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Skip to main content. Neuromuscular system. Home Neuromuscular system. Essential tremor. Actions for this page Listen Print. Summary Read the full fact sheet. On this page. Symptoms of essential tremor The symptoms of essential tremor include: affects the voluntary muscles the muscles that you can consciously move head nodding, if the head is affected shaky, quivering voice, if the larynx voice box is affected a small, rapid tremor tremor that is exacerbated by activity or movement tremor that eases when the body part is at rest tremor that stops when the person is asleep worsening with age hands, head and voice are most commonly affected other body parts may become affected over time, including the arms and eyelids the legs are rarely affected.
Factors affecting essential tremors Certain factors are known to worsen the condition, including: emotional stress physical activity caffeinated drinks fatigue and insufficient sleep alcohol consumption in some people. Diagnosis of essential tremor Essential tremor is diagnosed using a number of tests, including: medical history physical examination electromyography EMG test to check the electrical activity of muscles tests to rule out other causes — such as x-rays, blood tests, magnetic resonance imaging MRI and computed tomography CT scans.
If your tremor is caused by an underlying condition, treating that condition may reduce or eliminate the tremor. If caffeine, alcohol, or other stimulants affect your tremor, consider removing them from your diet. If your tremor is a side effect of medication, speak with your doctor about your options. The problem, which often begins in adolescence or in the 40s, may worsen as you age.
Treatments may offer some symptom relief. The types of treatment you use will depend on how severe the shaking is and the potential side effects of each treatment option. You and your doctor can weigh your options. Your doctor will likely request several medical and physical tests to rule out other possibilities before a diagnosis can be made. Once a diagnosis has been made, you can begin to discuss treatment options.
If the shaking becomes too difficult to manage, you can revisit the treatment options. Finding one that works well with minimal side effects may take time. Work with your doctor and any therapists or specialists you visit to find a plan that best suits your needs. The most common cause of shaky hands is essential tremor. This neurological disorder causes frequent, uncontrolled shaking, especially during movement. Other causes of shaky hands include anxiety and seizures.
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Learn more about the causes and how to manage this condition. Autonomic dysfunction occurs when the autonomic nervous system is damaged. Speak to your GP before you stop taking any prescribed medicine. Your doctor will want to make sure the tremor is not caused by another condition. They may also be able to offer treatment.
A mild tremor that is not caused by another condition does not usually need any treatment. Your GP may want to monitor you to make sure it does not get any worse. Your GP may refer you to a specialist for further tests if your tremor could be a symptom of a condition such as Parkinson's disease or multiple sclerosis.
If you have a tremor that's affecting your life, your GP may prescribe medicine. Medicine will not cure the tremor, but it often helps to reduce the shaking or trembling.
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