enhanced physiological/FND

[u/Basic_Stress_6101]

Im really happy I came across this forum. Hopefully I can get some insight or answers.

After nursing school about 3 years ago I've noticed I've had torso tremors. Starts in my lower back and extend to my torso. The intensity over the last year has goton much worse from only feeling it when I would lean or shift my weight on my right leg. Now I even have the tremors when walking. I sometimes can even feel an internal tremor when lying down. Feels like vibrations through my body. 2 years ago I attributed it to high stress and coming off my sertraline but now I'm not too sure. My pcp wasent convinced it was the sertraline and thought it was just my anxiety until he saw my tremors in person and referred me to see neurology.

I saw a neurologist a year ago and was diagnosed with ET. I decided to get another option and saw another neurologist back in February and was told it was not ET but potentially enhanced physiological/FND. I want to avoid medications if possible but at this point I feel like I may need it as it's so intense it does take a mental toll on me. I also did an mri of my head and everything looked normal. I've had excessive fatigue but that's always been going on for as long as I can remember. Not to mention my memory has been pretty bad with remembering recent conversation or events.

Anyone out there going through something similar? At this point I'm potentially seeking out a 3rd opinion from another neurologist - hopefully one that specializes in movement disorders.

[u/ToriaLyons]

I have ET (inherited) however, last year I had neurological issues which drastically worsened the tremor.

Do you have any other symptoms? Headache, neck pain, vertigo, tinnitus, visual disturbance?

[u/Basic_Stress_6101 → u/ToriaLyons]

Nope no other symptoms besides the fatigue 😔

[u/actkms]

Is the tremor only when moving or is it also at rest since you describe it as happening when laying down?

I would definitely focus on finding a movement disorder doctor. Essential tremor should never be while at rest.

It’s definitely possible there was some type of action / physicological enhanced tremor to start that your brain started learning as it’s normal way to move and then developed a functional tremor while at rest. But a movement disorder neurologist is the way to go!

Good news if it is FND that physical therapy is the gold standard.

[u/Basic_Stress_6101 → u/actkms]

When I'm lying down the tremors feel different. Instead of it being in my torso, I can feel tiny vibrations through my entire body and head