Essential tremor

Essential tremor is a movement disorder. It's a type of shaking that you can't control. It may start in the hand or fingers. The shaking may increase or spread to other parts of the body over time. Essential tremor doesn't cause other health problems, but it can make work or other activities more difficult.

The main symptom is small shakes (tremors) that you can't control. It is usually on both sides of your body.

It often starts in the hands but can be in the arms, head, voice or torso. It can make your voice shaky.

It usually happens when you are trying to use an affected part of your body. For example, you may notice your hand or fingers shake when you lift an object like a cup or point at something.

Anxiety or excitement may make the tremors worse.

There is no one test to diagnose essential tremor. Your doctor may ask about your family history and how long you've had the shaking. Your doctor will watch how you move and check your muscle strength and reflexes. You may have lab or imaging tests to see if something else is causing it.

There are some medicines, such as beta-blockers or anticonvulsants, that may help reduce tremors. Treatment may include physical therapy. This can help improve your strength and balance. Treatment may also include occupational therapy. This can help you learn to do your daily activities more easily. Surgery may be an option for some people.

Some people may not need treatment. If your tremors are causing problems for you, you can choose to get treatment.

Resting and reducing stress are key to caring for yourself when you have essential tremor. Regular exercise and massages may help. Avoid drinks or foods with caffeine if they make your tremors worse. Wearing a heavy bracelet or watch may reduce tremors. Take your medicines exactly as prescribed.