Dr David Djan
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Conditions we treat
Tremors
Tremors

Body tremors are involuntary muscle contractions with a rhythmic pattern that cause one or more body parts to shake. Body tremors fall in a variety of categories and types.

Categories of body tremors

  • Resting

    • Parkinsonian tremor
    • Dystonic
    • Rubral tremor
  • Postural

    • Essential
    • Cerebellar
    • Dystonic
    • Drug induced
  • Isometric

  • Kinetic

    • Essential
    • Classic cerebellar
    • Dystonic
    • Drug induced
  • Task specific

    • Primary writing tremor

What are Parkinsonian tremors?

It is quite common for people with Parkinson’s disease to experience resting tremors. A resting tremor is a relatively slow tremor that begins in the fingers and progresses into the forearm. The motion often resembles rolling pins or other small items between the fingers.

What are dystonic tremors?

These types of tremors are quite rare and usually only occur in people under the age of 50. They involve the involuntary twisting or jerking of limbs, however certain positions may cause the tremors to stop.

What are physiologic tremors?

A physiologic tremor occurs at rest and during movement, and just about everyone has it. They typically do not affect a person’s day-to-day activities, however the following factors may aggravate it:

  • Stimulants, such as caffeine and nicotine
  • Anxiety
  • Fatigue
  • Certain medications

What are the causes of tremors?

In some cases, body tremors can be as a result of dysfunction in the deep areas of the brain that control movement. This may be due to certain neurological conditions, such as:

  • Stroke
  • Traumatic brain injury
  • Neurodegenerative diseases, such as Parkinson’s disease and multiple sclerosis

How are body tremors diagnosed?

Physical and neurological examinations are usually performed along with diagnostic tests.

The physical examination involves checking:

  • Whether muscle contractions occur at rest or during action
  • Where the tremor occurs on the body
  • Whether the tremor is on both sides of on one side only
  • Frequency and severity of the tremor

The neurological examination involves looking for:

  • Increased muscle stiffness
  • Impaired balance
  • Speech abnormalities

Other diagnostic tests may include:

  • Blood and urine tests
  • Diagnostic imaging tests such as an MRI or CT scan
  • Electromyogram (EMG)

What are the treatments for tremors?

There are specific treatments that may help reduce the frequency and severity of body tremors. However, treatment is highly dependent on the cause, type and severity of the tremor.

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