HomeAnswersNeurologyshaking handsDo I feel shaky and have muscle spasms due to Benzodiazepines withdrawal or anxiety?

Can anxiety and stress cause shaky hands and feet?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Hitesh Kumar

Medically reviewed by

Dr. Sneha Kannan

Published At March 19, 2022
Reviewed AtDecember 28, 2023

Patient's Query

Hi doctor,

Two months before, I had surgery done to remove tissues from my chest, and for three to four weeks, I was not feeling good. When I lift a glass of water or something from the ground, my hands and legs shake. But when I am at rest, I am fine, and occasionally I get muscle spasms. Also, I have noticed a ringing sound in my ears but not disturbing. The doctor said I could do exercise, but I felt shaky after exercise.

I took Klonopin for two to three days a week for about a year before my surgery, but I discontinued it before the surgery. Is this because of Benzo's withdrawal? I suffer from anxiety, and I think this is because of stress or anxiety.

Answered by Dr. Hitesh Kumar

Hi,

Welcome to icliniq.com.

Shakiness and unsteadiness can happen in an anxiety state, which may be associated with more anxiety symptoms like palpitations, a feeling of impending doom or fearfulness, and sleep disturbance. It does not seem to be a Benzodiazepine withdrawal effect because you have taken it infrequently. Possibly previously, your anxiety symptoms have been masked by Benzodiazepine, but now it is reappearing. I suggest consulting a psychiatrist for a detailed evaluation.

Also, need to rule out thyroid disturbance.

Thank you.

Investigations to be done

Check T3 (Triiodothyronine), T4 (Thyroxine), and TSH (Thyroid-Stimulating Hormone).

Patient's Query

Hi doctor,

Thank you for the reply. I have noticed that shakiness tends to worsen when I drink coffee. Are you suggesting that my shakiness is due to anxiety or hyperthyroidism?

Answered by Dr. Hitesh Kumar

Hi,

Welcome back to icliniq.com.

As per your description and history, the possibility of anxiety can be hyperthyroidism. It can be ruled out by a simple blood examination.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hitesh Kumar
Dr. Hitesh Kumar

Neurology

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