Our Services
Medical Information
Helpful Resources
Published on: 2/18/2026
Hypnic jerks are common, usually harmless twitches with a brief falling sensation as you drift into light sleep, likely caused by the brain misreading rapid muscle relaxation; they are more likely with stress or anxiety, sleep loss, caffeine, late workouts, and irregular sleep schedules. There are several factors and warning signs to consider. See below for ways to reduce episodes and guidance on next steps, including when patterns like rhythmic jerks during sleep, confusion, loss of bladder control, injuries, daytime jerks, or severe sleep disruption mean you should seek medical care.
If you've ever been drifting off to sleep and suddenly felt like you were falling—only to jolt awake with a sharp body twitch—you're not alone. That sudden movement, often paired with a brief sense of panic, is surprisingly common.
Many people describe it the same way:
This experience is known as a hypnic jerk (also called sleep myoclonus or a sleep start). In most cases, it's harmless. But when it happens often, it can cause sleep disruption and leave you wondering what's wrong.
Let's break down what's really happening, why it occurs, and when it might be worth looking into further.
A hypnic jerk is a sudden, involuntary muscle contraction that happens as you transition from wakefulness to sleep. It often affects the arms, legs, or entire body.
It may be accompanied by:
This type of movement happens during Stage 1 sleep, the lightest stage of non-REM sleep. At this point, your brain is beginning to power down—but it's not fully asleep yet.
Up to 60–70% of people experience hypnic jerks at some point in their lives. For most, it's occasional and mild.
The exact cause isn't fully understood, but sleep researchers believe hypnic jerks are linked to how your nervous system shifts from alertness to rest.
Here's what's likely happening:
As you fall asleep, your muscles naturally relax. Sometimes, your brain misinterprets that rapid muscle relaxation as a sign that you're physically falling.
In response, it sends a quick signal to your muscles to contract—almost like a reflex to "catch yourself."
During early sleep, parts of your brain are still active. This half-awake state can:
It's essentially a "misfire" during the sleep transition.
Certain factors make hypnic jerks more likely:
When your nervous system is overstimulated, it has a harder time smoothly transitioning into sleep, increasing the chance of a sleep disruption like a falling jerk.
In most cases, no.
Hypnic jerks are considered benign (non-dangerous) and do not indicate a neurological disease. They are common across all age groups and do not usually require medical treatment.
However, there are situations where similar symptoms could point to something more significant.
You should speak to a doctor if you experience:
These could indicate other conditions such as seizure disorders or other movement disorders, which require medical evaluation.
Occasional hypnic jerks are not a problem. The issue arises when they:
If you begin to fear that "falling" sensation, your body may become more alert at bedtime. That alertness increases stress hormones, which in turn makes hypnic jerks more likely. This creates a frustrating cycle:
Breaking that cycle often involves calming the nervous system rather than treating the movement itself.
Hypnic jerks fall under the broader category of sleep myoclonus, which refers to sudden muscle contractions during sleep.
Most cases are mild and isolated. However, if you're unsure whether what you're experiencing is normal—or if the movements are frequent—a quick, free assessment can help you understand your symptoms better and determine if you should seek medical guidance.
You can use Ubie's AI-powered Sleep Myoclonus symptom checker to get personalized insights based on your specific experiences in just a few minutes.
Self-check tools are not a diagnosis, but they can help guide your next steps.
If hypnic jerks are causing sleep disruption, small changes can significantly reduce how often they occur.
High-intensity workouts close to bedtime may increase nervous system activation.
If fear of the falling sensation is keeping you awake, cognitive behavioral therapy for insomnia (CBT-I) can be very effective.
While most hypnic jerks are harmless, do not ignore symptoms that seem unusual.
Seek medical care promptly if you experience:
Anything that feels life-threatening or dramatically different from a simple falling jerk deserves immediate medical attention.
When in doubt, speak to a doctor. A primary care physician or sleep specialist can evaluate whether your symptoms are typical hypnic jerks or something more complex.
If you've been asking yourself, "Why do I feel like I'm falling in my sleep?" the answer is usually reassuring.
That sudden body twitch—called a hypnic jerk—is a common and typically harmless part of the sleep transition. It happens because your brain and body are shifting gears from wakefulness to rest.
For most people:
However, if it's causing ongoing sleep disruption, frequent awakenings, or anxiety about bedtime, it's worth taking steps to calm your nervous system and improve sleep habits.
And if symptoms are intense, repetitive, or concerning, speak to a doctor. Sleep is too important to ignore.
With the right information and, if needed, medical guidance, you can usually reduce these episodes—and fall asleep without feeling like you're falling.
(References)
* Nisar H, Khan RA, Tariq R, Masoud M, Farooq S. Hypnic jerks: prevalence, characteristics, and associated factors. J Pak Med Assoc. 2023 Apr;73(4):755-758. doi: 10.47391/JPMA.5442. PMID: 37242338.
* Al-Hammadi N, Al-Qadhi S, Al-Habsi Z. Hypnic Jerk: Pathophysiology and Clinical Significance. Sultan Qaboos Univ Med J. 2022 Feb;22(1):e1-e3. doi: 10.18295/squmj.7.2021.037. Epub 2022 Feb 28. PMID: 35273766; PMCID: PMC8903337.
* Cvetkovic V. Sleep-Wake Transitions and Disorders: The "Falling" Sensation and Related Motor Phenomena. Front Neurol. 2018 Feb 21;9:74. doi: 10.3389/fneur.2018.00074. PMID: 29515569; PMCID: PMC5824967.
* Chokroverty S. Hypnic Jerks: What Are They and What Can They Tell Us About Normal and Abnormal Brain Function? J Clin Sleep Med. 2017 May 15;13(5):657-658. doi: 10.5664/jcsm.6570. PMID: 28506346; PMCID: PMC5410931.
* Maheshwari S, Gupta PK, Singh S. Hypnic jerks: A video polysomnography study. Ann Indian Acad Neurol. 2017 Jan-Mar;20(1):16-19. doi: 10.4103/0972-2327.199929. PMID: 28216965; PMCID: PMC5295988.
We would love to help them too.
For First Time Users
We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.
Was this page helpful?
Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.