BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuTremorShaking; Tremor - hand; Hand tremor; Tremor - arms; Kinetic tremor; Intention tremor; Postural tremor; Essential tremorA tremor is a type of shaking movement. A tremor is most often noticed in the hands and arms. It may affect any body part, including the head or vocal cords. Considerations Tremors can happen at any age. They are more common in older people. Everyone has some tremor when they move their hands. Stress, fatigue, anger, fear, caffeine, and smoking may make this type of tremor worse.A tremor that does not go away over time may be a sign of a medical problem and should be checked by your health care provider.Essential tremor is the most common tremor. The shaking most often involves small, rapid movements. It usually occurs when you are trying to do something, such as reaching for an object or writing. This type of tremor may also run in families.Essential tremorEssential tremor (ET) is a type of involuntary shaking movement. It has no identified cause. Involuntary means you shake without trying to do so an...ImageRead Article Now Book Mark Article Causes Tremor may be caused by:Certain medicines Certain medicinesDrug-induced tremor is involuntary shaking due to the use of medicines. Involuntary means you shake without trying to do so and can't stop when you ...ImageRead Article Now Book Mark Article Brain, nerve, or movement disorders, including uncontrolled muscle movements (dystonia) DystoniaUncontrolled or slow movement is a problem with muscle tone, usually in the large muscle groups. The problem leads to slow, uncontrollable jerky mov...Read Article Now Book Mark Article Brain tumor Alcohol use or alcohol withdrawal Multiple sclerosis Multiple sclerosisMultiple sclerosis (MS) is an autoimmune disease that affects the brain and spinal cord (central nervous system).ImageRead Article Now Book Mark Article Muscle tiredness or weakness Normal aging Overactive thyroid Overactive thyroidHyperthyroidism is a condition in which the thyroid gland makes too much thyroid hormone. The condition is often called overactive thyroid.ImageRead Article Now Book Mark Article Parkinson disease Parkinson diseaseParkinson disease results from certain brain cells dying. These cells help control movement and coordination. The disease leads to shaking (tremors...ImageRead Article Now Book Mark Article Stress, anxiety, or fatigue Stroke StrokeA stroke occurs when blood flow to a part of the brain stops. A stroke is sometimes called a "brain attack. " If blood flow is cut off for longer th...ImageRead Article Now Book Mark Article Too much coffee or other caffeinated drink Home Care Your provider will likely suggest self-care measures to help with daily life.Self-care measuresA tremor is a type of shaking in your body. Most tremors are in the hands and arms. However, they may affect any body part, even your head or voice...Read Article Now Book Mark Article For tremors caused by stress, try ways to relax, such as meditation or breathing exercises. For tremors of any cause, avoid caffeine and get enough sleep.For tremors caused by a medicine, talk to your provider about stopping the drug, reducing the dosage, or switching to another medicine. Do not change or stop medicines on your own.For tremors caused by alcohol use, seek treatment to help you stop drinking alcohol.Stop drinking alcoholThis article describes how to determine if you have a problem with alcohol use and offers advice on how to decide to quit drinking.Read Article Now Book Mark Article Severe tremors may make it hard to do daily activities. You may need help with these activities.Devices that may help include:Buying clothes with Velcro fasteners or using button hooks Cooking or eating with utensils that have a larger handle Using a sippy cup to drink Wearing slip-on shoes and using shoehorns When to Contact a Medical Professional Call your provider if your tremor:Is worse at rest and gets better with movement such as when you reach for something Is prolonged, severe, or interferes with your life Occurs with other symptoms, such as headache, weakness, abnormal tongue movements, muscle tightening, or other movements that you cannot control What to Expect at Your Office Visit Your doctor will perform a physical exam, including a detailed brain and nervous system (neurologic) examination. You may be asked questions to help your doctor find the cause of your tremors:The following tests may be ordered:Blood tests such as CBC, blood differential, thyroid function tests, and glucose test CBCA complete blood count (CBC) test measures the following:The number of red blood cells (RBC count)The number of white blood cells (WBC count)The tota...ImageRead Article Now Book Mark Article Blood differentialThe blood differential test measures the percentage of each type of white blood cell (WBC) that you have in your blood. It also reveals if there are...ImageRead Article Now Book Mark Article Thyroid function testsThyroid function tests are used to check whether your thyroid is working normally. The most common thyroid function tests are:Free T4 (the main thyro...ImageRead Article Now Book Mark Article Glucose testA blood sugar test measures the amount of a sugar called glucose in a sample of your blood. Glucose is a major source of energy for most cells of the...ImageRead Article Now Book Mark Article EMG or nerve conduction studies to check the functions of the muscles and nerves EMGElectromyography (EMG) is a test that checks the health of the muscles and the nerves that control the muscles.ImageRead Article Now Book Mark Article Nerve conduction studiesNerve conduction velocity (NCV) is a test to see how fast electrical signals move through a nerve. This test is done along with electromyography (EM...ImageRead Article Now Book Mark Article Head CT scan Head CT scanA head computed tomography (CT) scan uses many x-rays to create pictures of the head, including the skull, brain, eye sockets, and sinuses.ImageRead Article Now Book Mark Article MRI of the head MRI of the headA head MRI (magnetic resonance imaging) is an imaging test that uses powerful magnets and radio waves to create pictures of the brain and surrounding...ImageRead Article Now Book Mark Article Urine tests Once a cause of the tremor has been determined, treatment will be prescribed.You may not need treatment unless the tremor interferes with your daily activities or causes embarrassment.Treatment depends on the cause. Tremor caused by a medical condition, such as hyperthyroidism, will likely get better when the condition is treated.If the tremor is caused by a certain medicine, stopping the drug will usually help it go away. Never stop taking any medicine without first talking to your doctor.You may be prescribed medicines to help relieve symptoms. How well medicines work depends on your overall health and the cause of the tremor.In some cases, surgery is done to relieve the tremors. Open ReferencesReferencesFasano A, Deuschl G. Therapeutic advances in tremor. Mov Disord. 2015;30:1557-1565. PMID: 26293405 pubmed.ncbi.nlm.nih.gov/26293405/.Haq IU, Tate JA, Siddiqui MS, Okun MS. Clinical overview of movement disorders. In: Winn HR, ed. Youmans and Winn Neurological Surgery. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 84.Jankovic J, Lang AE. Diagnosis and assessment of Parkinson disease and other movement disorders. In: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology in Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016:chap 23.AllVideoImagesTogMuscular atrophy - illustration Muscular atrophy is the decrease in size and wasting of muscle tissue. Muscles that lose their nerve supply can atrophy and simply waste away.Muscular atrophyillustrationMuscular atrophy - illustration Muscular atrophy is the decrease in size and wasting of muscle tissue. Muscles that lose their nerve supply can atrophy and simply waste away.Muscular atrophyillustrationSelf Care Tremor - self-careRelated Information Essential tremor(Condition) Review Date: 6/23/2020 Reviewed By: Amit M. Shelat, DO, FACP, FAAN, Attending Neurologist and Assistant Professor of Clinical Neurology, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. 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