
Most of us have had a few moments in our lives where nervousness or anxiety becomes too much for us to handle, and we start to shake, tremble, or tremor. Oftentimes shaking or trembling is normal and nothing more than our body’s defense mechanism kicking in to release nervous tension. Conversely, there is always a chance that the trembling, shaking, or tremor you are feeling is an indication that some type of underlying medical problem could be present. Defining Tremor
movement caused by alternative contraction and relaxation of the muscles. Characteristics may include rhythmic shaking in the hands, legs, arms, head, or trunk; shaky voice; trouble controlling eating or cooking utensils; or difficulty writing or drawing. Certain types of tremors are at their worst during periods of stress or strong emotion, when assuming certain postures or movements, or when a person is suffering from physical exhaustion. Note: While most medical manuals don’t list shaking after extreme physical activity as tremor is does seem logical this is the case. Possible Causes
that control muscles throughout the body or in particular areas, such as the hands. Neurological disorders or conditions that have been known to produce tremor include traumatic brain injuries, neurodegenerative diseases that damage or destroy parts of the brainstem or the cerebellum, multiple sclerosis, and stroke. Other causes include the use of certain prescription drugs (ex. drugs used for certain psychiatric disorders, amphetamines, and corticosteroids), abuse of alcohol, hyperthyroidism, liver failure, and mercury poisoning. Note: Some forms of tremor have a 50 percent chance of being inherited. Different Classifications of Tremor There are generally consider to be four major categories for tremor. Why don’t we take a few minutes to briefly explore each one of these. Essential Tremor: This tremor is rapid and fine. Essential tremor generally starts in early adulthood but can begin at any age. The tremor may gradually advance in severity with age and is a very common occurance in seniors. Essential tremor was once referred to as senile tremor due to the high percentage of adults over the age of 60 who experience this condition. Some varieties of essential tremor run in families and are sometimes called familial tremor. The cause is unknown. For the most part, essential tremor will remain mild throughout a person’s lifetime and is not an indication that something more serious is wrong. That said, it can be quite embarrassing and make everyday routine actions quite challenging. For example something as simple as using dinner utensils, signing ones name, or writing a letter may prove to be monumental undertakings. Essential tremor usually affects the arms, and in rare cases the legs. The tremor usually disappears when the arms and legs are at rest but becomes more obvious when the limbs are outstretched. Essential tremor often affects both sides of the body but may affect one side more than the other. Sometimes the tremor affects the head, causing it to tremble or bob, and the vocal cords, causing the voice to crack. While this type of tremor generally stays mild it is important to point out that this is not always the case. In some it may worsen over time eventually leading to disability. Resting Tremor: This slow, coarse tremor occurs when the muscles are at rest, making an arm or leg shake even when a person is completely relaxed. Resting tremor can develop when collections of nerve cells at the base of the cerebrum (including the basal ganglia) are disturbed. Such disturbances may be a result of Parkinson’s disease, heavy metal poisoning such what occurs in Wilson’s disease (copper accumulation in the body tissue), and as an unwanted side effect of certain prescription drugs such as antipsychotic medications. While resting tremor can sometimes be embarrassing this condition generally does not interfere with voluntary movements, such as drinking a glass of water. Intention (Cerebellar) Tremor: This relatively slow, broad tremor occurs at the end at the end of a purposeful movement, such as trying to press a button. Intention tremor may result from damage to the cerebellum or its connections. Stroke and multiple sclerosis are common causes. Wilson’s disease, abuse/overuse of sedatives or anticonvulsants, and alcoholism all can cause the cerebellum to malfunction, resulting in intention tremor. Intention tremor may increase during an activity, such as touching an object with the hand. The tremor may cause a person to miss the targeted object. Flapping Tremor: This tremor is a coarse, slow, non-rhythmic movement that happens when a person stretches out the arms and extends the hands. This tremor is often a result of liver failure and thus has been called liver flap. However, it may also be a result of kidney failure or brain damage due to metabolic disorder. Muscle tone lapses abruptly and temporarily. Consequently the hand flaps; that is, it quickly drops, then returns to its original position. The tremor may be accompanied by other tremors or a spasm in a muscle or group of muscles (myoclonus). Help for Tremor With so many variations of tremor is become obvious that successful treatment depends a great deal on identifying the underlying cause. Harsh medications such as beta blockers or anti-convulsants may be used to treat essential tremor. Those struggling with Parkinson’s may be prescribed anti-parkinson’s medications such as levodopa. Head and voice tremors have been treated successfully with Botulinum toxin A. Complimentary therapy such as physical therapy may also be suggested as a way to lesson tremors by improving muscle control and co-ordination. Occupational therapy may also be beneficial in helping the patient use practical strategies and adaptive aids that can reduce the effects of tremor in their everyday lives. Brain surgery may also be considered if the tremors have become so severe that quality of life issues become obvious. Certain surgical procedures such as thalomotomy involve part of the thalamus being destroyed, and pallidotomy in which a small structure within the brain is destroyed are two of the more common alternatives. Natural and holistic treatments such as herbal and homeopathic remedies can control involuntary muscle spasms, twitching, tremors, and shaking hands effectively. The use of homeopathy for tremor is considered to be very safe and non-addictive. Carefully chosen ingredients such as Stramonium, Mag. Phos, Agaricus muscarius, and Tarentula can help to calm the nervous system and improve the steadiness of muscular function. Additionally, herbs such as Lemon Balm, Lavender, and Passion Flower support overall nervous system health while helping to maintain a calm balanced mood.
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