• 4 months ago

    Involuntary muscle movements while trying to fall asleep.

    Either the shoulder, leg, arm, upper body, or both legs (not all at the same time. The site seems to be random) will jolt or spasm right when I feel like I am about to doze off. This leaves me lying in bed waiting for the next one to happen as soon as I tire again. When they happen I feel a surge of adrenaline and I am no longer tired for a couple of minutes. (this could be fear or annoyance.) There is no "falling feeling" like as described in "Sleep Myoclonus." Just what feels like a spasm and sudden wakefulness. They keep me up all night. I have not slept in 2 nights straight. I take 1mg of Lorazepam in the afternoon for anxiety. This does not help with these sleep symptoms. 29 year old male. In good health. Had blood work done recently. Could this be a cause of underlying stress or anxiety? I cannot continue with no sleep due to this issue... I have also had muscle twitching throughout my body recently but the symptoms of this seem to be lessening. Thank you so much for your assistance!

Responses

  • 4 months ago

    RE: Involuntary muscle movements while trying to fall asleep.

    I have the same kind of spasms at night in bed. I believe they are the muscles relaxing from being somewhat tense throughout the day trying to get everything done. They happen in bed because that is when the body starts to relax and the spasms are simply the result of that. Is it possible that you are tense at work all day which tightens your muscles? I don't treat these spasms, I just let them ride out. Sometimes they are so strong that I've kicked or elbowed my husband. He has learned to be prepared and to protect himself lol. Is it possible, also, that you're tensing up in bed waiting for the spasms to begin? I simply try to relax as best I can and eventually they do stop. Maybe a soothing bath or warm shower will help you and your muscles unwind and relax a bit before going to bed. Do whatever you can think of that is relaxing to you which will help you and relax your muscles, and maybe the spasms will not be as often as you fall asleep. I hope this helps a little as it's simply from my own experience, not professional advice. Maybe you should call your doctor who CAN give you professional advice. Hang in there as best you can. I know how disturbing lack of sleep can be. Good luck. I'm hoping this issue has already been resolved for you.
      • 4 months ago
        Hello. Thank you for your response. I recently had a visit with my GP. Here's the deal. I do have a history of dealing with severe anxiety. I have been hospitalized a couple of times during the past year for panic attacks. My GP immediately told me that this is an anxiety issue. Along with the muscle twitches that I seem to be getting constantly in different parts of my body. These seem to be magnified with stress, which I have been dealing with pretty badly since these sleep problems started. Due to my health insurance not being the best she did not refer me to see a Neuro or other specialist who may be able to help. She said they would not want to pay for the "million dollar workup." That "i'm young, and she is thinking practically" when she says that the anxiety is the issue here. I am skeptical of this being anxiety induced since I have been keeping my anxiety to a minimum before bed. Meditation and positive thinking. Drinking Chamomile Tea. Two nights ago I felt absolutely awful. splitting migrane. 24 hours no sleep, plus inadequate sleep on the nights where I did get at least a couple of hours. That night I did manage to sleep for maybe 7 hours. Last night, again... No sleep. As soon as I began to drift off my whole body jerked violently. Usually it's both legs that jerk or my shoulder, or sometimes upper body. One time my arm shot out and hit the wall just as I began to drift off. My PCP did prescribe Trazadone for sleep and I will be trying that tonight. Wish me luck. I will update soon. If you have anymore input for me it would be appreciated. I read about people who deal with this for years causing them insomnia and this has me extremely worried.
  • 4 months ago

    RE: Involuntary muscle movements while trying to fall asleep.

    Your best bet is to bring this twitching up to your doc to either treat or eliminate the possibility of an underlying medical issue.

    In the meantime, check out 'hypnic jerks' to see if that might fit what you're experiencing. If it is, most people do experience these from time to time and they are normally considered benign and nothing to worry about.

    If these are normal hypnic jerks, then I suspect your anxiety issues are magnifying this and worsening its impact on your sleep, rather than the other way 'round.

    It may be that you're in something of a hyperaroused state from excessive anxiety and/or stress, this is common. In that case you can look to nondrug methods for stress management and anxiety control to get to the root of the problem.
      • 4 months ago
        Hello. Thank you for your responses. I recently had a visit with my GP. Here's the deal. I do have a history of dealing with severe anxiety. I have been hospitalized a couple of times during the past year for panic attacks. My GP immediately told me that this is an anxiety issue. Along with the muscle twitches that I seem to be getting constantly in different parts of my body. These seem to be magnified with stress, which I have been dealing with pretty badly since these sleep problems started. Due to my health insurance not being the best she did not refer me to see a Neuro or other specialist who may be able to help. She said they would not want to pay for the "million dollar workup." That "i'm young, and she is thinking practically" when she says that the anxiety is the issue here. I am skeptical of this being anxiety induced since I have been keeping my anxiety to a minimum before bed. Meditation and positive thinking. Drinking Chamomile Tea. Two nights ago I felt absolutely awful. splitting migrane. 24 hours no sleep, plus inadequate sleep on the nights where I did get at least a couple of hours. That night I did manage to sleep for maybe 7 hours. Last night, again... No sleep. As soon as I began to drift off my whole body jerked violently. Usually it's both legs that jerk or my shoulder, or sometimes upper body. One time my arm shot out and hit the wall just as I began to drift off. My PCP did prescribe Trazadone for sleep and I will be trying that tonight. Wish me luck. I will update soon. If you have anymore input for me it would be appreciated. I read about people who deal with this for years causing them insomnia and this has me extremely worried.
      • 3 months ago
        Hey there, sorry to hear you're still having these issues. I just wanted you to know that I, too, have been prescribed Trazadone and it has worked quite well. I have taken only 50 mg for a while now because I am up and down all through the night with sleep issues. At first I was drowsy in the mornings from it, but my body adjusted and I wake up feeling fine. You might not have the same reaction, but it is a good med, non-addictive, and no side effects. I hope you got a good night's sleep with it. I did find out that one of the meds I'm taking was the problem causing the spasms. During the day I felt like my body and mind were in a continual hyper mode, so at bedtime I was constantly searching for ways to relax in order to try to get some sleep. I stopped taking that med and now I'm much better. If you're on other meds, also, you might ask your doctor if it's possible that one of them, or a combination of them, is causing this problem. It's good that you're questioning what your doctor told you about this being an anxiety issue. You know yourself better than anyone, and doctors' "opinions" are not always the one and only answer. If Trazadone is not the solution, keep searching for the one that IS the solution for you. I'll say a prayer for you that your health be restored so you can return to your normal lifestyle. Try to relax if you can and be confident that there is a solution to what you're going through. You will be ok!
  • 3 months ago

    RE: Involuntary muscle movements while trying to fall asleep.

    Like yourself, I, too suffer from depression, but unlike you I take no medications for it (wrong thing, I know). I also experience spasms in both my legs only when I am lying down, no other time. Doing some research and speaking with my physician, we both agreed that I am lacking in magnesium, (common in older adults), and now am taking magnesium supplements with good results. You stated you were 29 and I am 61 so there is a "gap" but I felt that my problem should be aired and mulled over.
      • 3 months ago
        Hello and thanks for the comment and suggestion! The issue has mostly resolved since I made this post. I do believe that my GP was right about this one. The night time muscle jerks seemed to have gone along with the muscle twitching that I was experiencing and both of these symptoms have lessened. I am pretty sure it was a reaction to some major stresses that I had in my life at the time. I still get a shoulder jerk or two at night on occasion but they aren't as violent and they do not keep me awake at night.
  • 3 months ago

    RE: Involuntary muscle movements while trying to fall asleep.

    My father had this problem, then he started taking magnesium supplements and that cured it. In his case, he was taking a diuretic that leached out magnesium, but I know that stress and anxiety can also be helped by eating foods that are high in magnesium, such as nuts, so perhaps magnesium rich foods or a magnesium supplement could help eradicate your nighttime spasms.