About this topic
An essential tremor happens when any part of your body shakes or trembles and you cannot control it. You may notice the shaking while you are sitting or lying down and relaxed. It may happen when you try to hold a body part still or when you are moving. It often occurs when you try to hold your arms outstretched and still. They also occur when you do a specific movement. This may be something like writing, drinking, or touching something. Most often, it affects the hands, arms, and head. It does not often affect your legs or the rest of your upper body. You may notice the shaking on one or both sides of your body. Even your voice may sound shaky. The tremor does not usually affect your ability to do tasks. It may become so bad that you have problems doing your normal activities. � �
There is no cure for essential tremors. There are treatments that can help manage the signs. � �
What are the causes?
Essential tremors are not linked to a disease or other health problem. It can be passed down within families. � �
What can make this more likely to happen?
This problem can happen at any age but older adults may be more at risk. � �
What are the main signs?
- Shaking or trembling of the hands or other body parts. This is more likely to happen when you are trying to hold a position or do something like write or drink from a cup.
- Up and down movements of the hands
- Nodding or turning the head, as if repeatedly nodding or saying "no-no. " �
How does the doctor diagnose this health problem?
Your doctor will take your history and do an exam. The doctor will talk with you about your shaking. Tell the doctor when you first started having problems with shaking. Also, talk about if there are things that make the shaking better or worse. � �
Your doctor may order: � �
- Lab tests
- CT or MRI scan
- Electromyelogram (EMG)
How does the doctor treat this health problem?
- The doctor may order drugs to control the shaking.
- Your doctor may send you to physical and occupational therapy. This will help you learn exercises to lower the shaking. You will also work on balance and muscle control.
- Your doctor may suggest surgery if the shaking is very bad and drugs do not help. This surgery is done to place a small electrical stimulator into the brain that stops the shaking.
What drugs may be needed?
The doctor may order drugs to: � �
- Control the shaking
- Improve muscle coordination and movements
- Help you relax
Will there be any other care needed?
- Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
- Your doctor may suggest some tools to help you with everyday activities. These may include:
- Weighted mugs, glasses, spoons, and forks
- Side-guarded plates
- Spill-proof cups and glasses
- Writing tools
- Computer aids
- The doctor may suggest you make some changes to your diet and activities. These may include:
- Avoid food and drinks with caffeine, such as coffee, tea, chocolate, and cola drinks.
- Get 7 to 8 hours of sleep each night.
- Avoid stress. Learn relaxation exercises.
What can be done to prevent this health problem?
There is nothing you can do to prevent essential tremors. � �
Helpful tips
- Join a support group. Talking to people with the same problem may help you cope with your illness.
- When eating out in restaurants, ask for your meat to be cut and for a straw with your drink. Ask that your soup be served in a mug instead of a bowl.
- Consider using electric personal items like an electric toothbrush or electric razor.
- Use the speaker feature of your phone when making or answering calls.
Where can I learn more?
International Essential Tremor Foundation � �
https://www.essentialtremor.org/Coping-Tips � �
National Institute of Neurological Disorders and Stroke � �
http://www.ninds.nih.gov/disorders/essential_tremor/essential_tremor.htm � �
National Organization for Rare Disorders � �
http://www.rarediseases.org/rare-disease-information/rare-diseases/byID/140/viewAbstract � �
NHS Choices � �
http://www.nhs.uk/conditions/Tremor-%28essential%29/Pages/Introduction.aspx � �
Consumer Information Use and Disclaimer
This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. � �
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Copyright � � 2015 Clinical Drug Information, LLC and Lexi-Comp, Inc. � �