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Have you ever noticed your hands trembling after lifting a heavy object or after lifting them for a long time.. Have you tried to reach out your hands and put a paper on your palm and see if it remains steady without shaking?

Have you ever met a patient with Parkinson’s disease and noticed trembling hands? You must know Muhammad Ali Clay!

But what is the difference between the two previous cases! Are they both caused by Parkinson’s?! Am I in danger?! Follow our next article to learn about tremor, its causes, when it is considered a serious condition that requires a visit to the doctor, and when it is very simple.

First, let’s get to know the meaning of tremor:

It is the jerky movements – in one or more parts of the body – caused by involuntary, rhythmic (rhythmic) muscle contractions. It is a common movement disorder that most often affects the hands, but it can occur in the arms, head, trunk, legs and vocal cords as well!

It can occur at any age, but is most common in middle-aged and older adults.

As for his reasons:

Generally, tremors are caused by a problem in the deeper parts of the brain that control movements, but the cause of most types of tremor is not known, although there are some forms that seem to be inherited and run in families. So you find some of its causes are satisfactory and some of its reasons are not, some are simple and some are not.

It can occur simply as a side effect of using certain medications, or as a result of a state of panic or anxiety.

The tremor can be a pathological condition in itself or an accompanying symptom of neurological diseases such as:

• Neurodegenerative diseases (such as Parkinson’s disease).

• Multiple Sclerosis.

• Stroke or traumatic brain injury.

It can be the result of other causes, such as: liver or kidney failure, hyperthyroidism, alcohol abuse or withdrawal from it.

Tremor symptoms .. Is it not only in the hands?

In fact, other symptoms may occur in some:

Rhythmic shaking of the hands, arms, head, legs, or torso.

A trembling voice.

Difficulty writing, drawing, or holding utensils such as spoons.

Symptoms may worsen if you are stressed and exhausted, or when you perform certain movements.

Is the tremor when still, or when moving?!

The answers are bound to differ. But the truth is tremors are classified into two basic categories:

Resting tremor: occurs during muscle relaxation, often in the hands and fingers, and is most often seen in patients with Parkinson’s disease.

Movement tremor: occurs when a person makes a voluntary movement. It constitutes most types of tremors.

Many types also fall under the previous classification, including:

Parkinsonian tremor

This is a resting tremor, which often gets worse when stressed. Note that some patients with Parkinson’s disease may also develop an accompanying tremor. For more details about him see our article.

We also have other less common tremors such as postural tremor, cerebellar tremor, psychogenic tremor, and orthostatic tremor..

You scared us so much!

Wait for the rest of the species:

Essential tremor: It is a motor tremor and is one of the most common movement disorders. Its exact cause is unknown, but a genetic factor has been observed in half of those affected. It usually appears on both sides of the body, but is often more noticeable in the dominant hand, ie it does not indicate a serious disease as before. (Because of the importance of this disease, we will dedicate another article to it to talk about it in detail).

Physiological tremor (which most of you are probably wondering about):

It occurs in all healthy individuals, is a normal human phenomenon resulting from physical characteristics (eg, rhythmic rhythms such as the heartbeat), and is rarely visible to the eye. We can determine it by placing a sheet of paper over an outstretched hand, and note its vibration.

The physiological tremor can be exacerbated and become visible for several reasons, including:

aging

extreme tiredness;

Anxiety, tension, anger and emotional excitement.

lack of blood sugar.

overactive thyroid;

Take stimulants such as caffeine.

smoking.

Alcohol withdrawal syndrome.

Take some medications, such as amphetamines.

Heavy metal poisoning.

So my follower brother, if you have a tremor, do not be afraid and panic! It may be transient, as in a physiological tremor, but visit a doctor to find out!

How is it diagnosed?

Diagnosis is based on a physical and neurological examination and the patient’s medical history, with the help of tests such as blood and urine tests, electromyography (in which the doctor stimulates nerves and measures the response of muscles to this stimulation), and other tests.

As for the treatment:

Most types of tremor have no cure, but the patient can be helped to control their symptoms. Finding the appropriate treatment depends on the cause. For example, if the tremor is caused by an overactive thyroid gland, we can treat the resulting tremor by treating the underlying cause.

If there is no underlying disease causing it, we try to control the symptoms, either with medication or by surgical methods. Physical therapy can also be used to help improve muscle control. The person must learn new ways to perform activities of daily living that may be affected by tremor.

It is also useful to stop or reduce caffeine and medications that cause tremors, and consuming small amounts of alcohol may help some people to control tremors, but this effect is temporary, as symptoms may become worse once the effect of alcohol wears off!

It should be noted that mild symptoms may not need treatment.