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Lately it feels like my nerves have been jumping a lot and my hands tighten up and get stiff. This has been happening with my hands since I was young but now its more frequent. I’m wondering if its triggered by excitement. Do you have any idea what this could be?

It appears as if you are describing the symptom of hyperreflexia where patients twitch or have spastic tendencies especially when you are excited.

The numbness/tingling in your fingers is a normal physiologic reaction to excitement – some people are just more sensitive to it. The explanation relates to the calcium balance. When most people get excited, they tend to breathe faster causing them to excrete more CO2 from the blood. This increases the pH of the blood making it more basic. As your blood becomes more basic, the proteins in your blood develop a higher affinity to blood calcium and therefore decreases the amount of free calcium in the bood. This in turn results in a pseudo-hypocalcium which most people experience as a tingling/twitching/numbness in the fingers, toes, or lips.

Causes for hyperreflexia can also be due to drug side effects, electrolyte abnormalities or upper motor neuron (brain/spinal cord) disease.

Drugs such as stimulants (some of the most common include those used to treat attention deficit disorder such as Ritalin) can cause hyperreflexia. In addition, the side effects of certain classes of antipsychotic drugs can cause tremors.

Electrolyte abnormalities such as true hypocalcemia or hypomagnesemia (low calcium or low magnesium) can cause your muscles to twitch. Conversely, extremely high levels of calcium may also cause your muscles to twitch.

Neurologic diseases such as those that cause upper motor neuron diseases: amyotrophic lateral sclerosis (abbreviated ALS, Lou Gehrig’s disease), primary lateral sclerosis (abbreviated PLS), or pseudobulbar palsy. Most of these diseases are progressive and the symptoms quite severe. Therefore, with isolated finger numbness, it is unlikely you have these conditions.

Although it is completely normal for you to feel numbness in your fingers when you are excited, it is more concerning if you have the numbness when not excited. If the numbness persists or worsens, your primary doctor should perform a detailed physical exam as well as draw labs such as calcium, magnesium, and parathyroid hormone levels. If warranted a electromyogram may be performed to check the neuromuscular connections.

Related Questions:

  1. I’ve had diabetes for about 20 years and my feet have become more and more numb. Recently, I been getting burning pain in my toes as well. What is going on? What can I do?
  2. Hello, I am 49 years old and a woman. I have alot of joint pain, in hips, shoulders, and feet hurt also. Told it is osteoarthritus. I took a pack of prednisone. When I took the ten pills for a couple of days, I felt so much better, but then as they tapered down back in alot of pain. I take a lot of Ibuprofen also. The doctor said my bone density test showed I have oseopenia. I am 130 pounds 5’3”. Lately especially at night , my arms near shoulder area will kinda jerk for no reason, sometimes arm jerks back kinda like a spasm, not painful just makes me feel real edgy and upset. Legs do this some too. If I use my arms alot or stand for very long hips hurt and shoulders and hard to raise my hands over my head. I have a 12 year old son and would love to play ball ect. with him but when i even pitch my arms ache really bad and even hard to sleep on them at night. Has a test for Lupus and Rhuematoid arthritus and they said they were negative. Please help. Bones make noise climbing stairs etc, a crinkly sound.
  3. What are causes for aching, tingling, numbness and itching in hands and arms?
  4. I am a almost 67 yr. old female, with Post Polio Syndrome. In the past year, I have noticed that I require a lot of sleep. I have had my physical from my heart doctor and family doctor, and all is well. My only theory is that I am very active, and then it catches up with me, and the motor neurons are continuing to be over used and it is my body telling me to really take it easy. I have no prior notice that my body is going to have a meltdown. I can easily sleep 10-12 hrs. per night. I am a night person, so if i go to bed at 11:00, I will sleep to 11:00 AM. I don’t feel bad, just that I have to sleep and rest.
  5. Is it safe to take Sea Kelp for iodine thyroid support while on Synthroid? My health has not gotten any better while on Synthroid and I don’t have income to pay for more tests, such as iodine level testing. I know many people take Sea Kelp for thyroid support.