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Why do I feel like someone is hugging me?

Published in Neurology 3 mins read

The sensation of feeling like someone is hugging you, when no one is there, is often described as a "hugging sensation" or "MS hug," and is typically related to issues affecting the nerves, particularly in the chest area. The most common cause is demyelination affecting the spinal cord.

Here's a more detailed breakdown:

  • Demyelination and Nerve Issues: The most common culprit is damage to the myelin sheath, the protective coating around nerve fibers in your spinal cord. This damage, known as demyelination, can disrupt the normal transmission of nerve signals.

  • Intercostal Muscle Spasms: This nerve disruption can lead to spasms or involuntary contractions of the intercostal muscles, which are located between your ribs. These spasms can create a constricting, squeezing sensation that feels like a hug.

  • Multiple Sclerosis (MS): This condition is highly associated with the "MS hug." MS is an autoimmune disease that affects the central nervous system, including the brain and spinal cord, causing demyelination.

  • Other Potential Causes: While demyelination is the primary cause, other conditions may contribute to this sensation, including:

    • Anxiety: In some cases, anxiety can manifest as physical sensations, including chest tightness.
    • Costochondritis: Inflammation of the cartilage connecting your ribs to your breastbone can cause chest pain and discomfort.
    • Spinal Cord Injuries or Conditions: Any injury or condition that affects the spinal cord could potentially lead to unusual sensations.
    • Neuropathy: Nerve damage from other causes such as diabetes, can lead to altered sensations.
  • Symptoms Associated with the "Hug":

    • A squeezing or constricting feeling around the chest, abdomen, or even limbs.
    • Pain or discomfort in the affected area.
    • Difficulty breathing (in some cases).
    • The sensation can last from a few seconds to several hours or even days.
    • The intensity can vary greatly from mild to severe.
  • What to do: If you are experiencing this sensation frequently or if it's accompanied by other symptoms like weakness, numbness, or vision changes, it's crucial to seek medical attention from your doctor. They can perform a thorough evaluation, including a neurological exam and potentially imaging studies like an MRI, to determine the underlying cause and recommend the appropriate treatment. Don't attempt to self-diagnose.

In conclusion, the "hugging sensation" is usually related to nerve issues, most often due to demyelination in the spinal cord, leading to muscle spasms. It's important to consult with a medical professional for proper diagnosis and management.

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