Benign essential tremor (ET) is a movement disorder most commonly noticed by shaking in the hands. It occurs in about 5% of older adults. It may also cause shaking of the head, voice, arms, and trunk. It occurs less often in the legs and feet. Two types of tremor are common with ET:
ET can be socially isolating in some cases. It may interfere with normal daily activities such as writing or speaking.
Family history of tremors is the only known risk factor for ET. The condition may occur at any age. It is more likely to occur in teens and people older than 50 years old.
ET is generally not serious, but its severity may vary and worsen over time. Symptoms may include:
Tremors must not be related to other health conditions in order for someone to have the ET diagnosis.
You will be asked about your symptoms and your medical and family history. A physical exam will be done. Attention will be paid to the central nervous system. There are no special tests to diagnose ET.
Most people with ET do not require treatment. Mild tremors may be relieved or even eliminated by simple measures, including:
The following treatment options may be helpful:
You may be prescribed:
Surgery may be an option in rare cases where tremors are disabling and medications don’t help. Two approaches are possible.
International Essential Tremor Foundation
National Institute of Neurological Disorders and Stroke
Parkinson Society Canada
About essential tremor. International Essential Tremor Foundation website. Available at: http://essentialtremor.org/about-et/. Accessed February 12, 2014.
Essential tremor. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated August 27, 2013. Accessed February 12, 2014.
Essential tremor. International Radiosurgery Support Association website. Available at: http://www.irsa.org/essential_tremor.html. Accessed February 12, 2014.
Lorenz D, Deuschl G. Update on pathogenesis and treatment of essential tremor. Current Opinions in Neurology. 2007;20:447-452.
Sadeghi R, Ondo WG. Pharmacological management of essential tremor. Drugs. 2010:70(17):2215-28.
Smaga S. Tremor. Am Fam Physician. 2003;68(8):1545-1552.
What is essential tremor? Who gets ET? International Essential Tremor Foundation website. Available at: http://essentialtremor.org/About-ET. Accessed February 12, 2014.
Xie T, Bernard J, et al. Post subthalamic area deep brain stimulation for tremors: a mini review. Transl Neurodegener. 2012;1(1):20.
Last reviewed February 2014 by Rimas Lukas, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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