Is it Anxiety / Stress or is it Disease?

Information about how to manage or reduce the severity of BFS symptoms

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Is it Anxiety / Stress or is it Disease?

Postby BFSBurger on February 10th, 2013, 6:12 pm

I am sure this list has been posted here numerous times in the past. But one day, someone showed me this list, and it has always stuck with me. For some reason it really had an impact on me. And it has helped me to remember this list throughout life. I was blown away at the clinical manifestations that constantly inducing stress on yourself can cause. Hope this list has a similar beneficial impact on you:

Body (anxiety symptoms commonly associated with the body in general):

Allergy problems, increase in allergies (number, sensitivity, reactions, lengthier reactions)
Back pain, stiffness, tension, pressure, soreness, spasms, immobility in the back or back muscles
Blanching (looking pale, loss of color in the face or skin)
Blushing, turning red, flushed face, flushed skin, blushing, red face or skin
Body aches, parts of or your entire body feels sore and achy, feels like your body and muscles are bruised
Body jolts, body zaps, electric jolt feeling in body, intense body tremor or “body shake”
Body temperature increase or decrease, change in body temperature
Burning skin, itchy, “crawly,” prickly or other skin sensations, skin sensitivity, numbness on the skin
Burning skin sensation on the face, neck, ears, scalp, or shoulders
Buzzing sensation in the feet, toes, hands, fingers, arms, legs
Chest pain, chest tightness
Choking
Chronic Fatigue, exhaustion, super tired, worn out
Clumsiness, feeling clumsy, co-ordination problems with the limbs or body
Cold chills, feeling cold
Craving sugar, sweets, chocolate, usual craving for sugar and sweets
Difficulty speaking, moving mouth, talking, co-ordination problems with the mouth or tongue
Dizziness, feeling lightheaded
Dizzy, feeling dizzy
Electric shock feeling, body zaps
Excess of energy, you feel you can’t relax
Falling sensation, feel like your are falling or dropping even though you aren't
Feel like you are going to pass out or faint
Feeling cold or chilled
Feel wrong, different, foreign, odd, or strange
Flu-like symptoms, general malaise, feel ill, like you are coming down with a flu
Flushed face, red face, flushed skin
Frequent urination
Hair loss, hair is thinning, or clumps of hair are falling out
Head Zaps
Heart palpitations, racing heart
Hyperactivity, excess energy, nervous energy
Increased or decreased sex drive
Infection - increased infections, persistent infection
Mouth or throat clicking or grating sound/noise when you move your mouth or jaw, such as when talking
Muscles that vibrate, jitter, tremor, or shake when used
Muscle twitching
Nausea
Nausea vomiting
Neck, back, shoulder pain, tightness/stiffness
Night sweats, waking up in a sweat, profusely sweating at night
No energy, feeling lethargic, tired
Numbness
Numbness tingling, numbness and tingling
Numbness and tingling, and other skin sensations on hands, feet, face, head, or any other places on the body
Persistent muscle tension, stiffness
Pounding heart, heart feels like it is beating too hard
Pulsing or throbbing muscles. Pulsing or throbbing sensation.
Red skin, skin looks like or is turning red
Rib or rib cage tightness, pressure, or feeling like a tight band around the rib cage
Sexual Dysfunction, sexual uninterest
Shooting pains, stabbing pains, and odd pressures in the neck, head, or face
Shooting pains in the face
Shooting pains in the scalp or head
Skipped heart beats
Sore or tight scalp or back of the neck
Startle easily
Sweating, uncontrollable profuse sweating
The floor feels like it is moving either down or up for no reason
Tightness in the ribs or rib cage area, may also feel like a tight band around the ribs or rib cage area.
Tingling sensations, anywhere on the body, including the hands, feet, legs, arms, head, mouth, chest, groin area
Throat or mouth clicking or grating sound/noise when you move your mouth or jaw, such as when talking
TMJ
Trembling, shaking, tremors
Twitching
Unsteadiness, dizziness, feeling dizzy or lightheaded
Urgency to urinate, frequent urination, sudden urge to go to the washroom (similar to urinary tract or prostate infection symptoms)
Warm spells
Weak - feel weak, weakness, low energy, light, soft, like you may faint
Weak legs, arms, or muscles
Weight loss, weight gain

Chest (anxiety symptoms commonly associated with the chest area):

Chest tremors, trembling in the chest, chest feels like it is vibrating
Chest pain or discomfort
Concern about the heart
Feel like you have to force yourself to breath
Find it hard to breath, feeling smothered, shortness of breath
Frequent yawning to try and catch your breath
Heart Palpitations – beating hard or too fast, rapid heartbeat
Heart - Irregular heart rhythms, flutters or ‘skipped’ beats, tickle in the chest that makes you cough
Pounding heart, heart feels like it is beating too hard
Rib or rib cage tightness, pressure, or feeling like a tight band around the rib cage

Emotions (see mood) (anxiety symptoms commonly associated with emotions, mood, and feelings)
Fears (anxiety symptoms commonly associated with fear):

A heightened fear of what people think of you
Afraid of being trapped in a place with no exits
Constant feeling of being overwhelmed.
Fear of being in public
Fear of dying
Fear of losing control
Fear of impending doom
Fear of making mistakes or making a fool of yourself to others
Fear of passing out
Fear that you are losing your mind
Fears about irrational things, objects, circumstances, or situations
Fears of going crazy, of dying, of impending doom, of normal things, unusual feelings and emotions, unusually frightening thoughts or feelings
Heightened self awareness, or self-consciousness
Need to find nearest washrooms before you can feel comfortable
Need to seat near exits

Head (anxiety symptoms commonly associated with the head):

Brain fog
Burning, itchy, tight scalp
Dizziness
Dizzy
Dizziness or light-headedness
Frequent headaches, migraine headaches
Feeling like there is a tight band around your head, pressure, tightness
Hair loss, hair is thinning, or clumps of hair are falling out
Head, neck or shoulder pain, tightness/stiffness
Head zaps, head tremors
Giddiness
Numbness
Numbness tingling, numbness and tingling
Shooting pains, stabbing pains, and odd pressures in the neck, head, or face
Shooting pains in the face
Shooting pains in the scalp or head
When you close your eyes you feel like are beginning to, or will, float upwards
Sore jaw that feels like a tooth ache
TMJ (Temporo-Mandibular Joint) - clenching of the jaw or grinding of the teeth

Hearing/Ear(s) (anxiety symptoms commonly associated with hearing):

Feel like there is something stuck in your ear, that your ear canal it plugged or blocked, that there is a pebble in your ear that you can't get out
Low rumbling sounds
Reduced hearing, frequent or intermittent reduced hearing or deafness in one or both ears
Ringing in the ears, noises in the ears, noises in the head
Pulsing in the ears, throbbing sound in the ear(s)
Tickle or itch in your ear that you can't seem to get at

Mind (anxiety symptoms commonly associated with the mind and thinking):

Afraid of everything
Altered state of reality, consciousness, or universe feeling
Brain Fog
Deja Vu, a feeling like you've done or experienced something before
Depersonalization
Derealization
Desensitization
Difficulty concentrating, short-term memory loss
Difficulty thinking, speaking, forming thoughts, following conversations
Disorientation
Fear of going crazy
Fear of losing control
Fear of impending doom
Feelings of unreality
Frequent feeling of being overwhelmed, or that there is just too much to handle or do
Having difficulty concentrating
Nightmares, bad dreams
Obsession about sensations or getting better
Repetitive thinking or incessant ‘mind chatter’
Short-term learning impairment, have a hard time learning new information
Short-term memory impairment, can't remember what I did a few days, hours, or moments ago
Spaced out feelings, feeling spaced out
"Stuck" thoughts; thoughts, mental images, concepts, songs, or melodies that "stick" in your mind and replay over and over again.
Trapped in your mind feeling
Underlying anxiety, apprehension, or fear
You often feel you are carrying the world on your shoulders

Mood / Emotions (anxiety symptoms commonly associated with mood, emotions, and feelings):

Always feeling angry and lack of patience
Depersonalization
Depression
Dramatic mood swings (emotional flipping)
Emotionally blunted, flat, or numb
Emotional "flipping" (dramatic mood swings)
Emotions feel wrong
Everything is scary, frightening
Feeling down in the dumps
Feeling like things are unreal or dreamlike
Frequently being on edge or 'grouchy'
Feel like crying for no apparent reason
Have no feelings about things you used to
Not feeling like yourself, detached from loved ones, emotionally numb
Underlying anxiety, apprehension, or fear
You feel like you are under pressure all the time

Mouth/Stomach (anxiety symptoms commonly associated with the mouth and stomach):

A ‘tinny’, ‘metallic’ or ‘ammonia’, or unusual smell or taste
Aerophagia (swallowing too much air, stomach distention, belching)
Burning mouth, feeling like the inside of your mouth is burning, or tingling, or like pins and needles, or all of these together or at different times
Burning tongue, feeling like your tongue is burning, or tingling, or like pins and needles, or all of these, or all of these together or at different times
Choking
Constant craving for sugar or sweets
Constipation
Diarrhea
Difficulty swallowing
Difficulty talking, pronouncing certain letters or sounds, mouth feels like it isn't moving right, slurred speech
Dry mouth
Feeling like you can’t swallow properly or that something will get caught in your throat
Feeling like your tongue is swollen
IBS
Lack of appetite or taste
Lump in the throat, tight throat, something stuck in your throat
Mouth muscles twitching/jumping
Mouth or throat clicking or grating sound/noise when you move your mouth or jaw, such as when talking
Nausea
Nausea vomiting
Nausea or abdominal stress
Numbness
Numbness tingling, numbness and tingling
Stomach upset, gas, belching, bloating
Teeth grinding
The thought of eating makes you nauseous
Tight throat, lump in throat
Throat or mouth clicking or grating sound/noise when you move your mouth or jaw, such as when talking
TMJ
Tongue symptoms - Tingly, “stretched,” numb, frozen, itchy, “crawly,” burning, twitching, “jumpy,” aching, sore, or swollen tongue (when it isn’t).
Urgency to urinate, frequent urination, sudden urge to go to the washroom
Vomiting

Skin (anxiety symptoms commonly associated with the skin):

Burning skin sensations, skin sensitivity
Numbness
Numbness tingling, numbness and tingling
Skin problems, infections, rashes

Sleep (anxiety symptoms commonly associated with sleep):

Difficulty falling or staying asleep
Frequent bad, bizarre, or crazy dreams
Hearing sounds in your head that jolt you awake
Insomnia, or waking up ill in the middle of the night
Jolting awake
Waking up in a panic attack
You feel worse in the mornings

Sight (anxiety symptoms commonly associated with sight):

Distorted, foggy, or blurred vision
Dry, watery or itchy eyes
Eye tricks, seeing things our of the corner of your eye that isn’t there, stars, flashes
Eyes sensitive to light
Spots in the vision
Flashing lights when eyes are closed
Your depth perception feels wrong

Touch (anxiety symptoms commonly associated with touch):

Burning skin sensations, skin sensitivity
Feeling cold or chilled
Numbness
Numbness tingling, numbness and tingling
Pain
Tingling, pins and needles feelings
How I resolved my BFS within 1 year of onset:

viewtopic.php?f=3&t=19128
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Re: Is it Anxiety / Stress or is it Disease?

Postby SecretAgentMan on February 10th, 2013, 8:19 pm

If stress, anxiety, and negative emotions can have this sort of impact on you, just imagine what affects peace, joy, and all the positive emotions can have on you when you let them become the majority of what you give your energy and attention to...
If your mind is your own worst enemy, why not make friends with it and turn it into your greatest ally? Mental discipline is achievable and there is help available. Learn what works for you, practice, and change your life for the better.
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Re: Is it Anxiety / Stress or is it Disease?

Postby TwitchyDoc on February 11th, 2013, 2:32 am

There really was a one study saying that fasciculations can be a form of somatization but they failed to show any underlying mechanisms. Different studies/common wisdom say it is not possible because unlike other symptoms, fasciculations are not directly cortically driven, it is a anterior horn cell discharge which cannot be affected by your will. But a lot of (yet not all) BFSers started their journey in terrible stress period so just IMHO, there is a relation of some kind (damage caused by permanently higher levels of stress hormones?).
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Re: Is it Anxiety / Stress or is it Disease?

Postby chrissi on February 11th, 2013, 3:32 am

As far as I know any group of spontaneous action potentials along the axon can lead to a fasciculation. Spnontaneous action potentials can very well be created by any influence on the cell membranes resting potentials, be it due to a defect in voltage gated channels of any kind or to the surrounding ion environment. It is for example very well known that anxiety can cause unnoticed hyperventilation leading to a shift of blood carbon dioxide and in this way change blood pH and have a lot of influence on the availability of existing ions...and in this way cause fasciculations and stiffness and muscle soreness. This seems to happen in the periphery. As well as muscle pre-tension seems to have a big influence on the generation of fasciculation potentials.
They do NOT have to be generated in the anteriour horn, unlike ALS.
And as usually, I agree with SAM. I believe that most of us will find relief if they change their attitude towards and a bit of their lifestyle. A correct stress management ( INCLUDING stopping obsessing with ALS for god's sake !!!!!!!!!!!!!!) , peace and positive emotions and relaxation techniques together with a healthy lifestyle ( not stuffing yourself with thrash, I am maybe talking of "slow food" instead of this), generally trying to slow down your life. Or just acceping it. See we have different styles of BFSers on the board.
1. The ones that just got over the anxiety about ALS and feel OK now. Not healed from BFS, but their twitching became some kind of background noise to them.They feel OK if they live with this forever. They like their lifestyle and because they know that BFS won't kill them and they are OK with it, there's no reason for them to change anything. Those are the ones that will give the advice: stop obsessing with ALS and everything will be OK. I think this can be a good solution for many people on the board. People like Johnnythejet for example or many other oldtimers.They just don't give a *beep* about their BFS anymore and will live happily with this for the rest of their lives. Which will be just as long and joyful as those of any other person in the world.
2. the ones that canot accept when anything is "not right" with their bodies. Those are often people that feel a deep influence on their lives by BFS, usually by the pain that comes along. Those people are getting much happier once they loose their anxiety about ALS. But not really happy. They wonder what else it can be now they know that they are not dying. So they will search for cures of any kind. Usually their BFS will get much better once they try something that consists of a moderate exercise programme, a relatively healthy lifestyle and a change in attitude. Some meditation.Slowing down their hyper nerve system. Slowing down their life. Getting control over anxiety and obsessive thinking. Those are the ones that even take some benefit from BFS because it leads them to a healthier lifestyle. So just like others mentioned above, they will live happily and maybe generally healthy and fit for the rest of their lives. People like SAM, SuzyQ, myself and others.
3. the poor guys that have severe issues in terms of cramping and pain for a loooong time. They want to be in group one and just be patient and wait for this to be over. But it does not happen. The severity of their symptoms is just too intense to ignore it. This group is not very big. And usually it seems to me that they are thrown into new anxiety cycles regularly, so they seem to start a new BFS cycle over and over again. So I guess many of them would benefit trying o join group 2.
4. The people with hederitary forms of BFS or PNH which is caused by antibodies. Those guys might benefit from medical help.
5. The people that do everything to keep their BFS as intense as possible. This means -besides an unhealthy lifestyle- obsessing with ALS all the time, filtering information about fasciculations in a way that only bad stuff reaches the brain and never ever accepting of having an anxiety problem. You cannot always keep your brain in a mode of high stress and anxiety by obsessing with deadly or harmful diseases, and expect this to have NO physical influence. No just ignoring neurologsts with their tunnel-view on nerves, it is logical and well known that there's a strong link between the psyche and the body. Once the body gets into a state of hyperexciteability, it can never ever ever ever calm down as long as the brain does not let it. I mean this as I say it. Noone on this board, be it in group one or 2, will ever get rid or feel OK with BFS as long as this person does not get rid of the tendency to obsess with deadly diseases.

So you see, you have some kind of choice. Which way you choose can be a part of your personality. I would never give the advise to change your lifestyle in any way if you feel OK with your BFS. If you feel uncomfortable, there are some things you can try. Is it anxiety? It definately plays a role for many! Is it a virus? Often plays a role! Is it a medication side effect? Quite often! Does it matter? Not really. Because no matter what threw our bodies into that mess, the way of getting out of it seems to be similar for all.
"Our anxiety does not come from thinking about the future, but from wanting to control it" Kahlil Gibran
Anxiety is a thin stream of fear trickling through the mind. If encouraged, it cuts a channel into which all other thoughts are drained
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Re: Is it Anxiety / Stress or is it Disease?

Postby jerry2 on February 11th, 2013, 3:35 am

TwitchyDoc wrote:There really was a one study saying that fasciculations can be a form of somatization but they failed to show any underlying mechanisms. Different studies/common wisdom say it is not possible because unlike other symptoms, fasciculations are not directly cortically driven, it is a anterior horn cell discharge which cannot be affected by your will. But a lot of (yet not all) BFSers started their journey in terrible stress period so just IMHO, there is a relation of some kind (damage caused by permanently higher levels of stress hormones?).


Why do you think it is not brain induced? After all, I move my limb with my brain, so the impulses must come from the higher brain. Why do you think a signal for twitch can not come from upper brain, but from anterior horn? I mean, of course the anterior horn fires it, but the impulse for doing so can come from the brain. Why not?
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Re: Is it Anxiety / Stress or is it Disease?

Postby TwitchyDoc on February 11th, 2013, 3:47 am

Jerry, this is just a fact, fasciculation is a lower motor neuron sign generated in the anterior horn cells or - as chrissi mentioned - along the axon body but there is no evidence so far. But therotically it is excatly like that.
To said it simply, Imagine that your brain (actually not just brain but UMN as a whole) just tells the muscle to move, but LMN are telling which actual muscle bundles (motor units including the axon) will fire to make that movement. That is why UMN dysfunction cause rather generalized that localized weakness.
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Re: Is it Anxiety / Stress or is it Disease?

Postby jerry2 on February 11th, 2013, 4:38 am

TwitchyDoc wrote:Jerry, this is just a fact, fasciculation is a lower motor neuron sign generated in the anterior horn cells or - as chrissi mentioned - along the axon body but there is no evidence so far. But therotically it is excatly like that.
To said it simply, Imagine that your brain (actually not just brain but UMN as a whole) just tells the muscle to move, but LMN are telling which actual muscle bundles (motor units including the axon) will fire to make that movement. That is why UMN dysfunction cause rather generalized that localized weakness.


Still don't understand and don+'t believe that "fact". Why? Because until someone explains to me why I twitch, I have no reason to believe any scientist any "fact" of twitching. The only fact is that they haven't the slightest idea.

The second thing is that the signal for a "twitch" comes from the brain else we would not be able to move at all on our will. I understand UMN sends signal to LMN and LMN is the one who actually "fires" the muscle. I agree with that. I just say the "error" can happen in the anterior horn OR upper the chain. If the chain is discrupted in UMN or the brain it would send th wrong signal to the LMN and then he get's to be blamed for the misfire, but in fact it didn't missfire, but the signal was wrongly sent from "above".

Because what you are saying is stating that mind can not play any role in twitching as far as I see it. Only LMN can fire it, so it is LMN error (disease?). But the fact is that from the 100's of twitchers here googling did make things worse, my neuro told me many people with ALS relatives do come to him in twitches, so I guess "mind" can give an impulse to missfire, not just the LMN. Or perhaps you think "mind" just mixes up the chemicals in LMN so the link is indirect?

And yes, I would really like to know how UMN disease can not cause total paralysis? I mean, the signals have to travel from brain through UMN to LMN, don't they? If the UMN dies, the communicationb should also be lost.

Another thing: Why does my eyelid fasciculate? Surely the nerve does not go through anterior horn?
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Re: Is it Anxiety / Stress or is it Disease?

Postby chrissi on February 11th, 2013, 5:01 am

Maybe it is not proven by a medical person so far. But working with patch clamp technique for years in vitro I have learned my lesson about how easy resting potentials are irritated and generate spontaneous potentials. Jerry it is in fact rather impossible for your brain to sent a signal for a fasciculation of a little muscle bundle. It is very hard to explain, but tiny muscle movements like this make no sense for the body so those little pathways are not created, because they would just be useless brain capacity wasting. But our complex nerve system has various ways to influence things in all parts of the body without a direkt nerve pathway. Only because there's no single nerve brain- fasciculation pathway it dies not mean that the brain does not have influence on it
"Our anxiety does not come from thinking about the future, but from wanting to control it" Kahlil Gibran
Anxiety is a thin stream of fear trickling through the mind. If encouraged, it cuts a channel into which all other thoughts are drained
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Re: Is it Anxiety / Stress or is it Disease?

Postby TwitchyDoc on February 11th, 2013, 5:27 am

Jerry, you misunderstood a bit (or I have not explained that well :). Chrissi explained better in the previous post.

Fasciculations being LMN sign is just a fact, nothing else. It is like you say you do not believe a knee jerk or reflex arcs. I'm not saying our mind cannot influence it - stress definitely makes fasciculations worse because of the hormones and membrane excitability changes. Your mind can influence other things like stress management which in turn can somehow affect the fasciculations. But I would not call that mind influence. The current common knowledge is that fasciculations are like e.g. reflexes, it is basic motor mechanism you cannot influence...but reflexes are also increased/decreased based on mental/alert state and thus surely a state of mind can make a difference. But so far there is no any evidence it could be the reason, just the factor.

As for the why we twitch, that is the million dollar question. The membrane bi-stability was an explanation that would make sense but it quite rare.
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Re: Is it Anxiety / Stress or is it Disease?

Postby jerry2 on February 11th, 2013, 5:47 am

Thanx for the explanation.
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Re: Is it Anxiety / Stress or is it Disease?

Postby christo on February 11th, 2013, 5:50 am

Twitchydoc, I think you are forgetting that the nerves are just one channel for the brain to send orders, the electrical pathway. But the chemical pathway is also ordered by the brain, and since caffein, potassium or magnesium deficit, drugs... can induce twitching, I would bet that stress/anxiety related chemicals can in fact put the muscles or the anterior horn cells in a hyper excitable state. Also, I think jerry is right when he says it could still be a direct order from the brain. If the brain sends an order to move a muscle but this order is not rightly "encoded", then probably it could lead to strange behavior when the anterior horn cell try to activate the right muscle fiber. Finally, maybe there is no study showing this reason yet, but I am not sure there have been a lot of studies about fasciculations cause in the context of BFS, since BFS lake a real scientific definition.
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Re: Is it Anxiety / Stress or is it Disease?

Postby jerry2 on February 11th, 2013, 5:51 am

WHat I am curious is this: Is me moving a finger only a controlled series of fasciculations, linked together in an action I learned as a child?
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Re: Is it Anxiety / Stress or is it Disease?

Postby jerry2 on February 11th, 2013, 5:54 am

christo wrote:If the brain sends an order to move a muscle but this order is not rightly "encoded", then probably it could lead to strange behavior when the anterior horn cell try to activate the right muscle fiber.


I think this is a case in tremor. It is again "known fact" tremor comes from the brain not the motor neurons. But at the end LMN get the signals to execute the tremor. They get wrong impulses from the brain like : stretch, release, stretch, release. So saying tremor is LMN problem is ... well, it is true, because LMN is the last in chain of commands. But the wrong command comes from the cortex for tremor. Because tremor is a motor function after all, so LMN is executing it ;-)
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Re: Is it Anxiety / Stress or is it Disease?

Postby chrissi on February 11th, 2013, 6:34 am

No jerry, the movement if a finger is not a series of fasciculations. It is a direkt controlled order from
brain via nerves to muscle.includind many nerve cells transmitting parallel information which is in the end big enough to make one controlled movement. Well actually it is even much more complicated than this. A motor unis is a nerve cell with all those muscle fibers innervated by it. A fasiculation is not controlled. It is basically also a matter of structure of the muscle. As I said, it is very complicated. Neuro biology cannot be explained in short sentences. But it is very clear, because it is all about electricity, so rather an issue of physics with a bit of chemistry. But is is correct that there are many other things that have an influence on this. Regarding all the personal experience I have as well as the contact to many Mae sufferers and looking at the immense healing rate that ME treatments have for BFS, I would even go that dar to say that BFS is not a really neurological disease for most of us, but that neuro symptoms are just a side effect. Which might be an exlanation for why no neuro was ever able to heal one BFS person while self- treatment based on experience or ME specialists or also alternative medicine seem to have the most positive effect.
"Our anxiety does not come from thinking about the future, but from wanting to control it" Kahlil Gibran
Anxiety is a thin stream of fear trickling through the mind. If encouraged, it cuts a channel into which all other thoughts are drained
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Re: Is it Anxiety / Stress or is it Disease?

Postby jerry2 on February 11th, 2013, 11:19 am

Well, controlled movement is a bunch of controller firing of motor units, isn't it. Ok, one spontanious is called fasciculation, but controlled 100 is called movement, but the point I was making is the signal for motor unit to fire (LMN) comes from brain.

Btw, what is ME? Is it the chronic fatigue syndrom?
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Re: Is it Anxiety / Stress or is it Disease?

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