Differential Diagnosis for Restless Hands
- Single most likely diagnosis
- Restless Legs Syndrome (RLS): This condition is characterized by an irresistible urge to move the legs, but it can also affect the hands. The symptoms are often worse at night and can be relieved by movement.
- Other Likely diagnoses
- Anxiety or Stress: Restless hands can be a manifestation of anxiety or stress, often accompanied by other symptoms such as tremors, fidgeting, or difficulty concentrating.
- Parkinson's Disease: Although more commonly associated with tremors, Parkinson's disease can also cause restlessness and involuntary movements in the hands.
- Akathisia: A movement disorder characterized by a feeling of inner restlessness and a compelling need to be in constant motion, often caused by antipsychotic medication or other drugs.
- Do Not Miss diagnoses
- Hyperthyroidism: An overactive thyroid gland can cause nervousness, tremors, and restlessness, including in the hands. Missing this diagnosis could lead to untreated hyperthyroidism, which has significant health implications.
- Wilson's Disease: A rare genetic disorder that leads to copper accumulation in the body, causing neurological symptoms including tremors and movement disorders. Early diagnosis is crucial for effective treatment.
- Neuroleptic Malignant Syndrome (NMS): A life-threatening neurological disorder caused by an adverse reaction to neuroleptic or antipsychotic medication, characterized by muscle rigidity, fever, and changes in mental status. Restless hands could be an early sign.
- Rare diagnoses
- Huntington's Disease: A rare genetic disorder that causes progressive damage to the brain, leading to movement disorders, including chorea (involuntary, abrupt movements) that can affect the hands.
- Tardive Dyskinesia: A side effect of long-term use of neuroleptic drugs, characterized by repetitive, involuntary, purposeless movements, which can include restless hands.
- Dystonia: A movement disorder that causes involuntary muscle contractions, leading to repetitive movements or abnormal postures, which can affect the hands and cause restlessness.