As the damage worsens, symptoms like shaking hands may appear. In fact, MS can cause a number of tremors. These treatments are determined by the cause of your hand tremor. If your tremor is caused by an underlying condition, treating that condition may reduce or eliminate the tremor.
If caffeine, alcohol, or other stimulants affect your tremor, consider removing them from your diet. If your tremor is a side effect of medication, speak with your doctor about your options. The condition, which often begins in adolescence or in your 40s, may worsen as you get older. However, treatments may offer some symptom relief. The types of treatment you use will depend on how severe the shaking is and the potential side effects of each treatment option.
You and your doctor can discuss your options. They will likely request several medical and physical tests to rule out other possibilities before a diagnosis can be made. Once a diagnosis is made, you can begin to discuss treatment options. If the shaking becomes too difficult to manage, you can revisit the treatment options. Finding one that works well with minimal side effects may take time. You can work with your doctor and any therapists or specialists you visit to find a plan that best suits your needs.
The most common cause of shaky hands is essential tremor. This neurological disorder causes frequent, uncontrolled shaking, especially during movement.
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This content does not have an English version. This content does not have an Arabic version. Overview Essential tremor is a nervous system neurological disorder that causes involuntary and rhythmic shaking.
Autosomal dominant inheritance pattern Open pop-up dialog box Close. Autosomal dominant inheritance pattern In an autosomal dominant disorder, the mutated gene is a dominant gene located on one of the nonsex chromosomes autosomes. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. National Institute of Neurological Disorders and Stroke. Accessed Nov. Facts about essential tremor. International Essential Tremor Foundation.
What are the symptoms of essential tremor? Here is what you might typically experience: Tremors occur when you move and are less noticeable when you rest. Certain medicines, caffeine or stress can make your tremors worse. Tremors may improve with ingestion of a small amount of alcohol such as wine. Tremors get worse as you age. Here are signs of essential tremor: Tremors that are most obvious in your hands Difficulty doing tasks with your hands, such as writing or using tools Shaking or quivering sound in your voice Uncontrollable head-nodding In rare instances, tremors in your legs or feet How is essential tremor diagnosed?
To find out for certain, your health care provider may have you try to: Abstain from heavy alcohol use — trembling is a common symptom among people with alcohol use disorder. Avoid caffeine. Avoid or reduce certain medicines. How is essential tremor treated? Medications for Essential Tremor Propanolol and primidone are two of the medicines often prescribed to treat essential tremor. Surgery for Essential Tremor For severe tremors, a stimulating device deep brain stimulator surgically implanted in your brain may help.
Natural Remedies for Essential Tremor People with tremor also may benefit from avoiding dietary stimulants, such as caffeine. Lifestyle Modifications Essential tremor is usually not dangerous, but it can certainly be frustrating. Next steps Tips to help you get the most from a visit to your health care provider: Know the reason for your visit and what you want to happen.
Write down your questions before your visit. Bring someone with you to help you ask questions and remember what your provider says. During the visit, write down the name of any new diagnosis, medicines, treatments or tests. Also, write down new instructions. Is the person taking a certain kind of medication? Does the person consume a lot of caffeine or have any other underlying conditions? She says it may be necessary to order lab work to check for thyroid disease or get an image of the brain to check for signs of a past stroke.
Some tremors can be eliminated or dramatically reduced. For enhanced physiologic tremor, you may just need to cut back on caffeine or manage stress.
Tremors caused by thyroid disorder or alcohol withdrawal may be reduced by treating those conditions. Medication-induced tremors may be resolved by switching to a different type of medication. Essential tremor is often treated with medications such as the beta blocker propranolol Inderal or the antiseizure drug primidone Mysoline.
Parkinsonian tremors may be reduced with anti-parkinsonian medications or a procedure called deep brain stimulation, in which electrodes are implanted in the brain to stimulate areas regulating movements such as tremors. Because hand tremors can interfere with eating and other tasks, it may help to use weighted eating utensils and to work with an occupational therapist for help with fine motor skills, such as buttoning clothes.
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