TREMOR

Tremor: Causes, Symptoms, and Treatment

What Is a Tremor?

A tremor is an involuntary rhythmic movement affecting a body part, most often the hands, arms, head, legs, or voice. Tremors can appear on their own or as a symptom of a neurological disorder.

At Mir Neurology, you receive expert tremor diagnosis, accurate neurological evaluation, and personalized tremor treatment focused on improving daily function and quality of life.

Types of Tremors

Doctors classify tremor types based on cause, movement pattern, and when the tremor occurs.

1. Essential Tremor (ET)

The most common movement disorder.
Commonly affects the hands, head, or voice.
Appears during movement or action.
Often worsens over time.
Strong genetic link and family history.

2. Parkinsonian Tremor

A resting tremor that occurs with relaxed muscles.
Often starts on one side of the body.
A common sign of Parkinson’s disease.
Often occurs with muscle stiffness and slow movement.

3. Cerebellar Tremor

Occurs during intentional movement, such as reaching
Associated with stroke, brain injury, or multiple sclerosis

4. Dystonic Tremor

Affects people with dystonia.
Caused by involuntary muscle contractions.
Certain postures can reduce tremor severity.

5. Physiologic Tremor

A mild normal tremor is present in all people.
Becomes more noticeable with.
Stress or anxiety.
Fatigue or low blood sugar.
Caffeine, stimulants, or certain medications.

6. Orthostatic Tremor

A rare leg tremor that occurs while standing.
Causes a feeling of unsteadiness.
Stops with sitting or walking.

Causes of Tremor

Tremors can result from various neurological and medical conditions, including

Essential tremor (ET) – A common hereditary condition
Parkinson’s disease – A progressive neurodegenerative disorder
Multiple sclerosis (MS) – Affects nerve communication in the brain and spinal cord
Stroke or brain injury – Can damage movement-controlling areas of the brain
Hyperthyroidism – Overactive thyroid can cause hand tremors
Medication side effects – Certain drugs (e.g., stimulants, mood stabilizers) can cause tremors
Alcohol withdrawal – Tremors may appear when withdrawing from alcohol use

Tremor Diagnosis at Mir Neurology

Accurate tremor evaluation starts with a detailed clinical assessment and advanced testing.

Diagnostic testing includes

Neurological examination to assess movement, reflexes, and coordination.
Tremor analysis to evaluate frequency, pattern, and triggers.
Blood tests to identify thyroid disorders, metabolic conditions, and vitamin deficiencies.
MRI or CT scan to detect brain abnormalities.
Electromyography (EMG) to measure muscle activity.

Tremor Treatment Options

Treatment depends on tremor type, severity, and impact on daily activities.

1. Medications for Tremor

Beta blockers such as propranolol for essential tremor.
Anti-seizure medications such as primidone.
Dopaminergic therapy for Parkinsonian tremor.
Botulinum toxin injections for dystonic tremor and voice tremor.

2. Physical and Occupational Therapy

Strengthening exercises and coordination training.
Adaptive devices such as weighted utensils and stabilizing braces.

3. Lifestyle Management for Tremor

Reduce caffeine and stimulants to minimize tremors
Stress management techniques like meditation or deep breathing
Regular exercise to improve motor function and coordination

4. Advanced Tremor Treatments

Deep Brain Stimulation (DBS) – Implantation of electrodes in the brain to reduce tremor severity
Focused Ultrasound Therapy – A non-invasive treatment option for essential tremor and Parkinson’s tremors

Tremor Specialist Care in Hagerstown and Cumberland

At Mir Neurology, you receive comprehensive and patient-focused care from an experienced tremor specialist. Care begins with a detailed neurological evaluation to identify the exact type of tremor and its underlying cause.

Treatment plans focus on reducing tremor severity, improving daily function, and supporting long-term symptom management. You receive ongoing follow-up, medication adjustment, therapy coordination, and access to advanced tremor treatments when needed.

Our team serves patients across Hagerstown and Cumberland with personalized neurology care designed to restore independence, confidence, and quality of life.

Get Expert Help

Healthcare professional providing expert consultation and treatment for neurological and neuromuscular disorders.

If you or a loved one is experiencing memory loss or cognitive decline, early diagnosis is key to effective management. Consult with our neurology specialists for personalized assessment and care plans.

📞 Contact Us Today
For Expert Neurological Care!

Our Locations

Main Office - Cumberland, United States

Our main office is located in Cumberland, United States. Our doctors have office hours at additional locations in the Hagerstown area to better serve our patients.

924 Seton Dr Suite C, Cumberland, MD 21502, United States.

(301) -797-7600