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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Tremors In The Hand Be Treated?

My husband who is 82 has developed a tremor in his left hand which is very visible and I can feel it coming right down his entire arm. There is no pain or other symptom to go with it. Sometimes he doesn t even know it is happening but I see it. What could this be coming from? He is taking both aricept and namenda for memory issues and confusion. We have discontinued the namenda per the nurse in his pcp s office when I made an appt for him for next Tues.
Fri, 20 Jan 2017
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General & Family Physician,  's  Response
Hi,

Thanks for your question. I do understand your pain and discomfort. As per your history is concerned please follow my advise below.

Tell your local doctor to check following clinical signs to ruled out Parkinson disease:

1) a) Resting tremor b) Rigidity c) Bradykinesia d) Postural instability

2) Do liver and renal function test

3) Do [Semmes-Weinstein monofilament testing ] and [Phalen sign] to ruled out CTS

4) Do MRI scan to rule out any neuropathology stage

5) Check FBS and TSH and ESR

6) Do CBC with differential

Follow me with reports. I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best.

Thanks,
Dr. Uday Nath Sahoo
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How Can Tremors In The Hand Be Treated?

Hi, Thanks for your question. I do understand your pain and discomfort. As per your history is concerned please follow my advise below. Tell your local doctor to check following clinical signs to ruled out Parkinson disease: 1) a) Resting tremor b) Rigidity c) Bradykinesia d) Postural instability 2) Do liver and renal function test 3) Do [Semmes-Weinstein monofilament testing ] and [Phalen sign] to ruled out CTS 4) Do MRI scan to rule out any neuropathology stage 5) Check FBS and TSH and ESR 6) Do CBC with differential Follow me with reports. I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks, Dr. Uday Nath Sahoo