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Dr. Andrew Rynne

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What causes tremors in hands?

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Dr. Mukesh Chugh

Orthopaedic Surgeon, Joint Replacement

Practicing since :1997

Answered : 1619 Questions

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Posted on Mon, 11 Aug 2014 in General Health
Question: when i play golf my hands shake bad. I am a professional golfer and this is detremental to my game. I have tried beta blockers and they help but do not stop all the shaking. What else could I try?
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Answered by Dr. Mukesh Chugh 44 minutes later
Brief Answer:
Cause of tremors needs to be find out

Detailed Answer:
Hello
Thanks for posting
I think you have one of the common types that are ‘Essential tremors’ which runs in family. The other common causes needs to be ruled out are-Parkinson’s disease, liver failure, alcoholism and certain antidepressants. Side effects from some medicines can also cause tremors. You may discuss the whole issue with your treating doctor to find out cause of tremors.
You may take following measure at home-1.Stress reduction can sometimes help to reduce tremors.
2. Add a little weight to your hand by wearing a heavy bracelet or watch or holding something in your hand. This may reduce some tremors and restore more control to your hands.
3.Drink beverages from half-filled cups or glasses, and use a straw.
4.Get enough rest, sleep and reduce your caffeine intake. Fatigue often makes a tremor worse.
Hope this helps to reduce tremors and I shall be glad to answer any further query.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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chris ::: doing some strenuous yard work, I had acute lower back pain that lasted for several weeks. I took Skelaxin, a muscle relaxer, which helped. This is the first time I have ever had that extensive pain in my back. We have been to several different neurologists, without much success. I have had a brain MRI done, a neck MRI, 2 different EMG’s, extensive blood work and an EEG done as well. All reports are included. You will see that the Brain MRI shows normal. The EMG shows that the nerves and muscles of my lower arm are normal. The blood work and EEG are normal as well. The Neck MRI is, we believe now is the area of focus, as the report says that I have “significant reversal of the cervical lordosis and a moderate to large, right sided disc herniation at C6-C7. The neck problems seems to have been overlooked to date by doctors as originally, the diagnosis was that I had an anxiety related tremor because when I concentrated on something else, the tremor went away, briefly. Also, there was some concern from just one of the doctors that it may be Parkinson’s disease. However, most of the doctors felt that the frequency of the tremor, 10 Hz doesn’t suggest it. Also, in trying Cararbidopa-levodopa, 25-100MG tablet, which should have stopped the tremor, if it was Parkinson’s, did nothing but made me nauseous. It had no affect on the tremor. Speaking of medicines, to date, I have been prescribed the following medications with literally no results. Starting from earliest date to most recent… Trihexyphenidyl – 2MG, taken twice daily – (this made me dizzy, headachy,weak.) Pramipexole Dihydrochloride, (Mirapex) - .5MG, taken 1 tab, 3 times daily – (this caused diarrhea) Lorazepam - .5MG, taken one tab, twice daily. (this lessened the tremor slightly for just a day or two but it kept me awake). Carbidopa-Levodopa – 25-100MG, taken 1 tab,
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