Palm twitch, wrist cramp

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Palm twitch, wrist cramp

Postby d75 on September 12th, 2013, 4:40 pm

Sad to be posting this. Have been largely symptom free for years - or at least fear-free.

Over the last few days, however, I've noticed a 'hot-spot' twitch towards the side of my palm, on the 'pinky' side. It's always in exactly the same place and while it doesn't seem to be there all day, it's there for a large part of the day. The twitch is strong enough to be seen and felt.

At the same time, just today, I noticed a cramp-type pain on the back of my wrist on the same hand. It basically hurts when I (for example) bend the fingers back slightly. I can provoke the pain with movement - it doesn't happen randomly.

I'm increasingly convinced the outer fingers on the hand in question are a bit weak/clumsy, although not in any clearly demonstrable way. When I look closely at the hand it seems like it might be smaller/thinner/less muscled than the other. But again I can't be sure.

Anyone ever had anything like this? I'm really keen not to get dragged back in to the fear, but it is difficult.
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Re: Palm twitch, wrist cramp

Postby js1 on September 12th, 2013, 5:01 pm

d75 wrote:Sad to be posting this. Have been largely symptom free for years - or at least fear-free.

Over the last few days, however, I've noticed a 'hot-spot' twitch towards the side of my palm, on the 'pinky' side. It's always in exactly the same place and while it doesn't seem to be there all day, it's there for a large part of the day. The twitch is strong enough to be seen and felt.

At the same time, just today, I noticed a cramp-type pain on the back of my wrist on the same hand. It basically hurts when I (for example) bend the fingers back slightly. I can provoke the pain with movement - it doesn't happen randomly.

I'm increasingly convinced the outer fingers on the hand in question are a bit weak/clumsy, although not in any clearly demonstrable way. When I look closely at the hand it seems like it might be smaller/thinner/less muscled than the other. But again I can't be sure.

Anyone ever had anything like this? I'm really keen not to get dragged back in to the fear, but it is difficult.


I had these a few weeks ago. I don't think they're "true" cramps -- but muscle irration/myalgia. And regarding the pinky-side palm hotspot, I've had that (50-60 twitches a day on average) for the last month. It's one of my regular spots and the doc stuck the needle in it -- nothing sinister. I started twitching in 2005, and had a relapse of symptoms over the past two months. Don't let yourself go down the spiral I'm in now -- it's threatening my livelihood and life. Ignore this because it's completely benign.

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Re: Palm twitch, wrist cramp

Postby js1 on September 12th, 2013, 5:06 pm

d75 wrote:Sad to be posting this. Have been largely symptom free for years - or at least fear-free.

Over the last few days, however, I've noticed a 'hot-spot' twitch towards the side of my palm, on the 'pinky' side. It's always in exactly the same place and while it doesn't seem to be there all day, it's there for a large part of the day. The twitch is strong enough to be seen and felt.

At the same time, just today, I noticed a cramp-type pain on the back of my wrist on the same hand. It basically hurts when I (for example) bend the fingers back slightly. I can provoke the pain with movement - it doesn't happen randomly.

I'm increasingly convinced the outer fingers on the hand in question are a bit weak/clumsy, although not in any clearly demonstrable way. When I look closely at the hand it seems like it might be smaller/thinner/less muscled than the other. But again I can't be sure.

Anyone ever had anything like this? I'm really keen not to get dragged back in to the fear, but it is difficult.


Oh, and regarding the clumsy thing, I have that, too -- particularly when I'm typing. My right hand (dominant!) is weaker and smaller than my left, but my neuromuscular specialist (top at Cedars-Sinai) said that's completely normal.
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Re: Palm twitch, wrist cramp

Postby d75 on September 12th, 2013, 5:19 pm

Thanks for the quick reply - really appreciate it, and what you've said.

The 'cramp' is a strange one. Maybe it's the wrong word. I've never really understood what people mean by 'cramp' (in this context) - my only other experience of it is when playing sport etc. That's a very different kind of pain.

This is a fairly searing pain over the back of my hand/wrist when I twist the fingers/wrist in a certain way. I'm sort-of hoping it suggests I might have damaged or twisted the ulnar nerve (or some other nerve). But I really don't know.

Thanks again,
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Re: Palm twitch, wrist cramp

Postby js1 on September 12th, 2013, 5:28 pm

d75 wrote:Thanks for the quick reply - really appreciate it, and what you've said.

The 'cramp' is a strange one. Maybe it's the wrong word. I've never really understood what people mean by 'cramp' (in this context) - my only other experience of it is when playing sport etc. That's a very different kind of pain.

This is a fairly searing pain over the back of my hand/wrist when I twist the fingers/wrist in a certain way. I'm sort-of hoping it suggests I might have damaged or twisted the ulnar nerve (or some other nerve). But I really don't know.

Thanks again,


Yes. Again, I know exactly what you mean -- mine originated from bending my pinky finger. Pain of this sort is not consistent with Motor Neuron Disease. Cramps -- which, by themselves, are not necessarily indicative of anything bad -- are painful sustained muscle contractions which would, if occuring in the hand for instance, preclude or inhibit muscle movement of the fingers. Ulnar nerve damage is a possibility, but I had that last year and it usually is accompanied by numbness in the pinky and ring finger on the affected side. You don't mention any pin-prick or numbness sensations. I would put my money on mere irritation, inflammation and normal muscle twitching.
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Re: Palm twitch, wrist cramp

Postby johnnythejet on September 12th, 2013, 6:54 pm

Everything you are experiencing is common among worried twitchers, and absolutely nothing to worry about. If you had any idea how many times I've read/heard those exact same concerns then you'd understand. You are not unique, but merely a clone just like me. The cramp feeling you describe is very common and not a true cramp. Many people have described it as a "pre-cramp" feeling, but whatever you wanna call it doesn't really matter. Even true cramps are fairly common, among twitchers and non-twitchers alike. Feel like something is clumsy and weak?....you'd be a rare one if you DIDN'T think this at some point in your BFS career. If you have to wonder if something is "weakness", then it isn't. That's a good rule of thumb.
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Re: Palm twitch, wrist cramp

Postby d75 on September 13th, 2013, 1:50 am

Thanks. The twitch itself is really quite worrisome because it is so constant - I can see and feel it every few seconds. And it seems to be fairly settled. I just went to sleep with it there, and have woken up with it there too. It is not something I used to get with BFS. Is that what others sometimes mean with a hotspot - a spot that twitches every few seconds, maybe for days?
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Re: Palm twitch, wrist cramp

Postby Yuliasir on September 13th, 2013, 3:03 am

Cramp is a pain caused by uncontrollable muscle contraction. it is very sharp and one can feel muscle contracting. Cramps are result of intoxication (especially with alkaloids due to lowering excitability thresholds), or neural damage (like it happens in the stroke), or due to changes in the electrolyte balance (most often) or they could be a result of sharp spasm of capillari and abrupt ishemia (that is what happens in the cold water for example). many people have calf cramps mostly becasueof the fact that lower legs have impaired circulation.

twitches often cause muscle pain becasue it is a movement and muscle loadm however involuntary. it is the same as you would try to do someting with this muscle. it causes same processes as normal contraction and the most unpleasant feeling is just becasue you never expect mucle tiredness pain in that type of muscle.

When I was vigorously twitching, I fel that pain every time I had new twitch.
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Re: Palm twitch, wrist cramp

Postby d75 on September 13th, 2013, 8:58 am

Well, I've decided to see a specialist so I guess we'll see what happens.

Saw a general doctor - first time I've been able to demonstrate my twitching, with absolute confidence it would be happening.

There's something very unnerving about a 'constant' twitch - it's not something I've experienced before.
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Re: Palm twitch, wrist cramp

Postby mwagner on September 13th, 2013, 9:41 am

You have a hot spot.

If it makes you feel better, my thumb has been twitching for almost two months now. Same as you describe. Usually once about every five minutes. Recently, it may go hours without twitching, but inevitably it twitches during the day usually when I'm resting. In the beginning, it was non stop unless I used it.

And I have been fretting over how my right thenar is definitely smaller and less defined than my left. I'm right-handed.

This is my theory: somehow (you and I) have strained or done something to the muscle/nerve involved and instigated a twitch that wasn't there before. Probably easy to do because we have hyperexcitable nerves. I played ping pong right before this happened. While I would never ever have attributed ping pong to twitching before, nowadays I guess a game of ping pong can wreak havoc on my body! ;-)

You actually made me feel better with your post. I'm realizing how common this is amongst us twitchers. I felt silly about stressing over it, after 2 years of twitching, but feel better when I see someone who has been twitching for 8 years worry about the same. It makes me realize that it's natural to worry, but that there likely is no reason at all for us to worry about a twitch.

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Re: Palm twitch, wrist cramp

Postby wjjw on September 13th, 2013, 4:07 pm

d75 wrote:Thanks. The twitch itself is really quite worrisome because it is so constant - I can see and feel it every few seconds. And it seems to be fairly settled. I just went to sleep with it there, and have woken up with it there too. It is not something I used to get with BFS. Is that what others sometimes mean with a hotspot - a spot that twitches every few seconds, maybe for days?

Days? How about months!? How about months, then re-curring at varying frequencies year to year? I would have thought by now you were a twitching VET. All these years of inactivity has made you soft, and caused you to succumb to fear of a bull$hit twitch and cramp-thing that means absolutely nothing. Want to hear about my re-occurring abdominal twitch/spasm/cramp thing that I've had multiple times, for months?

Take care d75, and get the heck out of here. You're fine. :)

Cheers,
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A knowledge of the existence of something we cannot penetrate, of the manifestations of the profoundest reason and the most radiant beauty, which are only accessible to our reason in their most elementary forms--Albert Einstein
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Re: Palm twitch, wrist cramp

Postby d75 on September 14th, 2013, 2:16 pm

Thanks Bill.

It's actually settled down a bit today. Still going to see the neuro to talk it through, but feeling a fair bit calmer.

It's strange. I've years and years of occasional twitching and never given it a thought. Guess it shows there's always a chance something new and unexpected can come along and knock us back a little bit, for a little while.

That said, I've no plans to become a regular here again! Love this place, owe loads of perfect (wonderful) strangers here a huge amount, but the best feeling in the world is the feeling of being able to leave.
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Re: Palm twitch, wrist cramp

Postby d75 on September 14th, 2013, 2:17 pm

Double post - typical noob...
Last edited by d75 on September 16th, 2013, 12:40 pm, edited 2 times in total.
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Re: Palm twitch, wrist cramp

Postby d75 on September 16th, 2013, 12:31 pm

Neuro spectacularly unconcerned. Twitch has basically disappeared, too. Left with perceived weakness but have been there before, and no evidence of it during my exam.

In return for your help with my uncharacteristic panic here's some useful info which - while said by many other neuros to many other people - bears repeating again:

*People with *** don't present with twitches, and (in his experience) don't feel their twitches.
*Twitches in *** are accompanied by weakness and clear evidence of atrophy.
*The weakness is noticed through clear functional deficit - not being able to lift a cup, for example. It is rapidly, demonstrably progressive in almost all cases.
*A twitch in a single muscle isn't indicative of ***. On the contrary - it's likely to be benign.
*If your clinical exam is completely clean, you don't NEED an EMG. You can have one if you must, but you don't NEED it.
*While it's difficult to formally diagnose ***, it's not difficult for a neuro to see, and strongly suspect.

Thanks and see you all in eight years or so(!),

D
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