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Experiencing left hand shaking from few days
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Nervous System Disorders
Question #11468
216 days ago
271

Experiencing left hand shaking from few days - #11468

Ekta

I am a migraine patient from last 5-6 years and a cervical spondylosis patient from last 1.5-2 years. I am being prescribed maxgalin nt 75, betacap tr 40 and fludac 20. I was also prescribed MRI brain with whole spine screening and as such no problem was found but still i experience left hand and arm pain. I am regularly taking it on time. But from some time I don’t know why but experiencing more left arm pain and both shoulders pain along with facial pain and eye pain and left shoulder blade pain and too much yawning. I am more concerned about my left hand shaking too much for no reason. I am not at all able to figure out that all these are symptoms of some issue or this is all normal ?

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Doctors' responses

Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
216 days ago
5

1. Left hand shaking with arm and shoulder pain can be linked to cervical spine issues, nerve compression, or medication side effects.

2. Since your MRI was clear, functional causes like tremor, muscle fatigue, or vitamin deficiencies may still play a role.

3. The combination of facial pain, shoulder pain, and eye pain points toward possible nerve involvement.

4. It is not considered normal and should be checked by a neurologist to rule out tremor disorders or neuropathy.

5. Please book a consultation for a detailed neurological exam and adjust medications under supervision.

I’m Dr. Rohith Ayyadurai MBBS Diabetologist and General Physician. Book a consultation with me here on AskDocDoc for further guidance.

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Experiencing new or changing symptoms like left hand shaking, combined with left arm pain, shoulder, eye, and facial pain, needs careful evaluation, especially given your history of migraine and cervical spondylosis. The variety of symptoms suggests possible neurological involvement or even something as simple as muscular strain, but the hand tremor could be a sign of something that needs more urgent attention. Since you’ve been prescribed medications like Maxgalin NT, Betacap TR, and Fludac, it’s important to understand the interactions and side effects as some medications can cause tremors as a side effect. Maxgalin NT contains pregabalin and nortriptyline, which are often used for nerve pain and may interact with the symptoms. Betacap TR, a beta-blocker, is sometimes utilized for managing migraines and certain tremors, which makes the issue of increased tremor puzzling and possibly indicative of another underlying issue such as dystonia or progression of spondylosis. It’s crucial to differentiate between symptoms related to potential nerve compression, medication side effects, or another emerging condition.

With the occurrence of facial and eye pain, you might be dealing with more than cervical spondylosis. An increase in yawning can sometimes relate to fatigue or neurological conditions. Immediate steps should include speaking with your doctor or neurologist to review your symptoms and consider further diagnostic testing. Sometimes cervical issues may require reassessment through updated imaging if symptoms worsen or evolve. They might suggest an EMG (electromyography) to check nerve function specifically in your left arm or potentially adjusting medication. The left hand shaking, if persistent and troubling, could suggest alterations in your neurological status that should not be delayed.

Consider documenting when you notice the tremors or pain increasing, any activities or stressors present and whether certain movements exacerbate symptoms. Sharing this information with your healthcare provider can be vital for further evaluation. Immediate modifications in activities that exacerbate symptoms can sometimes mitigate worsening symptoms. Make sure to maintain follow-ups and don’t postpone reaching out if the tremors increase or if you experience additional symptoms like weakness, changes in sensation, or cognitive alterations. These suggestions aim to ensure careful monitoring and response, prioritizing practical and medically safe approaches to managing your health.

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