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What Causes Balancing Issues, Tremors In Hands, Arms And Legs?

Posted on Wed, 1 Jun 2016

Question: What do you think could possibly be wrong with me?

Answered by Dr. Ajay Panwar (18 minutes later)

Brief Answer:
What are your symptoms?

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar, a neurologist, here to answer your query.

I shall definitely offer my best possible help to your query.Please let me know about your symptoms so that I can make a clinical impression.

I shall be glad to have you in follow-up with details.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (22 hours later)

I am having trouble walking and have fallen many times. I also am having tremors in my hands, arms and legs.

Answered by Dr. Ajay Panwar (15 hours later)

Brief Answer:
Some more details?

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

Please tell following leading details so that I can answer this well-
1)Do you have any known disease or past medical history?
2)When did these symptoms start?Are they static or progressive in course?
3)Did the tremors start at the same time in both(right and left) side limbs?
4)Which type of tremors do you have-postural,rest or action?
5)In which direction you tend to fall-sideways,behind or front?
6)Do you have stiffness or rigidity in limbs?
7)Any abnormality in eye movements?

I shall be glad to have you in follow-up with the above details so that I can answer this well further.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (1 hour later)

I have suffered from depression for 30 yrs. I am on Lithuim, wellbutrin, and zoloft
I also have severe osteoarthritis---both hands and one foot have been reconstructed through surgery and I am on oxycodone and aleve to manage the
degenerative disk disease (pain coming from pinched nerve and every other back problem.

These have started about 15 years ago---more progressive now.

Tremors started about two months ago..both sides

Postural and rest.

Sideways and front.

No stiffness.

No abnormality in eye movements

Answered by Dr. Ajay Panwar (14 hours later)

Brief Answer:
Duration of antidepressants therapy?

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.

Lithium and Zoloft are known to induce tremors.Can you think of a temporal relation between tremors and the antidepressants medicines you are taking?

You mentioned that you have tremors since past 2 months.Did you start these medicines same time around or much prior to the onset of tremors?

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Ajay Panwar (17 hours later)

I started to increase the lithium about two months ago and because of the tremors
came off the lithium and am only taking 300mg now. However i am increasing
the zoloft to 150mg. trying to get rid of the depression. Do you think that the
medicine I'm on could cause me to fall?

Answered by Dr. Ajay Panwar (11 hours later)

Brief Answer:
Needs a neurological examination.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up with further details.

Drugs can cause tremors,ataxia and falls.Lithium has been reported to cause cerebellar damage,thus resulting in ataxia.However,in your case,temporal correlation,does not appear to be strong enough for,drugs to be the cause.

At this point of time,it is important for you to get a neurological examination done to detect any significant abnormality.So,I suggest that you should visit a neurologist in person.Depending on the examination,you may have to undergo a brain MRI.

Hope that helps.If you have some further questions,I shall be glad to have you in follow-up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar