What is tremor? What are the symptoms and treatment methods?

By | 13 May 2021

Tremor disease is the unintentional and uncontrollable rhythmic movement of a part of the body or a limb. Tremor disease, called tremor in medical literature, can occur anywhere on the body at any time. This may be the result of a problem in the part of the brain that controls muscle movement. Tremor is not always indicative of a serious condition. However, in some cases, it can be a harbinger of a serious illness in the person. Tremors are often not easily treated. However, it usually disappears on its own without any treatment. Muscle spasm, muscle twitching, and tremors are not the same. Muscle spasm is the involuntary contraction of a muscle. Muscle twitching is the uncontrolled and subtle movement of a small part of a larger muscle. Muscle twitching can be seen under the skin.

What is shivering disease?

Tremor or tremor is a term used to describe uncontrollable shaking that can be caused by many different factors and diseases, such as Parkinson’s disease, multiple sclerosis, post-exercise fatigue, extreme emotional stress. It is a common movement disorder that frequently affects the hands, but can also be seen in the arms, head, vocal cords, trunk, and legs. İt can occur intermittently or be continuous. It can occur on its own or as a result of another disease.

What are the types of tremors?

İt can be divided into rest and action tremors. Resting tremor occurs when sitting or lying still. When the person starts to move, the tremor disappears. Rest tremor usually only affects the hands or fingers. The tremor that occurs during the movement of the affected body part is called an action tremor. Action tremor is further subdivided as follows:

INTENSIONAL TREMOR
That occurs during purposeful movements such as touching the finger to the nose is called intentional tremor.

POSTURAL TREMOR
It occurs when holding a limb in a position against gravity, such as when moving an arm or leg to a horizontal position.

MISSION-SPECIFIC TREMOR
It occurs during a specific activity such as writing.

ISOMETRIC TREMOR
It occurs in situations that require muscle concentration against a certain object, such as holding a heavy dumbbell in the same position.

Tremors are also classified according to their appearance and causes:

  • Essential Tremor: Essential tremor is the most common type of movement disorder. In short, it can be defined as tremor disease of unknown cause. It is most common in the hands and head and neck region.
  • Parkinson’s Tremor: That occurs at rest. It is often the first symptom of Parkinson’s and disappears with movement. It starts in a limb or one side of the body and then progresses to the other side.
  • Dystonic Tremor: This type of that occurs in people with dystonia, a movement disorder characterized by involuntary muscle contractions. İt come in irregularly and may disappear when the person is at rest.
  • Physiological Tremor:  usually occurs due to certain medications, alcohol withdrawal, medical conditions such as hypoglycemia (low blood sugar), or an overactive thyroid. Physiological tremors will likely disappear if the underlying cause is treated.
  • Orthostatic Tremor: İt is usually seen in the legs. It is a rapid, rhythmic muscle contraction that occurs immediately after standing up suddenly. The tremor stops when the person sits down or starts walking.
  • Cerebellar Tremor: The cerebellum, the cerebellum, is the part of the hindbrain that controls movement and balance. İt is a type of tremor that occurs due to damage to the cerebellum.
  • Psychogenic Tremor: It is a type of tremor that occurs due to psychological reasons. When the person is distracted, the tremors disappear greatly. These people often have a psychiatric illness.

What causes tremor disease?

İt is considered normal in some cases. Being under too much stress, anxiety, or fear can lead to tremors. Shaking usually stops when emotional intensity decreases. İt can also be part of medical disorders affecting the brain, nervous system, or muscles. For this reason, if unexplained tremors develop, you should definitely apply to a health institution.

Prescription medications, illnesses, injuries, stress, and caffeine can cause tremors. The most common causes of tremors include:

  • Muscle fatigue
  • Too much caffeine consumption,
  • Stress,
  • Aging,
  • Low blood sugar levels.

Some of the medical conditions that can cause tremors to include:

  • Stroke,
  • Traumatic brain injury
  • Parkinson’s disease: A neurodegenerative disease caused by the loss of dopamine-producing brain cells.
  • Multiple sclerosis: A condition in which the person’s own immune system attacks the brain and spinal cord tissue,
  • Alcoholism,
  • Hyperthyroidism: A condition in which the body produces too much thyroid hormone.

What are the symptoms of shivering disease?

Symptoms of tremor can include:

  • Rhythmic shaking in the hands, arms, head, legs or trunk,
  • Shaky voice,
  • Difficulty writing and drawing,
  • Problems holding and controlling cutlery.

Shake; It can be triggered or worsened when the individual is physically tired by stress or strong emotional experiences, such as standing in certain positions or making certain movements.

How is tremor disease diagnosed?

To diagnose tremors, the doctor observes the affected area with a physical examination. Tremors can be clearly seen on visual inspection. During the exam, the doctor may ask you to write or hold an object to assess the severity of the tremor. He can also perform a detailed neurological examination to assess the state of the nervous system. With this examination, tendon reflexes, coordination, posture, muscle strength, muscle tone, and sense of touch are evaluated. During the examination, the patient may need to perform various tasks and exercises, such as touching the nose with the index finger, drawing a spiral with the finger, or walking on a line.

However, further testing is required to diagnose the cause of the tremor. Various tests can be performed by taking blood and urine samples to rule out tremors due to thyroid disease or to check for other medical conditions. The doctor may also order electromyography (EMG) done. This test measures involuntary muscle activity and muscle response to nerve stimulation. Imaging methods such as MRI and CT can also be used for diagnosis.

How does shivering disease pass?

Some practices that a person can do to reduce or reduce tremors are:

  • Avoiding caffeine and similar stimulants: Caffeine and other stimulants can increase tremors.
  • Avoiding stress: Stress and anxiety tend to make tremors worse, and relaxing can improve tremors. Although not all stresses in life can be eliminated, it is possible to learn to cope with stressful situations by using various relaxation techniques such as massage, yoga, and meditation.
  • Lifestyle changes: Using the less shaking hand more often can help, for example.

How is the shivering disease treated?

If the underlying condition causing the tremor is treated, the tremor problem may also disappear. Treatments used for tremors include:

  • Medications: There are some medications used to treat the tremor directly, not the cause. Your doctor can prescribe them for you.
  • Botox Injections: Botox injections can relieve shivering disease. These injections are usually given to people with tremors in the face and head.
  • Physical Therapy: Physical therapy can help strengthen muscles and improve muscle control. Exercising the muscles with special movements is effective in relieving tremors.
  • Brain Stimulation Surgery: Brain stimulation surgery may be the only option for treating debilitating tremors. During this procedure, the surgeon places an electrical probe in the part of the brain responsible for the tremors. A wire is tied to this inserted probe and the other end of the wire is placed under the skin in the chest area. A small device is also inserted into the chest, and the free end of the wire is connected to it. This device sends stimulating pulses to the probe placed in the area to stop the brain from producing tremors.

 

 

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