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Q: What type of doctor should I see for an essential tremor?
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What is an intention tremor?

A tremor that gets worse during body movement is called an intention tremor. This type of tremor is a sign that something is amiss in the cerebellum.


What is meant by intention tremor?

A tremor that gets worse during body movement is called an "intention tremor." This type of tremor is a sign that something is amiss in the cerebellum, a region of the brain concerned chiefly with movement, balance, and coordination.


What is tremor control therapy?

Tremor control therapy is a type of treatment using mild electrical pulses to stimulate the brain. These pulses block the brain signals that trigger tremor.


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What type of Doctor should you see if you have pains in your breast?

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What is the chemical reason for shaking oil and vinegar?

A tremor is a type of involuntary shaking movement. Involuntary means you shake without trying to do so. A tremor is often most noticeable in your hands, but may affect any body part (even your head or voice).There are three main types of tremors:Resting or static tremors occur when your hand or affected body part is at rest.Kinetic and intention tremors occur when you are moving your hand or affected body part when you are doing something like pressing a button or touching the tip of your nose with your finger. The tremor will usually disappear while the affected body part is at rest.Postural or action tremors occur when you are holding your hand or affected body part in a particular position for a period of time. This may happen when you are writing, holding a cup, or when you stand up straight.Alternative NamesTremor - hand; Hand tremor; Tremor - arms; Kinetic tremor; Intention tremor; Postural tremorConsiderationsTremors can happen at any age but tend to be more common in older people. Everyone has some tremor when they move their hands. Stress, fatigue, anger, fear, caffeine, and cigarettes may temporarily make this type of tremor worse.However, a tremor that does not go away over time may be a sign of an underlying medical problem and should be evaluated. You may learn that your tremor is perfectly normal, but eliminating medical reasons for the shaking is important.Essential tremor is the most common tremor. It is rarely seen when the hands are not being used. It becomes most apparent when you are trying to do something, such as reaching for an object or writing. It is not caused by an underlying disease. This type of tremor may also run in families


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Essential tremor?

DefinitionEssential tremor is a type of involuntary shaking movement in which no cause can be identified. Involuntary means you shake without trying to do so.See also:Drug-induced tremorTremorAlternative NamesTremor - essential; Familial tremor; Tremor - familialCauses, incidence, and risk factorsEssential tremor is the most common type of tremor. In general, tremors occur when there is a problem with the nerves supplying certain muscles. However, everyone has some essential tremor but the movements are usually so small that they can't be seen.The specific cause for essential tremor is unknown. Some research suggests that the cerebellum, the part of the brain that controls muscles movements, does not work correctly in patients with essential tremor.Noticeable essential tremors can be seen at any age but are most common in people older than 65.Essential tremor can also occur with other neurological conditions, including dystonia, parkinsonism, and certain inherited nerve conditions such as Charcot-Marie-Tooth disease.If an essential tremor occurs in more than one member of a family, it is called a familial tremor. This type of essential tremor is passed down through families (inherited), which suggests that genes play a role in its cause.Familial tremor is usually a dominant trait, which means that you only need to get the gene from one parent to develop the disorder. It usually starts in early middle age, but may be seen in people who are older or younger.SymptomsThe tremor is usually most obvious in the hands, but may affect the arms, head, eyelids, or other muscles. The tremor rarely affects the legs or feet. People with essential tremor may have trouble holding or using small objects such as silverware or a pen.The shaking usually involves small, rapid movements -- more than 5 times a second.Specific symptoms may include:Head noddingShaking or quivering sound to the voice if the tremor affects the voice boxDifficulty writing, drawing, drinking from a cup, or using tools if the tremor affects the handsThe tremors may:Occur when you move (action-related tremor), and may be less noticeable with restCome and go, but generally get worse as you ageGet worse with stress, caffeine, and certain medicationsNot affect both sides of the body the same waySigns and testsYour doctor can make the diagnosis by performing a physical exam and asking questions about your medical and personal history.A physical exam will show shaking with movement, usually small movements that are faster than 5 times per second. There are usually no problems with coordination or mental function.Further tests may be needed to rule out other reasons for the tremors. Other causes of tremors may include:Alcohol withdrawalCigarette smokingHyperthyroidismPheochromocytomaToo much caffeineUse of certain medicationsWilson's diseaseBlood tests and imaging studies (such as a CT scan of the head, brain MRI, and x-rays) are usually normal.TreatmentTreatment may not be necessary unless the tremors interfere with your daily activities or cause embarrassment.Medicines may help relieve symptoms. How well medicines work depend on the individual patient.Two medications used to treat tremors include:Propranolol, a drug that blocks the action of stimulating substances called neurotransmitters, particularly those related to adrenalinePrimidone, an antiseizure drug that also controls the function of some neurotransmittersThe drugs can have significant side effects.Side effects of propranolol include:FatigueNose stuffinessShortness of breath (people with asthma should not use this drug)Slow heart beatSide effects of primidone include:DrowsinessDifficulty concentratingNauseaProblems with walking, balance, and coordinationOther medications that may reduce tremors include:Antiseizure drugs such as gabapentin and topiramateMild tranquilizers such as alprazolam or clonazepamBlood pressure drugs called calcium-channel blockers such as flunarizine and nimodipineBotox injections, given in the hand, have been used to reduce tremors by weakening local muscles.In severe cases, surgery to implant a stimulating device in the brain may be an option.Expectations (prognosis)An essential tremor is not a dangerous condition, but some patients find the tremors annoying and embarrassing. In some cases, it may be dramatic enough to interfere with work, eating, or drinking.ComplicationsSevere essential tremor can interfere with daily activities, especially fine motor skills such as writing. Sometimes the tremors affect the voice box, which occasionally leads to speech problems.Calling your health care providerCall for an appointment with your health care provider if essential tremor interferes with your ability to perform daily activities.Call your health care provider if you are being treated for this condition and have side effects from the medication, such as fainting, very slow heart rate, confusion or changes in alertness, lack of coordination, problems walking, and prolonged nausea or vomiting.PreventionStress and caffeine can make tremors worse. Avoid caffeinated drinks such as coffee, tea, and soda, and other stimulants. Exercise and counseling to reduce emotional stress may also help.Alcoholic beverages in small quantities may decrease tremors but can lead to alcohol dependence and alcohol abuse, especially if you have a family history of such problems. How alcohol helps relieve tremors is unknown.ReferencesJankovic J. Movement disorders. In: Goetz CG. Textbook of Clinical Neurology. 3rd ed. St. Louis, Mo: WB Saunders; 2007: chap. 34.


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What type of recovery do patients make from organic voice tremor?

Patients with organic voice tremor do not recover from the condition. They must learn to adapt or compensate for speech and voice deficits. Speech therapy may be useful in this regard.


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