
Suggest Treatment For Knee Pain, Involuntary Spasmodic Shaking At Night

Question: Symptoms - knee ache, involuntary spasmodic shaking, in bed and at night only. Patient - 77 years old male
Brief Answer:
It can be due to cerebellum problem
Detailed Answer:
Hello,
I ave studied your case ,Spasmodic shaking or tremors are mostcommonly due to either cerebellum problem ( brain related) or due to metabolic ( lack of salt or vitamins) causes. Before I advised you any thing I want to know little detial about your illness.
1. Since when these tremors are present? Are they also present when you are working /
2. Are you taking any medicines?
3. Regarding Knee pain also, since when it is present? Did you had any fall?
4. Are you able to walk , Squat or Sit ?
Please send me answers of these questions. I will try my best to help you.
thanks
It can be due to cerebellum problem
Detailed Answer:
Hello,
I ave studied your case ,Spasmodic shaking or tremors are mostcommonly due to either cerebellum problem ( brain related) or due to metabolic ( lack of salt or vitamins) causes. Before I advised you any thing I want to know little detial about your illness.
1. Since when these tremors are present? Are they also present when you are working /
2. Are you taking any medicines?
3. Regarding Knee pain also, since when it is present? Did you had any fall?
4. Are you able to walk , Squat or Sit ?
Please send me answers of these questions. I will try my best to help you.
thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


The tremors and knee pain started very occasionally several years ago, but have become more frequent recently and have been present several nights in a row. They are NOT present when I'm up and about.Medications: diltiazam, lisinopril,certraline, oxycodone. nO FALLS. Can walk and sit, squatting difficult.
Med. history includes spinal fusion (L4-5,S1)-12 years ago and laminectomy 2 years ago (L3)
Med. history includes spinal fusion (L4-5,S1)-12 years ago and laminectomy 2 years ago (L3)
Brief Answer:
Lisinopril and Diltizam causes tremors
Detailed Answer:
Hello,
I have studied your case . Lisinopril and DIltiazam has tremors as their common side effects. So I would recommend you to discuss with your cardiologist and subsitute these medicines.
Anxiety medications and Certailine can also cause tremors.
You need to visit a Neurologist and discuss these tremors with him. Your tremors are resting tremors. So it can be due to brain related also.
For knee pain I have following suggestions.
1. Avoid squatting and sitting cross leg.
2.Take calcium and vitamin D 3 regularly.
3. Volitran ointment
4. Hot water fomentation
I hope this answer will be helpful for you. Let me know if there is any other followup questions. If possible please send x ray of the knee also.
thanks
Lisinopril and Diltizam causes tremors
Detailed Answer:
Hello,
I have studied your case . Lisinopril and DIltiazam has tremors as their common side effects. So I would recommend you to discuss with your cardiologist and subsitute these medicines.
Anxiety medications and Certailine can also cause tremors.
You need to visit a Neurologist and discuss these tremors with him. Your tremors are resting tremors. So it can be due to brain related also.
For knee pain I have following suggestions.
1. Avoid squatting and sitting cross leg.
2.Take calcium and vitamin D 3 regularly.
3. Volitran ointment
4. Hot water fomentation
I hope this answer will be helpful for you. Let me know if there is any other followup questions. If possible please send x ray of the knee also.
thanks
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

Answered by

Dr. Dr. Naveen Kumar Sharma
Orthopaedic Surgeon, Joint Replacement
Practicing since :2002
Answered : 4486 Questions
Get personalised answers from verified doctor in minutes across 80+ specialties
