Hypnic Jerks: How To Avoid Waking With A Jolt

cartoon of a man having a hypnic jerkHave you ever woken up with a sudden jolt just as you’re falling asleep? Maybe it felt like one arm or leg suddenly had a strong spasm or twitch?

Perhaps you’ve woken suddenly with the sensation of falling, bouncing or even an unpleasant shock sensation that left you feeling surprised or anxious.

It may have even been your partner experiencing it, and their own jolting movement startled you back to consciousness. If this sounds familiar, it could be that that you’ve experienced hypnic jerks.

A common occurrence

You’re certainly not alone in experiencing this strange nighttime sensation; it’s estimated that 60% to 70% of people experience hypnic jerks at some point in their lives, including me!

This article will help you understand what hypnic jerks are a little better, and hopefully help put your mind at ease if you’re worried about them. You’ll also find lots of advice for dealing with hypnic jerks, both from professionals and previous readers.

Different names

The terminology in the world of sleep can be confusing at time. So it’s worth bearing in mind that hypnic jerks are sometimes referred to by different names:

  • Sleep starts.
  • Night starts.
  • Hypnagogic jerk – hypnagogic being a term used to describe the period of time when falling asleep.
  • Myoclonus, or myoclonic jerk – this is the medical term to describe an involuntary muscle twitch.

What are hypnic jerks exactly?

The latest International Classification of Sleep Disorders manual describes hypnic jerks as follows:

Sleep starts, also known as hypnic jerks, are sudden, brief, simultaneous contractions of the body or one or more body segments occurring at sleep onset. Sleep starts (or hypnic jerks) usually consist of a single contraction that often affects the body asymmetrically. The jerks may be either spontaneous or induced by stimuli.

So hypnic jerks are the involuntary twitching of one or more muscles. They usually occur just as you’re falling asleep, during what’s known scientifically as the hypnagogic state of consciousness.

They usually occur asymmetrically, which is why it often feels like just one arm suddenly jolts. And they can occur independently or in response to an external stimuli in the bedroom, such as your partner moving or making noise.

Interestingly, the muscle twitching you experience also occurs in other situations, for example with hiccups.

Accompanying sensations

Some people will only experience the physical muscle twitching; others might have a sensory component, which can be quite distressing:

  • The feeling of falling.
  • The sensation of pain or tingling.
  • An unusual noise, such as a large bang or crackling.
  • Flashing or unusual lights.
  • Hallucinations.

That strange time of the night

It’s during the phase of falling asleep that several unusual phenomenon may take place. For example, I discussed in a previous article the various sleep paralysis experiences people have. Those can be accompanied by bizarre or frightening hallucinations and even out-of-body experiences.

Even though hypnic jerks and those other strange sleep experiences aren’t dangerous, they can be disruptive to your sleep and quite unsettling.

So even though they aren’t technically anything to worry about, they can sometimes cause anxiety and insomnia if you worry about them and/or become afraid to go to sleep.

Hypnic jerks survey results

In 2016 I conducted a short survey for readers to share their experience of hypnic jerks. With thousands of people participating, the results provide an interesting insight into how hypnic jerks affect people.

Poll 1

In the graph below you can see how often people experience hypnic jerks. It’s interesting to note that many of the people who searched for this article experience them on a daily basis.

graph showing how often people experience hypnic jerks in the reader pollPoll 2

An interesting point arising from poll 2 is that many people find hypnic jerks affect their sleep quite badly. However, there are also many who only have some initial disruption, or none at all.

a graph showing the results of a poll about the impact hypnic jerks has on their sleepPoll 3

It appears clear in poll 3 that many people feel stress or anxiety makes their hypnic jerks worse.

This is a factor which appears many times in the hundreds of comments readers have left below. So it could be that tackling stress or anxiety is a good idea if you’re struggling with hypnic jerks.

a graph showing the results of a poll about whether or not stress makes hypnic jerks worse

What causes hypnic jerks?

So now you know that hypnic jerks are twitching of the muscles. But what causes the muscles to twitch in the first place?

As is often the case in the complex world of sleep, scientists still aren’t completely sure of the cause. However, they do believe that the following factors can all contribute to hypnic jerks happening:

  • Caffeine or other stimulants
  • Alcohol
  • Anxiety or stress
  • Heavy physical exercise or work
  • Sleeping in an uncomfortable position
  • Being very tired or sleep deprived

In addition to these factors which can contribute to the likelihood of a hypnic jerk occurring, there are some theories as to why they happen:

1. The first theory is that they happen as your nervous system relaxes and slows down when transitioning from wakefulness to sleep. Your breathing slows down, temperature drops and your muscles relax. So hypnic jerks might happen when nerves misfire during this slowing down process, resulting in the muscular spasm.

Or as the International Classfication of Sleep Disorders states:

Hypnic jerks are hypothetically caused by sudden descending volleys originating in the brainstem reticular formation activated by the system instability at the transition between wake and sleep. However, the similarity between sleep starts and the startle response has led some to postulate that abnormalities of sensory processing are primary, with secondary motor manifestations involving the reticulospinal tract.

2. A second theory postulated by some is that hypnic jerks occur in response to the common occurrence of sleep hallucinations or the onset of dream imagery. Perhaps this explains why people sometimes feel like they are falling.

3. An evolutionary theory suggest that your brain wakes you up one last time, so you can check that you’ve take the necessary steps to keep yourself safe at night.

Is it another sleep disorder?

A 2015 review into hypnic jerks by researchers at the University of Alabama raised an important point – hypnic jerks could in some cases be a characteristic of another illness.

So although they are benign for most people, if you have them regularly and/or severely, you might want to raise it with your primary care doctor to be sure it’s not a sign of another condition. Some of the possibilities they suggest in the review are:

  • Noctural seizures
  • Nonepileptic seizures
  • Other parasomnias
  • Hyperekplexia
  • Restless legs syndrome (RLS)
  • Periodic limb movements in sleep (PLMS)
  • Excessive fragmentary myoclonus
  • Psychiatric diagnosis

How can you stop hypnic jerks?

The hypnic jerk is such a common occurrence that it may not be possible to prevent it happening completely. However, you can take steps to address some of the factors thought to increase the likelihood:

  • Cut down on alcohol and caffeine, especially in the 3 to 4 hours before going to bed.
  • Reduce how much heavy exercise or work you do in the evening.
  • Ensure you’re getting sufficient magnesium and calcium in your diet – this can help with muscle and nerve spasms.
  • Make sure you have a comfortable mattress and bedding, and that you sleep in a comfortable position.
  • Try not to allow yourself to get too tired or fatigued. You may understandably have a very busy and tiring lifestyle. But it’s important to give yourself enough time to sleep well.

Avoid the vicious cycle of worry

Hypnic jerks can trigger a vicious cycle of worry if you become fixated on them. This is a common thing that happens with many sleeping difficulties.

For example, people who have insomnia for a few nights might start worrying that they won’t be able to get to sleep. This worrying then becomes the thing that causes their insomnia, even if the original cause has long gone.

If you worry about hypnic jerks unnecessarily, you might start to get less sleep and become more fatigued. But both anxiety and fatigue are thought to contribute to the frequency of hypnic jerks, so the vicious cycle begins.

You now know that occasional hypnic jerks are very common, so hopefully you can relax about them. I know the earlier list of other possible illnesses might be a cause for concern now. If it is, talk to your doctor about it to get some reassurance and peace of mind.

But for the majority of people, the key is not to allow the occasional hypnic jerk to disrupt your sleep any more than it has to. Try to relax, forget about it and go back to sleep.

Readers’ tips and techniques to stop hypnic jerks

In the comments below, many previous readers have offered their own ideas on what can make hypnic jerks better or worse.

First of all, I’d like to acknowledge and thank everyone for such detailed comments and for sharing your thoughts.

Secondly, I’m going to start a list of ideas which people have provided. Please note that many of these have no scientific evidence to back them up. It’s simply a list of anecdotal ideas that may or may not help.

  • Try to see the funny side. Many readers have said that they just laugh them off.
  • Magnesium supplements have been helpful for many readers, as has rubbing magnesium oils or transdermal magnesium into the area where you most commonly twitch. One suggestion was to get a blood test to check if you have a deficiency. A reader reported that after several months of taking 2 x 500 mg magnesium citrate supplements every day, the hypnic jerks reduced significantly.
  • Continuing with the theme of hypnic jerks being made worse by a mineral deficiency, it’s important to assess your current diet. Try to have a healthy, balanced diet. Eat less sugary and salty foods, and eat plenty of fresh fruit and vegetables.
  • Don’t drink alcohol, coffee or energy drinks for a week and see if it improves.
  • Don’t stress about it, as worrying makes it worse.
  • Try to deal with major stress in your life – many people say hypnic jerks are much worse when they feel stressed.
  • If you suffer from anxiety, take steps to tackle this in your daily life.
  • Drink cayenne pepper tea (I suggest doing some research into this first).
  • Try acupuncture.
  • Make sure you get enough calcium in your normal diet, or take supplements.
  • Stop working out for a while if you’re doing strenuous exercise and see if it improves.
  • Try to see them as a sign that you must be falling asleep, and that it’s a positive thing as you know you’ll soon be asleep.
  • Talk to your doctor about any medication you’re taking, including over the counter sleep aids to check if any could be increasing the frequency or strength of your hypnic jerks.
  • In addition to the above, check that medication you’re taking doesn’t have a side-effect of myoclonus – a surprising amount do.
  • Sleep aids and allergy medication containing the anti-histamine diphenhydramine can sometimes cause twitching. Try stopping them temporarily if you use them regularly.
  • Try taking electrolyte pills or solutions which athletes use and are also given for fluid loss.
  • Try to sleep in a different position from your back – one suggestion was that the fetal position can help.
  • Don’t go to bed late at night.
  • In terms of prescription medication, some people say clonazepam has helped them (benzodiazepines are not a long-term solution though).
  • Film yourself sleeping or use a sleep monitor. One reader said he discovered through doing this that he was snoring, and that the hypnic jerks occurred while he was snoring heavily.
  • Some female readers feel that it can be connected to hormonal changes.
  • Ask for a referral to a sleep clinic if you’re able to and it’s particularly troubling.
  • Ensure you have a quiet sleeping environment – it could be a sudden noise which startles you awake.
  • Stay hydrated by drinking plenty of water during the day.
  • If you’re being bothered by them repeatedly, get up and do something relaxing for 10-20 minutes, then try to sleep again.
  • Have a light snack before bed. And if they’re occurring repeatedly, get up and have a light snack.
  • Have a warm shower before bed, then do relaxation exercises before getting into bed or even while in bed.
  • If you do exercise, it could be excess lactic acid contributing to hypnic jerks. So try looking into ways to reduce the lactic acid, and don’t do heavy exercise in the 3 to 4 hours before bed.
  • Try apple cider vinegar. It’s used as a hiccup remedy, so might help with hypnic jerks too.

Your views

(please read before leaving a comment)

After nearly 4 years of replying to comments, I’ve decided to hand the discussion over to you, the reader. I’ll still personally read them all, and reply if necessary, but I won’t be able to reply in depth due to time constraints.

It’s always very interesting to hear your experiences, and I know many readers have benefited from reading the stories and advice of others.

So please keep your comments, tips and theories coming. And if you have any practical ideas for dealing with hypnic jerks, I’ll continue to add them to the list of readers’ suggestions.

Leave a comment >>

 

946 CommentsLeave a comment

  • Wow were do I start I’m a 35 year old male ive had this most of my life I even have distant memories of these as a child, its not the jerk what wakes me that bothers me that much it’s the fight or flight feeling that comes with mine and no amount of positive thinking stops that adrenaline from being released it can’t be healthy to have your heart go from zero to one hundred multiple times a night thousands of times a year – add that to the strain it puts on work and relationship plus the fact you don’t get enough REM sleep which is important for healthy brain function I’m worried as ****, I’ve never taking sleeping tablets as I’ve always been scared of them, so I’m asking anyone on here who takes sleeping tablets when you do take them do you still have the jerks just as you fall asleep whilst taking the tablets because this scares me with the heart being un naturally slowed and then the adrenalin release. Can’t be good !! and one more thing if you could have one answer from the product to the tablet that really has made a positive please answer below .

    Thanks
    Aaron

  • In my case , hypnic jerk happen to me many times …for some reasons its happen to me when I jogging , push up, read or even talk .every day . I am a debater in my High school , kind of embarassing when I throw out my opinion but suddenly this hypnic jerk came and I almost forget what to said….Hope I can get suggestion from the experts….please help me and replay this comment

  • I’ve struggled with hypnic jerk and feel that I’ve overcome it – at least for now. I truly believe it can be conquered but will take diligence on your part. I’m still not sure if it’s: 1) triggered by the brain, sending a misfired neuron, causing the muscle to twitch, or 2) triggered by muscle tension that twitches when your muscles relax going from consciousness to unconsciousness; or could be due to both. Here’s my remedies that address both causes: 1) for the brain, need more serotonin by taking 5HTP supplements (50 mg), 6 mg melatonin, 400 ashwaganda; 2) for muscles, 600 mg magnesium citrate, 400 calcium, 1000 mg vitamin C, don’t exercise late at night, use muscle foam roller on the legs before sleep, and 15 minutes of stretching/deep breathing prior to sleep. Also, stop taking meds, even over-the-counter stuff like antihistamines, drink plenty of water throughout the day, no caffeine, yoga or walking daily to reduce stress, regular sleep schedule. This may seem like a lot of work, and it is, but you can overcome hypnic jerk. Good luck, I know what you’re going through.

  • Stress and anxiety contributes significantly. I am also beginning to think ailments such as malaria could also increase the occurrence of these jerks.

  • I’m not certain my experience completely qualifies as hypic jerks or whether my dystonia is exacerbating the reactions. I was diagnosed with dystonia over 20 years ago. I experienced a semi-remission period with adjustment of diet to organic. A couple years later, I noticed a slow uptick in symptoms, then the “hypnic jerks” started. The difference is mine are usually symmetrical. It started with a couple shoulder shrugs, then I’d fall asleep. I took it as a good sign. Now, they’ve gotten extremely bad (and so has the daytime components of dystonia). It could take up to an hour to hour and a half for them to stop. They are very violent and can include all muscles of the body. I do eventually fall asleep, but my muscles are so sore when I wake up, it’s like I way overdid a workout every night. Weird thing is, why would my worst symptoms happen as I try to fall asleep?

  • Ive been sleep deprived, stressed, consuming alcohol and work a physical job often late into evening pretty much my whole adult life, but rarely experienced this. That is until last week. I’ve had simple hypnagogic jerks before, but lately I’ve been getting them 5-6 times a night and continuously thru my sleep cycle. Often I can feel the lead up to one about 20 seconds prior. I feel a tickle thru my joints and it slowly becomes a spasm that shakes me. My wife is thinking I’m crazy. The severity of this has led me to look online for an answer…found myself here. Good info and glad I’m not entirely alone in this.

  • Heavy exercise can cause dis I know.. But recently a 10 repetition of abdomen or shoulder exercise cause this in the respective muscle. Toooo bad.. Now not on any medicaltion..

  • I get these every single time i have a little bit of straneous activity no matter how small… like if i ran to the bathroom with my 2 year old who needed to potty and was about to have an accident. The run was less than 3 minutes. It started ever since i put my mattress on the floor because the box spring was somehow dented, it is uncomfortable makes the mattress really hard although its a gel and foam mattress. But i dont just get jolted out of sleep, most nights i feel like my chest is heavy and my breathing is shallow, my heart pounds faster or harder and i feel like i cant breath… then i try to relax and so i start drifting off to sleep and suddenly BOOM a jolt and i wake up shaking. Ive never snored in my life… and now i suddenly do. I have other unexplained issues and im beginning to wonder if i need to test my hormones. Im just so apprehensive of going to a doctor because they always seem to dismiss what you feel like its nothing or like they know your symptoms best without really investigating the why and how to treat… and i have no insurance. Im taking magensium which i do find it helps most nights but i still get them, i have stopped working out so now im gaining weight, i try to go to bed earlier, idk what else to change…..Im just at a loss. Last night i just wanted to cry i kept getting jolted and waking up shaking. I just really hate this. I want my sleep back.

    • I have had to sleep sitting up in a wing backed chair. It does stop the jerks though the sleep is not completely restful. It may help to break the cycle.

    • Dear Pamela,
      Have you looked into sleep apnea? Your story reminds me of a friend’s story–doctors had not picked up on it, but she eventually approached a doctor about potentially having sleep apnea after doing some research on her own about the symptoms, and he verified the diagnosis. She has gained her sleep back since then, and it has caused a lot of other improvements that had previously been hindered by lacking sleep. I encourage you to look into it.
      All the best.

      • Hi there
        I stopped replying to these comments some time ago, but skimming over this reply from Agnes made me look back over Pam’s original comment. And I agree that it’s a possibility from the description, so it would be a good idea to speak to your doctor Pam. I know you said you’re nervous about speaking to a doctor, but if it does turn out to be sleep apnea, treating it can have a profoundly beneficial impact on your life.
        Thanks Agnes for taking the time to reply here!
        Regards
        Ethan

    • Hi, Pam. Did you, by any chance, had any botox injection before all these started? I have similar symptoms after botox. To calm down the night twiches i take 2 pills of supplements containing valerian and passiflora and 2 pills of Sedatif PC from Boiron- the last one are homeopat pills. From time to time, when the twiches get worse, i also take a pill of Bromazepan 1,5 mg that night. Some doctors recommended Clonazepam 0.5, i will try this also. The last two i mentioned are serious medicines, so you shouldn’t take them without a doctor’s prescription. Anyway i think they can be bought only on special prescriptions from a doctor.

  • Try taking paracetamol 30 minutes before going to sleep. It seems to help me each time I take it. I’ve been having multiple frightening jerks for the last several months and the paracetamol is helping.

  • Thank you for doing the study. I get hypnic jerks often and understand more so on why I get them. Going to try the techniques and hope for the best. Hopefully a good night for all.

  • I often when i am asleep flop my arms across my partner waking her up. Sometimes i am dreaming and find myself kicking someone in my dream, making my legs kick out and i even yell at a dream attacker out loud. I have found it to be completely involuntary but very disruptive to my partner.She tells me it is not a problem for her

  • Hi,

    I finally found the answer to hypnic jerk and manage to stop it 100% and it never return.the magic is COD LIVER OIL & vit C fruits ( not supplement). I’m living no stress life now and enjoy life normally as my sleep improves, and my arthritis pain gone with it too 😊

  • I get them every night even tonight reason how I found this article. I swear to god it’s not a falling sensation it’s like my panic disorder going into fight and flight mode thinking I’m about to have a heart attack as it makes me jump and I mean to the point my partner saw it and got a fright of his life. I use a cpap machine too I’m waiting to go into another sleep study as this has only been going on since I got the machine. It’s weird another sensation is y head like a sudden shock so my brain goes into flight mode thinking it’s something bad. It’s physical and mentally draining. I hardly drink or drink coffee either so my guess it might be more me being more physical of a night getting stuff done around the home.

  • Thank you for the great information. I suffer from anxiety and depression and night sweats. I am medicated but try to keep it at a minimum. I get these hypnic jerks occasionally. But it is nice to know it is not serious.

  • l only get these jerks when l am having 40 winks,,i sit in an armchair,doze off,then suddenly its like an electric shock,feels like it is in my head,lasts less than a second,l am ok sleeping laying down,it only happens when l doze off in a chair,,

    • This is the opposite of what happens to me. I can only sleep when I sit upright, leaning into the corner of a wingback chair. If laying flat, the jerks wake me almost continuously as I begin to fall asleep. It disturbs me that the medical community sees this condition as relatively benign and not life threatening. Quality of life is essential and right now mine is very poor. Obviously most of the researchers and physicians do not have this condition and don’ t understand how profoundly it can affect folks. Gabapentin worked for awhile but left me feeling fuzzy headed throughout the day. It eventually became ineffective. Ropinirole (Requip) was ineffective and left me dizzy with headaches. Currently taking nothing,getting some poor quality sleep in the chair and am generally miserable. Anybody out there aware of current or past research on hypnic jerks? Would very much appreciate your feedback

  • Man Oh man I thought that I had something seriously wrong with me until i read through this article, i am being treated for restless legs syndrome but the ropinarol tablets don’t work that well. I suffer from this every single night and have really violent jerks coming from my spine and legs and i am lucky if i get 3hours sleep a night.

  • I have chronic fatigue syndrome, now called ME, but when I’m in a bad spell, I’ve overdone it for too long, my body literally shuts itself down and wants sleeep and rest now, even when I’m awake.. And these jerking and twitching is what I get all day, everyday til I step back and recoup & repair my body.which takes a good month of downtime. When the twitching stops, I know my body is recovering from that bad spell aka crash..

  • I have been trying to figure out what is going on with me for almost 11 years now. This sounds pretty close. It started when I was was about 20-21. I’m 32 now. I would wake gasping for air. It started with once or twice a night. Now, it is all thru the night, and if I wasn’t on Ambien I would not sleep at all. I hate the fact that I’m on Ambien, and would love to get off, but have yet to find anything else that works. I’ve done sleep studies (that told me nothing), tried a CPAP machine, been on Zoloft for anxiety (which I stopped). The gasping has also been coupled with body jolts which cause panic as I wake. This always happens right as I’m falling asleep. Any thoughts?

    • I take ambien as well for the same reason. I don’t take it nightly, but I dislike having it as a crutch. I wish modern science could find something safer.

  • You know, I have more memory of my childhood than the average person. I remember when I started having these, I literally thought I was about to fall off the bed. I was thankful to have them, since it was often true, or close to true. As I got older, it just became a nuisance.

    Based on this, I pose to you the following hypothesis. Maybe sleeping on beds is NOT something we’ve evolved to do, since it does require a small amount of conscious control over your body in order to avoid falling. I think these jerks are just a natural reaction to the trauma (that most of us have) of having fallen off the bed as children.

    One way to test this would be to ask in societies where people don’t sleep on beds from which they can fall.

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