Suggest treatment for severe tremors in arms

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Posted on Thu, 18 Jun 2015 in General Health
Question: My dad has developed a pretty severe tremor in his
left arm. His dad had the same thing when he was that
age (70). He would like to try CBD hemp oil to see if it helps. Do
you think CBD hemp oil could be beneficial for tremor and if so,
is there any problem with an interaction between it and elequis?
doctor
Answered by Dr. Neeraj Kumar 36 minutes later
Brief Answer:
Recent research shows benefits of CBD hemp oil

Detailed Answer:
Hello XXXX
I have gone through your question.
Symptoms of unilateral hand tremors in your father with positive family history points to the diagnosis of parkinsons disease.
You have to mention additional features like slowness in walking and daily activities, fall, behavioural problems, memory. All this will help in making the correct diagnosis under parkinsonism umbrella.
Recent research in Brazil have found usefulness of CBD hemp oil in parkinsonism. Though it is not FDA approved therapy for parkinsonism. Also there is no interactions with elequis reported.
But I will advise you to consult a neurologist for proper examination and evaluation and treatment.
There are many drugs available for the disease with good control of symptoms.
The decision is yours.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
If you found the answer complete and satisfying with no further clarification needed then please close the question and rate my answer as it will be helpful for me.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Neeraj Kumar 1 hour later
I thought maybe it is essential tremor since
my grandpa had it in his hands and chin and
was never diagnosed with Parkinsons. My dad
has no other symptom other than extreme fatigue
but they think that is because his heart rate is
slow and they think he may need a pacemaker.
He works every day on the farm, and doesn't
seem to be bothered by anything else.
doctor
Answered by Dr. Neeraj Kumar 11 minutes later
Brief Answer:
essential tremor is a possibility too

Detailed Answer:
Hello XXXX,
Essential tremors are usually bilateral though initially it starts in one upper limb. Also it involves head, voice, chin with family history. Tremors of essential tremor and Parkinson differ in rest, with resting tremors present in parkinsonism and absent in essential tremor.
If your father is not having any other problems as discussed earlier then a possibility of essential tremor is not unlikely.
You can try primidone, topiramate or clonazepam for essential tremor under guidance of his doctor instead of CBD hemp oil.
Needless to say, it will be better if you consult a neurologist who can examine him properly and make a diagnosis.

Hope you found the answer helpful.
God bless you and your family.
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Neeraj Kumar 30 minutes later
I think his hand shakes when he is using it and when he is resting. Probably more when he is resting. When he places a rubber band several inches above his wrist it stops...if that means anything. Thanks!
doctor
Answered by Dr. Neeraj Kumar 37 minutes later
Brief Answer:
Better to consult a neurologist for examination

Detailed Answer:
Hello XXXX,
I think the best way to reach to a definite diagnosis is to get the patient examined by a neurologist as some subtle finding may not be apparent especially in the initial state of disease. And symptoms can be well controlled in the initial states.
Some response to sensory cues occurs in movement disorder and varies with patient. Therefore the best way forward is to get a neurological examination.

Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Neeraj Kumar 9 hours later
Ok thank you and one last thing. I don't have any experience
(that I know of) with Parkinsons. Is it possible that it can stay
in a mild form and not progress to severe. My grandfather had
this tremor for as long as I can remember. At least from the age
of 60 until he died in his 80's. If he had Parkinsons he never got
other symptoms that were noticeable. Is it always severely
debilitating. My dad is very active and would hate to think
he may become disabled.
doctor
Answered by Dr. Neeraj Kumar 14 minutes later
Brief Answer:
More likely to be essential tremor.

Detailed Answer:
Hello dear,
After all discussions possibility of essential tremor is more than parkinsonism. As your grandfather has only tremor for very long time, this may also point to such a disease in your father too.
But i will still advice to visit a neurologist for proper evaluation. There is no hurry and you can make an appointment whenever you get.
Hoping good health for you.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Answered by
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

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