Before we begin: Tremors are unintentional trembling or shaking movements in one or more parts of the body. Read about the types, such as essential tremor, and causes.
This tutorial walks you through everything you need to know about tremor. We explain it in plain language, step by step, so whether you are a student, a patient, or simply curious, you will come away with a solid understanding.
We cover what it is, why it matters, how it is diagnosed, and what you can do about it. Key facts are called out along the way.
What is a tremor? A tremor is a neurological condition that includes shaking or trembling movements in one or more parts of your body. It most often affects the hands. But it can also affect the arms, legs, head, vocal cords, and torso (trunk). A tremor is involuntary, meaning that you cannot control it. It happens because of muscle contractions.
A tremor may come and go, or it may be constant. It can happen on its own or be caused by another disorder. It is not life threatening, but it may cause challenges. It can make it hard to do daily life tasks such as writing, typing, eating, and dressing. In some cases, a tremor can even lead to disabilities.
What are the types of tremor? There are several types of tremor, including:
Essential tremor, sometimes called benign essential tremor or familial tremor. This is the most common type. It usually affects both your hands and arms while you are moving them. It can also affect your head, voice, or legs.
Parkinsonian tremor, which is a common symptom in people who have Parkinson’s disease. It usually affects one or both hands when they are at rest, but it can affect the chin, lips, face, and legs.
Dystonic tremor, which happens in people who have dystonia. Dystonia is a movement disorder in which you have involuntary muscle contractions. The contractions cause you to have twisting and repetitive movements. It can affect any muscle in the body.
What causes tremor? Generally, tremor is caused by a problem in the deep parts of the brain that control movements. For most types, the cause is unknown. Some types are inherited and run in families. There can also be other causes, such as:
Neurologic disorders, including multiple sclerosis, Parkinson’s disease, stroke, and traumatic brain injury
Certain medicines, such as asthma medicines, chemotherapy, corticosteroids, and medicines used for certain psychiatric and neurological disorders
Alcohol use disorder (AUD) or alcohol withdrawal
Poisoning from certain toxic substances, including pesticides and heavy metals such as mercury and lead
Hyperthyroidism (overactive thyroid)
Liver or kidney failure
Anxiety or panic
Too much caffeine
Who is at risk for tremor? Anyone can get tremor, but it is most common in middle-aged and older adults. For certain types of tremor, having a family history raises your risk of getting it.
What are the symptoms of tremor? Symptoms of tremor may include:
Rhythmic shaking in the hands, arms, head, legs, or torso
Shaky voice
Difficulty writing or drawing
Problems holding and controlling utensils, such as a spoon
How is tremor diagnosed? Your health care provider may use many tools to make a diagnosis:
A medical history, which includes asking about your symptoms
A physical exam, which includes checking:
Whether the tremor happens when the muscles are at rest or in action
The location of the tremor
How often you have the tremor and how strong it is
A neurological exam, including checking for:
Problems with balance
Problems with speech
Increased muscle stiffness
Blood or urine tests to look for the cause
Imaging tests to help figure out if the cause is damage to your brain
Tests that check your abilities to do daily tasks such as handwriting and holding a fork or cup
An electromyogram, a test that measures involuntary muscle activity and how your muscles respond to nerve stimulation
What are the treatments for tremor? There is no cure for most forms of tremor, but there are treatments to help manage symptoms. In some cases, the symptoms may be so mild that you do not need treatment.
Finding the right treatment depends on getting the right diagnosis of the cause. Tremor caused by another medical condition may get better or go away when you treat that condition. If your tremor is caused by a certain medicine, stopping that medicine usually makes the tremor go away.
Treatments for tremor can include:
Medicines. There are different medicines for the specific types of tremor. Another option is Botox injections, which can treat several different types of tremor.
Surgery may be used for severe cases that do not get better with medicines. The most common type is deep brain stimulation (DBS). DBS uses electrodes that are implanted in the brain. The electrodes send electrical pulses to the parts of the brain that are causing the tremor.
Physical, speech-language, and occupational therapy, which may help to control tremor and deal with the daily challenges caused by the tremor.
If you find that caffeine and other stimulants trigger your tremors, it may be helpful to cut them from your diet.
NIH: National Institute of Neurological Disorders and Stroke
Related topics: Essential Tremor.
Categories: Older Adults, Brain and Nerves.
Source: National Institutes of Health — National Institute of Neurological Disorders and Stroke.
Key Takeaways
Understanding tremor is an important part of taking charge of your health. Here is what to remember:
- Know the signs — Recognizing early symptoms can lead to earlier diagnosis and better outcomes.
- Talk to your provider — If you have concerns or a family history of this condition, bring it up at your next checkup.
- Stay informed — Medical knowledge evolves. Keep learning and asking questions.
- You are not alone — Many people deal with this condition. Support groups and educational resources can help.