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Shaking muscles and spasms

I have had anxiety for several years now, but more recently (past 2 months or so) I've developed this chronic shaky feeling in my muscles.  Even when they are resting they feel like they want to move, and sometimes when I do something I jerk instead of do it smoothly.  I've also grown intensely sensitive to coffee in a short period of time, and it will cause my entire body to shake when I consume it.  Some days I take Ativan just to rest my body fromt he shaky feeling.  If I exercise (like yoga) - my muscles really shake when I exert them.

Is this something I should have a neurologist check out?  My doctor wants to explain everything away with anxiety, but I really feel like this is a new and different feeling.

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Avatar universal
I am not a doctor, and it may have nothing to do with your meds, but that is the first place I would check. Do serious research on the side effects of your meds, dont just look at the list they gave you. Also when you reserach them, word it like
tremors after long term use of xxxxxxx
things like that. Some meds can cause them and sometimes long term use can cause things. If you are not  on meds,  obviously its not that.
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Avatar universal
Hi there.  There are certain causes responsible for muscle twitching like diet deficiency, drug overdose, and side effects of diuretics, corticosteroids, estrogens, exercise, benign twitches, and nervous system conditions like amyotrophic lateral sclerosis or ALS, muscle dystrophy, spinal muscular atrophy and myopathy. Your neurologist needs to look into these conditions one by one. The other possible cause could be multiple sclerosis and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. Therefore, it would be prudent to consult your neurologist with these concerns. Causes of strokes can be investigated like high blood pressure and high cholesterol along with brain hemorrhage. Take care
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