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What causes intention tremors inspite of having fibromyalgia, anxiety and depression?

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Practicing since : 2008
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I have been having chronic full body pain for many years, possibly diagnosed as fibromyalgia, along with anxiety and depression. I have now begun having tremors at times, more often in the mornings. My primary doctor said they are intention tremors. I also have a strong family history of MS, but never diagnosed with it myself. These tremors seem to become in more severe during times of pain. They mostly occur in my left hand, but also in my right hand and I can feel them in my legs. It actually feels like I am having full body internal tremors. Any thoughts as to what I can do or what they might be?
Posted Fri, 21 Mar 2014 in General Health
Answered by Dr. Shruti Rijhwani 1 hour later
Brief Answer: Follows. Detailed Answer: Dear Madam, Thank you for posting your query on HCM. Well looking into your problem I would like to tell you that there can be many reasons for tremors and pin pointing one will be very difficult on the basis of this history only . But still we can discuss the probalities . First thing I will advise you to get checked is your thyroid status because thyroid dysfunction is one of the leading causes for this in females . Since you feel that whole body is shaking there is a possibility that it could be due to anxiety also . Multiple sclerosis can also lead to similar picture but that will require MRI to establish its diagnosis . A detailed neurological examination can give clue to this . Take care. Dr. Shruti
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Follow-up: What causes intention tremors inspite of having fibromyalgia, anxiety and depression? 6 minutes later
I haven't found that it occurs during points of anxiety, however. If my thyroid is normal, would a neurologist still be the best bet? Can pain tolerance or neck pain cause this as well? I forgot to mention that I am also suffering from shoulder bursitis, but just had my second cortisone injection a few days ago and that seemed to help, although the last one only lasted about a month. Thanks for your help!!!
Answered by Dr. Shruti Rijhwani 8 hours later
Brief Answer: Follows. Detailed Answer: Dear Madam, Thanks for reverting back. Well if thyroid is normal then definitely yes neurologist will be the best person to deal with this . No neck pain cannot lead to these tremors nor fibromyalgia . Shoulder bursitis cannot lead to this , cortisone injections are definitely helpful but you will have to exercise also . Dr. Shruti
Above answer was peer-reviewed by
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