Shortly after my twitching started I began to experience ratchety/non-smooth movements of my limbs and muscles. For example, if I lift the heel of my foot while sitting in a chair with my feet on the floor, and then lower the heel, it will 'bump' and 'ratchet' as it returns to the floor. The same non-smooth movements also occur in my arms, wrists, and neck. Additionally my body shakes rather violently if I obtain any strenuous position. After 8 months the shaking/ratcheting is still present without any form of improvement... So I am curious, have any of you experienced an improvement in the same symptom(s)? If so, how long did it take to improve? How much did it improve?