while. I Have been on a Carb free diet for three weeks and lost 17 pounds. Tremors backed off and became manageable. I have been taking several vitamins that the naturalpath recomended.

It seems as if I sleep on my side, it helps. It feels as if breathing is easier and my lungs get better gas exchange.

The last few days things have been headed in the wrong direction.

Apple cider vinegar is great. I Didn't even know I had a problem feeling bloated. It makes a huge difference.

Hope everyone is doing well.
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Sounds like you're making some progress Toby.  Yeah, I carb-free diet will do wonders for you.  Could I ask what vitamins the naturopath recommended?

I've now been using CPAP for about a month and it seems to be helping a bit.  I'm still waking up multiple times during the night, but I typically don't have any vibrations when I do and no anxiety at all. So maybe my untreated sleep apnea was exacerbating the problem. I pretty much always wake up in the middle of some vivid dream.  They're not particularly disturbing or active, so I'm not sure why I'm waking up. I looked at my Sleephead data and I can still see multiple events of different kinds during the night: hypopneas, flow limitations, etc.  Unfortunately, it's difficult to tell from that data when I was asleep and when I was awake.  These machines can supposedly report lots of false events when you're awake because the algorithms were designed for breathing patterns during sleep.

But now I've developed another problem.  I'm getting head pains when I move my head a certain way.  This started before I started CPAP so I don't think there's a connection.  I've seen a neurologist who ordered a head and cervical spine MRI so it looks like I'm finally going to get that MRI I've been wanting anyway...

So I'm seeing the sleep neurologist next week at which time I'll go over some of the data I've been collecting.  My MRI is also next week so we'll see where that leads.  And then I have the appointment with the functional medicine doctor the week after that.

Sigh...

-b
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Here is the list from the naturalpath:
Insisted I order from Swanson supplements
Calcium powder SWV168 One scoop per day
Magnesium TL939 two caps one half hour before bedtime
D3 NWF580 two caps Per day
Stress B complex TL132 two capsules three times the day
Chromium SW922 two capsules three times a day
Had liver oil NRN011 1 tablespoon per day
C0Q10 SWV035 two capsules per day
Zinc Picolimate 50 mg per day

Pravita supplimates only
Super B 12

I had to get three weekly  pillboxes and the pills barely  fit into the boxes
I'm supposed to take the supplement for about 10 days to 2 weeks and then give her a call and tell her how I'm feeling. She supposed to start me on some kind of food supplements after that.
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U doin ok?
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One more question.  When you wake up with the vibrations, are you aware of having been dreaming?
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Yes, thank you for checking on me.  I am so glad to learn you are on a carb-free diet.  That is when I first noticed I was getting some relief from my vibrations.  Hope you can keep improving.  I have been on my carb-free diet now for a year and am sleeping so much better.  I cheat on my diet once in awhile, but not very often.  My vibrations are ever so slight now.

b- I don't hardly ever dream so I don't know what that is supposed to mean.I'm probably a lost cause...ha!  So glad you are going to get an MRI. I keep thinking with my hair loss, I need to have a head MRI next.  Don't know that it would show anything, but it might.



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I do dream, but rarely attach them to the vibrations. Sleeping is getting better, but I too have problems staying asleep closer to morning. My issues are definitely more severe when sleeping on my stomach. I am almost convinced that the vibrations are due to improper gas exchanges while sleeping. This may be dangerous,but I purchased a bipap machine a while back that I programmed for a slight increase on inhale vs. exhale. Trying it tonight. If I don't write anymore you know why. Lol
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Still kicken!  Lol. The Bipap didn't make a ton of difference. I Was afraid of setting it too high.

Just had another appt with natupath. Started me on food suppliments. It is all about eating live cells. Several products from Sunrider.com. Nuplus, Quinary, Fortune Delight, sun nectar, Slimcaps, Vitalite Sunbars. Vatadolphilis.
She keeps talking about their food containing 60 MHZ of energy. I tried to tell her that MHZ is speed and not energy. She said it is different. I do not see this anywhere on web. Hmm.

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Got results of the MRI.  No problems with brain were detected.  The general comments from my cervical spine MRI were:

+ Mild left C3-C4 degenerative facet disease without joint
effusion. Otherwise, unremarkable craniocervical junction.

+ Mild C6-C7 greater than C5-C6 degenerative disc disease
without canal compromise or nerve root impingement.

According to my GP, this is not abnormal for someone my age.

My sleep is about the same although the vibrations have started again. I don't know whether I mentioned this before, but for a while I was taking an SSRI called Effexor XR.  I was taking the smallest pill possible (37.5 mg). I stopped this a couple of weeks ago because I really don't like taking psyche drugs.  But I wonder whether this was stopping the vibrations? The sleep neurologist I'm seeing believes that the vibrations are a nervous system reaction to some type of event during sleep (could be apnea, could be something else), but he's not sure.  He's says that the fact that I'm dreaming more is a good sign since it shows that I'm more often in REM slee. I'm considering whether or not to start the Effexor again.  It didn't increase my sleep although it certainly increased my dreaming.

I've also had my first appointment at the UltraWellness center and I was very impressed.  I spend 4 1/2 hours their between meeting with the doctor, nurses, having labs done, and speaking with a nutritionist. The doctor wasn't familiar with the vibration problem specifically, but I believe that they can help get to the root of my fatigue and some other problems.  I think that the vibrations are a symptoms of something and not the cause.  So maybe when they figure out the cause (and hopefully treat it), the vibrations will go away as well.

The one thing I'm pretty sure of is that the magnesium definitely gives me better sleep.  I tried not taking it on a couple of occasions and I had bad nights.
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Have any of the doctors you've seen mentioned trying out an O2 concentrator with your CPAP?  This might actually be contraindicated because more 02 might reduce the breathing reflex.  Not sure...
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Good point, i have asked several different times to just try supplemental o2 of any form. They have no interest in prescribing it. I thought it would be another thing to check off the list. If it is a CO2 issue, it may make it worse,but at least it would help lead to the answer.
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I was happy to learn your MRI was normal, but also disappointed it didn't show any bulging discs.  Do either of you have any idea where your vibrations start up?  I just knew when I touched my neck, it would make them go away.

However, as I mentioned before, when my vibrations first started, they were  in my pelvic area and I was having a difficult time sitting at my computer.  The dr. seemed to think I may have had a bulging disc in my lower back as well as in my neck causing the pelvic vibration and pain. I never had any pain with my neck, just the vibrations.

I feel I may have been exposed to something that caused the discs in my spine to get inflamed. Either that, or yeast toxins finally reached a level that it set off a chain reaction.   The pelvic pain and vibrations started clearing up right away as soon as I went off sugar.  I thought I was getting better until I got woke up suddenly with the vibrations in my neck.

Is an MRI the only way they can tell if you might have a bulging disc anywhere else in your spine? There are probably several different things that could cause the same symptoms and vibrations in one person could be caused by something entirely different in someone else.  I hope not, though.  I was so hopeful my diagnosis would be the same for both of you so you could get some relief.

All I know is I am not having the vibrations now and I am sleeping 6-7 hours every night.  My quality of sleep seems to be more connected  with my thyroid medication.  
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That is great news. I am curious if you had weight loss with vibration relief. I am doing much better. I Have lost 26 pounds so far. It is almost evident to me that my belly fat is causing restrictions on my chest. Sleeping on my side aides in removing some restrictions and helps lower the severity of the vibs. I Go back to Mayo on Monday. Hopefully knowing what I have learned over the last months will help get to the solution. -b, did you get your test results back yet?  
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I probably won't see my test results until around 12/22 when I see the Dr again. In fact, I haven't even finished all of the tests yet!  The last one is a saliva DHEA/cortisol test and then I'm all done at least for now.

Interesting comment about sleeping on your side vs your back.  I think (not quite sure) that my vibrations are better when I sleep on my side.  Regardless, even when I wasn't having the vibrations (while I was taking Effexor) I was still waking up multiple times throughout the night.
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I sleep really well for the first few hours. Then I wake several times till morning.
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Yep.  That describes me as well.
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Interesting article here given to me by the functional medicine doctor I'm seeing.  Note the relationship between CO2 concentrations and panic disorders. What if the vibrations are really an anxiety reaction (without necessarily feeling anxious) to high concentrations of CO2 that could occur during sleep especially with some sort of breathing disorder...Toby, are you getting much exercise these days?  It might help.

http://www.scientificamerican.com/article/panic-attacks-as-ph-problem/
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That is an interesting article. I am definitely lacking in the exercise department.  

Well it looks like I'm on my own again. Mayo seems to be stumped with my issues. There is a test that will detect CO2 in your blood while you're sleeping. Unfortunately mayo only does that with juvenile patients right now. The doctor is supposed to be checking into using me for a test patient. I don't feel real confident then he's going to make that happen.

He seems pretty determined to try to treat my symptoms versus finding the group cause of the problem. He just prescribed me some gabapentin to try. I tried explaining to him and taking these types of drugs ends up making the problem worse in the long run. The more I cover up the symptoms the more severe the symptoms become. He went on to say that usually people with CO2 problems develop 02 problems first. I repeated back to him usually!  

Set a follow up in three months. I do feel I'm onto something with losing my belly fat and potential he starting an exercise plan. I feel I'm starting to get on the other side of the eight ball.
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I am starting to lose ground again. Last night pretty much sucked. I tried another experiment to try and make sense of what was learned at Mayo. Sleeping with the oximeter, I noticed my heart rate is usually in the upper 40s or lower 50s when in trouble. Usually taking 3-4 deep breaths makes the tremors stop. It also makes your heart rate shoot up to almost 70. This may be the culprit instead of O2 or CO2 issues.

I sent a letter to the doctor at Mayo last night after I was having problems. Last time he replied right away with an answer. I plan on pursuing this avenue for a little while to see what I can find out. There is no reason my heart rate low in the first place.

Do you know what you're her radius wall you're having the tremors?
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Sorry, the last question was suppose to read do you know what your heart rate is when you are sleeping and having tremors?  
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I'm not sure what my heart rate is at the time that I'm having tremors.  I do know that it can go into the 40s/50s during sleep (as measured during my sleep study) which is still considered within normal range. I haven't measured it myself lately, but I should. Still having reflux and some mild stomach pain during these events.  I'm still thinking that this is related to some sort of vagus nerve problem.  Not that that helps address the problem...

BTW, I think it'd be worth it for you to at least try the gabapentin to see if it provides any relief.  It would at least be another data point even if you don't end up taking it long-term. At some point, we're going to have to admit that doctors won't be able to get to the root of this problem. At that point, it's learn to live with it or figure out what medications might help and weigh the trade-offs.  I haven't quite reached that point yet.

-b
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Also, the fact that deep breathing seems to help this could also point to a vagus nerve issue.  It's thought that the calming effect of diaphragmatic breathing is due to expansion of the diaphragm which soothes the vagus nerve. Again, even if I'm right I don't think it's going to help us get any relief.

-b
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Just FYI.  I reported the fact that we're not getting email notifications and this is what the HelpDesk responded:

"I'm sorry this is happening. This is a site-wide issue, and our engineers are aware of it. They have found it to be a much larger issue than originally thought, so we don't have a timeline for a fix at this time."

-b
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Some more information supporting the whole vagus nerve thing. I've found many references to vagus-nerve-related problems.  They mostly have to do with people who have hiatal hernias and/or GERD (I have both).  It's possible to have a hiatal hernia without knowing it.  It's also possible to have reflux (called silent reflux) without noticing it.  Toby, you mentioned that you're overweight and weight definitely seems to be a factor in this.  Lots of references to vagus nerve dysfunction effects on breathing and heart rate. "vibrations" are also mentioned.  Of course, these problems are not well understood by traditional medicine. I haven't found any references to treatment other than a chiropractic manipulation that supposedly fixes a hiatal hernia and the use of benzodiazepines.  Toby, you might want to mention the vagus nerve connection to your doctor at Mayo and see what he says.  I'm also going to mention it to the functional medicine doc when I next see him.
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Oops.  Forgot to post the info.  Here's some of it:

"The role of the vagus nerve has never been well established in previous studies. Some authors have observed that gastric secretory response to insulin-induced hypoglycemia, a vagal-cholinergic stimulus, is impaired in some patients7,8 and that approximately 40% of patients with reflux disease have abnormal parasympathetic cardiovascular reflexes."
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1356483/

and "abnormalities of cardiovascular reflex function" in 40% of reflux patients.
http://www.ncbi.nlm.nih.gov/pubmed/2920926

and problems with your parasympathetic nervous system may even be the cause of your reflux:

"Disturbances of the parasympathetic branch of the autonomic nervous system in patients with gastroesophageal reflux disease (GERD) estimated by short-term heart rate variability recordings."

http://www.ncbi.nlm.nih.gov/pubmed/15608363?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_Discovery_RA&linkpos=4&log$=relatedarticles&logdbfrom=pubmed
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I emailed the sleep neuro at Mayo about the heart rate discovery. He set up an appointment on the 17th with a cardiologist to run it to ground. It is strange that my heart rate is so slow. Even when I work out on occasion it is hard to get over 140. I Used to have to back down to stay under 150.

May as well knock out everything since I reached my max out of pocket and everything is free till end of year. Woohoo
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FWIW, the vagus nerve is involved in heart rate regulation...

-b
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BTW Toby, I've been meaning to ask.  How's your ferritin level doing?  Are you continuing with the therapeutic phlebotomies.
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My ferritin within normal range last time I checked about two months ago. It was about 175. The doctor monitoring these levels indicated that he would like me to do two more phlebotomies and drive it lower. I told him to hold off for a little while and give it a couple of months because I wasn't feeling very good at the time. I have done 11 phlebotomies so far.

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That's a good number (especially given what it was) although I do understand that they want to get it a bit lower to give you some additional "headroom." Have they also been monitoring your iron levels?  I wonder if you're not feeling so well because you're a bit anemic.

My ferritin is still pretty elevated (high 400s) and function doc is concentrating on figuring out what the source of the inflammation is. At this point one test has come back indicating Lyme and another test shows that I might have GI yeast infection.  Either or both of those could be the source of the inflammation.  Not all test results are back yet so we'll see...
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Back home again. I ran  the cardio gauntlet. It takes an hour to tell the story to a new doctor. This guy is really digging in. I have several tests results on the way. All the metals, lyme, and exotic type blood tests. Also, endocrine, stress and tilt test. The cardio agreed that my heart rate is slow. He has a hard time believing that is the cause,but can't deny they seem related. He is going to set up a two night stay to try and capture data while being monitored. At least he is taking things seriously.

My ferritin is 89 now, but my iron is 150 which is high.
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Sounds promising.  Always great to hear when a doctor decides to dig in and find the cause of a problem rather than immediately trying to medicate it away. Continued good luck.

-b
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Had my follow-up appointment with the functional medicine doc yesterday.  Nothing conclusive.  Additional Lyme tests were contradictory. One showed positive for Borrelia, the other one for Lyme-related antigens was negative.  So he's confused.  Some tests showed some gut dysfunction and he wants me to start on a different probiotic to address this. Some tests showed possible heavy metals (like mercury) toxicity.  He wants to run additional tests for this. Some genomic tests indicate that I might have problems removing toxins from my body which could explain the heavy metals.  As to the sleep vibrations, he doesn't know.  He recognizes that symptom as a symptom of Lyme disease, but it confused by my test results and lack of more serious Lyme-related symptoms. Although he does acknowledge the fatigue is also a Lyme symptom.  Anyway, he's running a couple of other tests and wants to confer with some of he's colleagues.  I guess I'm not surprised that he doesn't have any answers.

Toby, it sounds like your cardio is testing you for some type of dysautonomia. Did he mention that at all?  I would also guess that your slow heart rate is not the cause, but a related symptom.  Things that affect the vagus nerve can affect heart-rate, blood-pressure maintenance, breathing during sleep, and a host of other things.  And I believe that some docs believe that some forms of dysautonomia are related to vagus nerve dysfunction.  More layman's theories from me...

-b
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-b
No mention of dysautonomia. I got the final test results back. Everything came out swimmingly. Too swimmingly though. My stress test numbers were twice as good as they should be for a 45yo guy. Crazy as I get very little exercise. This confused the cardiologist.

I am gathering more data on my own. I am experimenting with the pulse oximeter. It has an alarm so i set it to alarm at 49 bpm. I slept for 3-4 hrs with no issues. After waking and relaximg to retun to sleep, I started feeling the tremors and then the alarm went off. This happened twice. I plan on moving the alarm up a couple to see if it keeps tremor free for a night.

Do you know how low your heart rate gets when you sleep?  It just seems directly tied.
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My heart rate tends to get pretty low during sleep.  I haven't measured it in a while, but I'll also run a few experiments and let you know.  I really think that the low heart rate is not the cause, but just another symptom. Low heart rate can result from stimulation of the vagus nerve. Also, an HR in the 40s during sleep is not considered abnormal.  So your doctors are probably not going to be too concerned about this. Anyway, I'll try my own experiments an let you know.  A few questions:

So did the new cardiologist at Mayo cut you loose or is he going to investigate further? Did he have any ideas at all on how to address this problem?

You mentioned a while back that when you went on your trip to Alaska, you didn't have any episodes. I think most doctors would point to something psychological because of that, but I'm wondering if sleeping differently (different bed, different time zone) had an affect.  Also, were you using your CPAP during that vacation and are you using it regularly otherwise?

Thanks for continuing to help me brainstorm through this.

-b
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I am sure that we are many around the world following your posts about this item. Please continue to try to find a solution or a hope for all of us suffering from tremors.
Best regards
Christiansro
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