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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Frequent Shivering Of Hands. History Of L5-S1 And S1-S2 Disc Bulge And Recovering. Advice

Hi Doctor,
I am a 29 yrs old female. Over past 1 to 2 years, i am noticing my both hands shaking/ shivering ! earlier it used to happen only on rare occassions but now its very frequent. Say when i am writing/ picking up a glass of water/ cooking or doing nothing, my hands, especially right one, start shivering. the shivering is mild sometimes and sometimes it worsens-embarassing feeling ! I am not on any medication for any health issue. I have elderly people in my family who have same problem-but thats age related ! I was diagnosed with L5-S1 & S1-S2 disc bulge 2 yrs ago for which i took physiotherapy sessions and the pain has reduced a lot ! Please advise me on the shivering part.
Mon, 27 May 2013
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Neurologist 's  Response
Hi,
Based on the details you have given you have lumbosacral disc which is recovering and another is tremor in hands maiinly in the right hand which is mixed type tremor (rest and action tremor)

You require detail clinical examination by neurologist for tremor frequency, look for bradykinesia, thyroid examination and for intention tremor

Require thyroid profile blood test, imaging of brain to rule out structural lesion

Meantime you can have propanolol (ciplar 40 mg 1/2 daily)

Regards
Dr Sandhya Manorenj
Neurologist
Hi Tech City ,Hyderabad
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Frequent Shivering Of Hands. History Of L5-S1 And S1-S2 Disc Bulge And Recovering. Advice

Hi, Based on the details you have given you have lumbosacral disc which is recovering and another is tremor in hands maiinly in the right hand which is mixed type tremor (rest and action tremor) You require detail clinical examination by neurologist for tremor frequency, look for bradykinesia, thyroid examination and for intention tremor Require thyroid profile blood test, imaging of brain to rule out structural lesion Meantime you can have propanolol (ciplar 40 mg 1/2 daily) Regards Dr Sandhya Manorenj Neurologist Hi Tech City ,Hyderabad