Tremors
Tremors are involuntary, rhythmic muscle movements involving to-and-fro movements (oscillations) of one or more parts of the body. They are the most common of all involuntary movements and can affect the hands, arms, eyes, face, head, vocal folds, trunk, and legs. Most tremors occur in the hands.
Types of Tremors
There are several types of tremors, including:
- Essential Tremor: This is the most common type of tremor, and it's often genetic. It usually affects the hands and head, but it can also cause trembling in the voice, arms, or legs.
- Parkinson's Disease Tremor: This type of tremor is caused by damage to the structures in the brain that control movement. It usually starts in the hands, but it can also affect the arms, legs, feet, and face.
- Dystonic Tremor: This type of tremor occurs in people who have dystonia, a movement disorder that causes involuntary muscle contractions.
- Cerebellar Tremor: This type of tremor is caused by damage to the cerebellum, a part of the brain that controls muscle coordination.
- Psychogenic Tremor: This type of tremor can appear as any type of tremor movement. It's often associated with psychological conditions, such as depression or post-traumatic stress disorder.
Causes
Tremors can be caused by a variety of conditions, including:
- Neurological disorders: These include conditions like Parkinson's disease, multiple sclerosis, and stroke.
- Drug use: Certain medications and substances can cause tremors, including amphetamines, caffeine, and certain antidepressants.
- Alcohol abuse or withdrawal: Chronic alcoholism or withdrawal from alcohol can cause tremors.
Treatment
Treatment for tremors depends on the underlying cause. In some cases, treating the underlying condition can reduce or eliminate the tremors. In other cases, medications or surgical treatments may be needed.
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Contributors: Prab R. Tumpati, MD