Tremors : a sign of neurological disease
What Are Tremors?
Tremors are involuntary, rhythmic shaking movements of one or more parts of the body. They most commonly affect the hands, but can also involve the head, voice, arms, or legs.
Types of Tremor:
Physiological Tremor: Normal, mild shaking that everyone experiences occasionally (e.g., after exercise or stress).
Essential Tremor: A common movement disorder that often runs in families.
Parkinsonian Tremor: Associated with Parkinson’s disease, typically occurs at rest.
Intention Tremor: Appears during voluntary movements (e.g., touching your nose).
Medication- or Metabolic-Related Tremor: Caused by certain drugs, caffeine, or medical conditions like thyroid disease.
Causes
Tremors can result from:
-Stress, anxiety, or fatigue
-Certain medications (e.g., asthma drugs, antidepressants)
-Neurological conditions such as Parkinson’s disease or multiple sclerosis
-Excess caffeine or alcohol withdrawal
-Overactive thyroid gland (hyperthyroidism)
Symptoms
-Uncontrollable shaking or trembling
-Difficulty with tasks like writing, eating, or holding objects
-Worsening of tremor during stress or movement
Diagnosis
Your doctor may:
-Take a detailed medical history
-Perform a neurological examination
-Order blood tests or imaging (e.g., MRI) to rule out other causes
Treatment Options
Lifestyle measures: Reduce caffeine, avoid stress, and get enough rest.
Medications: Beta-blockers (e.g., propranolol), anti-seizure drugs, or tranquilizers.
Physical therapy: Helps improve muscle control and coordination.
Surgery: Deep brain stimulation (DBS) may be considered for severe cases.
Self-Help and Support
Use weighted utensils or cups.
Practice relaxation techniques (yoga, meditation).
Join a tremor support group.
Avoid triggers like caffeine and nicotine.
When to Seek Medical Advice
Contact your doctor if:
-The tremor is new, worsening, or interfering with daily life.
-You have other symptoms like stiffness, slowness, or balance issues.
-You are on medication that might be causing the tremor.
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