Dear Matt, Welcome, and thanks for sharing your concern I went through your query, and I feel, how long has it been since you smoke and what is the number of cigarettes you take in a day, both frequency and quantity affects our body and these can lead to changes in the nervous tissue causing such symptoms, I would advise you to see your doctor and discuss your concern with him. I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Dr Narender Saini Thanks.