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Suggest treatment for hand tremors

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Posted on Tue, 20 Jun 2017
Question: My right. Hand shakes uncontrollably at times and I don't know what to cause would be.
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Answered by Dr. Dariush Saghafi (26 minutes later)
Brief Answer:
Depends on when the tremor actually occurs

Detailed Answer:
Good afternoon and thank you for your question.

If this is a new tremor you are experiencing the major question to answer would be whether or not it is present mostly or more noticeably when the hand is engaged in activity or at rest in your lap? If the tremor clearly gets worse with action such as trying to hold an object, write your name, or eat with a spoon or fork then, you may have what we call an intention or ACTION tremor. Usually these are relatively straight forward to diagnose and treat and most physicians are quite familiar and experienced with these types of movement disorders.

If on the other hand the tremor is mostly noticeable to you or others when the hand is quiet in your lap or "at rest" then, you likely have what we refer to as a REST TREMOR and this is a little more complex to diagnose correctly and treat. A rest tremor or a NON-INTENTION/NON-ACTION tremor is sometimes the first complaint in a patient who is developing a PARKINSONIAN type of problem. Notice that I did NOT say the condition, PARKINSON'S DISEASE....because simply based on one piece of information that you've given it would be impossible to make such a diagnosis.

However, if the tremor you mention is most active when you are not doing much with the hand then, other neurological tests need to be done in order to really come to a good solid diagnosis and this would be best carried out by a NEUROLOGIST since there are a number of things that must be looked at and entities to be ruled out.

The workup in either case may involve some blood work, an imaging study of the head and a thorough neurological examination and history so I would recommend finding yourself quite possibly a MOVEMENT DISORDERS specialist (usually a neurologist) and get a good physical examination and history done to find out whether your tremor is more likely an:

ESSENTIAL OR BENIGN TREMOR vs. a PARKINSONIAN TREMOR which should lead to a bit more workup before immediately treating.

If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating? Again, many thanks for submitting your inquiry and please let me know how things turn out.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 20 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dariush Saghafi (4 hours later)
Thank you. I should have mentioned this earlier. My hand only shakes when it is at rest on my lap. This started about 3 months ago.
doctor
Answered by Dr. Dariush Saghafi (13 hours later)
Brief Answer:
Thank you for the clarification

Detailed Answer:
Thank you for that clarification. You are therefore describing a REST TREMOR and this falls into the category of a PARKINSONISM which doesn't necessarily that you have PARKINSON'S DISEASE but the term is descriptive for a movement that is parkinsonian LIKE.

My recommendation is that you see a neurologist or movement disorder specialist to do a full and complete examination and history so that other things may be either looked for or looked at in order to either support the notion that this could be the beginning of a parkinsonian process or something else that should be addressed.

Medication may or may not be indicated for the tremor depending on other factors but that would be to the examining physician's discretion after discussing his/her findings with you to explain the options.

Once again, I'm hopeful that I've provided you with useful and helpful information and would greatly appreciate your CLOSING THIS QUERY positive words of feedback and a 5 STAR rating for our interaction. Many thanks for submitting your inquiry and please let me know how things turn out.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 30 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Dariush Saghafi

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Practicing since :1988

Answered : 2473 Questions

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Suggest treatment for hand tremors

Brief Answer: Depends on when the tremor actually occurs Detailed Answer: Good afternoon and thank you for your question. If this is a new tremor you are experiencing the major question to answer would be whether or not it is present mostly or more noticeably when the hand is engaged in activity or at rest in your lap? If the tremor clearly gets worse with action such as trying to hold an object, write your name, or eat with a spoon or fork then, you may have what we call an intention or ACTION tremor. Usually these are relatively straight forward to diagnose and treat and most physicians are quite familiar and experienced with these types of movement disorders. If on the other hand the tremor is mostly noticeable to you or others when the hand is quiet in your lap or "at rest" then, you likely have what we refer to as a REST TREMOR and this is a little more complex to diagnose correctly and treat. A rest tremor or a NON-INTENTION/NON-ACTION tremor is sometimes the first complaint in a patient who is developing a PARKINSONIAN type of problem. Notice that I did NOT say the condition, PARKINSON'S DISEASE....because simply based on one piece of information that you've given it would be impossible to make such a diagnosis. However, if the tremor you mention is most active when you are not doing much with the hand then, other neurological tests need to be done in order to really come to a good solid diagnosis and this would be best carried out by a NEUROLOGIST since there are a number of things that must be looked at and entities to be ruled out. The workup in either case may involve some blood work, an imaging study of the head and a thorough neurological examination and history so I would recommend finding yourself quite possibly a MOVEMENT DISORDERS specialist (usually a neurologist) and get a good physical examination and history done to find out whether your tremor is more likely an: ESSENTIAL OR BENIGN TREMOR vs. a PARKINSONIAN TREMOR which should lead to a bit more workup before immediately treating. If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating? Again, many thanks for submitting your inquiry and please let me know how things turn out. Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. This query has utilized a total of 20 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.