TREMOR, FAMILIAL

Overview and Facts

Familial tremor is a neurological disorder that causes involuntary shaking. It can be present in any part of your body, however the trembling happens usually in your hands, particularly when you do simple movements like drinking from a glass or holding something.

An essential tremor is generally not a risky condition, however it may worsen after some time and can be extreme in certain individuals. Different conditions don’t cause essential tremor, though it can be mistaken for Parkinson’s disease.

Essential tremor can happen at any age however is generally common in individuals ages 40 years and above.

Types and Symptoms

SYMPTOMS

Essential tremor signs and symptoms may:

  • Start progressively, typically more noticeably on one side of the body
  • Worsen with movement
  • Usually occur in the hands first, affecting one hand or both hands
  • Can include a “yes-yes” or “no-no” movement of the head
  • May be brought about by stress, weakness, caffeine or extreme temperature

Many people think tremors are similar to Parkinson’s disease, however the two conditions differ in some qualities:

Tremor of the hands usually happens when you utilize your hands. Tremors from Parkinson’s disease are usually resting tremors.

Tremors doesn’t cause other medical problems, however Parkinson’s disease may show as difficulty in walking or slow movements. However, individuals with tremors may also have accompanying neurological signs and symptoms such as movement disorders.

Tremors usually affects the hands, head and voice. Parkinson’s disease tremors commonly starts in the hands, and can further affect the legs, jawline and different parts of the body.

Diagnosis & Medications

DIAGNOSIS

Your doctor will look into your medical history, family history, and manifestations. He may also do a physical exam.

There are no tests to diagnose an essential tremor. Your doctor will try to rule out some conditions that could be causing your manifestations. He may also recommend these tests:

Neuro exam

Your physician will test your nervous system functioning, such as your:

  • Tendon reflexes
  • Muscle strength
  • Muscle tone
  • Sensations
  • Posture
  • Muscle coordination
  • Walking or gait

Other tests may include:

  • Blood and urine tests
  • Performance tests
  • Essential tremor test

TREATMENT

If you have mild essential tremor, you may not require treatment. In any case, if your tremor is making it hard to work or perform daily activities, you need to discuss with your physician.

Medications may be given in the form of the following:

  • Beta blockers
  • Anti-seizure medications
  • Tranquilizers
  • OnabotulinumtoxinA (Botox) injections

Physical or occupational therapy may also be done.

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