What are the main types of tremors associated with Multiple Sclerosis. How does tremor impact daily life for MS patients. What treatment options are available for managing MS-related tremors. How can occupational and physical therapy help with MS tremors.

The Nature of Tremors in Multiple Sclerosis

Tremor is a common symptom experienced by many individuals with Multiple Sclerosis (MS). It manifests as an involuntary movement affecting the limbs, body, or head. While tremors are also associated with other conditions like Parkinson’s disease and can be side effects of certain medications, they present unique challenges for MS patients.

MS tremors occur due to damage along the complex nerve pathways responsible for coordinating movements. This neurological disruption can lead to various types of tremors, each with distinct characteristics and impacts on daily life.

Types of Tremors in MS Patients

Understanding the different types of tremors is crucial for proper diagnosis and management. MS patients may experience one or more of the following tremor types:

Intention Tremor

Intention tremor is the most common and often the most disabling form of tremor in MS patients. It is characterized by:

• Increased shaking during physical movement
• No tremor when at rest
• Becoming more pronounced when reaching for objects or attempting precise movements

Postural Tremor

Postural tremor in MS patients is notable for:

• Being most evident when a limb or the body is supported against gravity
• Occurring while sitting or standing
• Diminishing when lying down

Resting Tremor

While less common in MS compared to Parkinson’s disease, resting tremor may occur:

• When the affected body part is at rest
• Decreasing in intensity with movement

The Impact of Tremors on Daily Life

Tremors can significantly affect an MS patient’s quality of life, presenting challenges in various aspects of daily activities. How do tremors interfere with everyday tasks?

• Difficulty with fine motor skills (e.g., writing, buttoning clothes)
• Challenges in eating and drinking independently
• Impaired ability to use electronic devices
• Reduced confidence in social situations
• Potential embarrassment leading to social isolation

Additionally, MS patients with tremors may experience associated symptoms such as dysarthria (difficulty speaking) and dysphagia (difficulty swallowing), further complicating their daily lives.

Diagnosis and Evaluation of MS-Related Tremors

Proper diagnosis of MS-related tremors is essential for effective management. How do healthcare providers diagnose and evaluate tremors in MS patients?

1. Medical history review: Assessing the onset, progression, and pattern of tremors
2. Physical examination: Observing tremor characteristics during different activities
3. Neurological tests: Evaluating coordination, reflexes, and sensory function
4. Imaging studies: MRI scans to detect MS lesions potentially related to tremor
5. Electromyography (EMG): Measuring muscle activity and nerve conduction

These comprehensive evaluations help differentiate MS-related tremors from other causes and guide treatment decisions.

Treatment Options for MS Tremors

Managing tremors in MS patients can be challenging, often requiring a multifaceted approach. What treatment options are available for individuals with MS-related tremors?

Pharmacological Interventions

While no FDA-approved medications specifically target MS tremors, several drugs are used off-label:

• Beta-blockers (e.g., propranolol)
• Anticonvulsants (e.g., primidone, gabapentin)
• Benzodiazepines (e.g., clonazepam)
• Botulinum toxin injections for localized tremors

It’s important to note that medication efficacy can vary among individuals, and healthcare providers may need to try different options to find the most effective treatment.

Non-Pharmacological Approaches

Several non-drug interventions can complement medication in managing MS tremors:

• Physical therapy: Exercises to improve strength, balance, and coordination
• Occupational therapy: Strategies and assistive devices for daily activities
• Adaptive equipment: Weighted utensils, stabilizing devices for electronics
• Stress reduction techniques: Mindfulness, relaxation exercises
• Dietary modifications: Limiting caffeine and other potential tremor triggers

Emerging Treatments

Research into new treatments for MS tremors is ongoing. Some promising areas include:

• Deep brain stimulation (DBS) for severe cases
• Transcranial magnetic stimulation (TMS)
• Cannabis-based treatments (requires further study)

The Role of Occupational and Physical Therapy

Occupational and physical therapy play crucial roles in helping MS patients manage tremors and maintain independence. How do these therapeutic approaches benefit individuals with MS-related tremors?

Occupational Therapy

Occupational therapists focus on improving patients’ ability to perform daily activities:

• Recommending and training in the use of adaptive equipment
• Teaching compensatory techniques for tremor management
• Modifying home and work environments for safety and efficiency
• Addressing cognitive challenges that may exacerbate tremors

Physical Therapy

Physical therapists work on improving overall physical function and mobility:

• Designing exercise programs to enhance strength and coordination
• Teaching strategies to improve balance and reduce fall risk
• Implementing techniques to manage fatigue, which can worsen tremors
• Providing gait training and recommending mobility aids when necessary

Lifestyle Modifications and Self-Management Strategies

In addition to medical treatments and therapy, individuals with MS can adopt various lifestyle modifications and self-management strategies to better cope with tremors. What are some effective ways for MS patients to manage tremors in their daily lives?

• Maintaining a consistent sleep schedule to reduce fatigue
• Practicing stress-reduction techniques like meditation or deep breathing
• Using voice-activated technology to reduce reliance on fine motor skills
• Exploring assistive devices for writing, eating, and other activities
• Staying physically active within individual limitations
• Joining support groups to share experiences and coping strategies

By implementing these strategies, many MS patients find they can better manage their tremors and maintain a higher quality of life.

The Psychological Impact of MS Tremors

The effects of MS tremors extend beyond physical challenges, often having significant psychological and emotional impacts on patients. How do tremors affect the mental well-being of individuals with MS?

• Increased anxiety in social situations
• Frustration with loss of independence
• Decreased self-esteem due to visible symptoms
• Depression related to functional limitations
• Social isolation to avoid embarrassment

Addressing these psychological aspects is crucial for comprehensive MS tremor management. Mental health support, including counseling or cognitive-behavioral therapy, can be beneficial in helping patients cope with the emotional challenges of living with tremors.

Research and Future Directions in MS Tremor Treatment

The field of MS research continues to evolve, with ongoing efforts to better understand and treat tremors. What are some promising areas of research in MS tremor management?

• Advanced neuroimaging techniques to pinpoint tremor-related brain lesions
• Development of more targeted pharmacological treatments
• Refinement of deep brain stimulation techniques for MS tremors
• Exploration of non-invasive brain stimulation methods
• Investigation into the potential benefits of medical cannabis
• Advancements in adaptive technologies and assistive devices

These research directions offer hope for improved tremor management in the future, potentially leading to more effective treatments and better quality of life for MS patients.

As research progresses, it’s crucial for individuals with MS to stay informed about new developments and discuss emerging treatment options with their healthcare providers. The landscape of MS tremor management is dynamic, with ongoing efforts to enhance understanding and develop more effective interventions.

In conclusion, while MS-related tremors present significant challenges, a combination of medical treatments, therapeutic interventions, and self-management strategies can help individuals effectively manage this symptom. By working closely with healthcare providers and staying informed about the latest developments, MS patients can optimize their tremor management and maintain a fulfilling, active lifestyle.

MS Symptoms & Signs of MS

• Fatigue
• MS Hug (Dysesthesia)
• Walking (Gait) Difficulties
• Numbness or Tingling
• Spasticity
• Weakness
• Vision Problems
• Vertigo and Dizziness
• Bladder Problems
• Sexual Problems
• Bowel Problems
• Pain & Itching
• Cognitive Changes
• Emotional Changes
• Speech Problems
• Loss of Taste
• Swallowing Problems
• Tremor
• Breathing Problems
• Seizures
• Depression
• Hearing Loss

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In this article

Overview

Tremor is an involuntary movement of the limbs, body or head that can occur in MS. Tremor also occurs in other conditions, such as Parkinson’s disease, and can also be provoked by some medications. Tremor also can be familial. Tremor can be classified based upon when it occurs:

• Intention tremor — This is a type of tremor seen in MS. It is generally greatest during physical movement; there is no shaking when a person is at rest. The tremor develops and becomes more pronounced as the person tries to grasp or reach for something, or move a hand or foot to a precise spot. This is the most common and generally most disabling form of tremor that occurs in people with MS.
• Postural tremor — This type of tremor is generally the greatest when a limb or the whole body is being supported against gravity. For example, a person who has a postural tremor will shake while sitting or standing, but not while lying down.
• Resting tremor — generally is greatest when the body part is at rest and is diminished with movement. This type of tremor is more typical of Parkinson’s disease than MS.

Tremor occurs because there are damaged areas along the complex nerve pathways that are responsible for coordination of movements. People with MS who have tremor may also have associated symptoms such as difficulty in speaking (dysarthria) or difficulty in swallowing (dysphagia) — activities that are governed by many of the same pathways involved in coordinating movement.

Tremor may make simple activities very challenging – such as dressing and eating. In addition, it can have significant emotional and social impact, especially when people choose to keep to themselves rather than feel embarrassed by tremor.

Treating tremor


Tremor is a difficult symptom to treat.  Your healthcare provider may try different medications to treat tremor. These are used off-label, meaning the FDA has not approved the drugs to treat tremor related to MS.

Eating and drinking can be challenging with tremor. Adding small weights to eating utensils may help to compensate for tremor and using a straw for drinking may be helpful.  An occupational therapist can best advise about assistive devices to aid with other activities of daily living that may be impacted by tremor – such as writing, dressing, and cooking.  Physical therapists can help when tremor of the body or limbs makes mobility challenging and increases your risk for falling.

A few small studies of cannabis (medical marijuana) have suggested that it may help tremor – although further study is needed to better establish safety and efficacy.

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MS Tremors: Causes and Treatment

Tremors experienced by people with multiple sclerosis (MS) are often characterized by:

• a shaky voice
• a rhythmic shaking affecting the arms and hands, and less commonly the legs, head, and torso
• difficulty holding or controlling a pen, spoon, or other tool or utensil

A 2020 review estimates that tremor affects between 25 to 58 percent of people with MS. There are different types of MS tremors, such as action tremors and resting tremors.

Hand tremors can be classified as an intention tremor, dystonic tremor, or an essential tremor. Hand tremors caused by MS may be mistaken for Parkinson’s Disease tremors. A person with MS may experience a hand tremor when reaching for something. Hand tremors can occur at rest as well.

Tremors from MS may look like shaking, trembling, jerking, or twitching. An intention tremor will cause unwanted movement in the affected limb when a person is using it, such as reaching for a cup. A postural tremor will cause unwanted movement when a person is maintaining a certain posture, such as when sitting.

For people with MS, tremors are usually caused by brain lesions (specifically in the cerebellum) and damaged areas — called plaques — along the nerve pathways that are involved with coordinating movement.

The same plaques sometimes also result in other symptoms such as dysphagia (difficulty swallowing) or dysarthria (difficulty speaking).

Tremors can get worse over time and be more difficult to manage if a person already has poor eyesight or numbness in the body. A person with MS may trigger tremors with caffeine or anxiety.

A person with MS may experience an increase in the intensity of their tremors after vigorous exercise. However, muscle tremors after exercising are common for people who do not have MS. Muscle shaking after exercise can occur due to muscle fatigue, low blood sugar, or dehydration.

A person with MS may experience more tremors at night if they have a resting tremor. This type of tremor occurs most often when a person is sitting still versus moving. However, resting tremors are more common in Parkinson’s disease than MS.

There are two primary types of tremor: resting and action.

Resting tremor

Resting tremor occurs when there is shaking even when a body part is at rest. For example, a person may be sitting comfortably with their hands resting in their lap, but their fingers shake.

Action tremor

Action tremor occurs when a muscle is being voluntarily moved. For example, a person may be reaching to pick up a glass of water and their hand starts to shake.

There are a number of subclassifications of action tremor, including:

• Intention tremor. These are associated with physical movement. There is no shaking when a person is at rest, but a tremor develops and becomes more pronounced as they attempt to make a precise movement such as shifting a foot or hand to a specific spot.
• Postural tremor. These are associated with moving or supporting against gravity, such as a tremor that develops while standing or sitting, but not while lying down.
• Nystagmus. These tremors are associated with jumpy eye movements.

For people with MS, the most common forms of tremor are intention tremor and postural tremor.

Currently, there is no cure for tremors. But there are ways for people with MS to reduce their occurrence and improve function.

Lifestyle changes

The following lifestyle changes may help decrease the occurrence of tremors:

• avoiding stress
• getting enough rest
• avoiding caffeinated drinks

Physical and occupational therapy

Physical and occupational therapists can help people with MS control tremors by:

• teaching exercises for coordination and balance
• recommending stabilizing braces in certain cases
• demonstrating how to use weights to compensate for tremors
• teaching new ways of performing daily activities that MS tremors might make challenging

Medication

A consistently effective drug for tremors hasn’t yet been identified. According to the National Multiple Sclerosis Society, however, health professionals have reported varying degrees of success in treating tremors in people with MS using drugs including:

• beta-blockers, such as propranolol (Inderal)
• anti-anxiety medications, such as buspirone (Buspar) and clonazepam (Klonopin)
• anticonvulsive drugs, such as primidone (Mysoline)
• antituberculosis medication, such as isoniazid
• antihistamines, such as hydroxyzine hydrochloride (Atarax) and hydroxyzine pamoate (Vistaril)
• diuretics, such as acetazolamide (Diamox)

Natural remedies

MS can be treated but not cured. There are some natural remedies that may complement other MS treatments and help relieve symptoms. These include:

• cannabis sativa
• ginkgo biloba
• saffron extract
• St. John’s Wort
• curcumin
• ginger
• evening primrose oil
• valerian
• kava
• green tea

These natural remedies for MS may help with symptoms such as inflammation, anxiety, difficulty sleep, and pain.

Botox

A 2012 study indicated that the same Botox (botulinum toxin type A) injections used to temporarily smooth facial lines significantly improved arm tremor in people with MS.

Surgery

People with MS who have severe disabling tremors despite medications may be good candidates for surgical treatment.

There are two types of surgery that may help tremors in people with MS: thalamotomy and deep brain stimulation.

Thalamotomy is a surgery that destroys a part of the thalamus, a structure in the brain that helps control movements.

Deep brain stimulation implants a tiny electrode into the thalamus. The electrode is then attached to a wire that connects to a device under the skin in the chest area. The device delivers small electrical impulses to the thalamus.

Deep brain stimulation isn’t approved by the U.S. Food and Drug Administration (FDA) for treatment of MS-related tremor. However, it has been used successfully for this purpose, and for other conditions that cause tremors, such as Parkinson’s Disease.

The MS tremors that develop for some people can be mild or severe and disabling.

While there is no cure for tremors yet, people with MS have ways to reduce the occurrence of tremors and improve function including physical and occupational therapy, medication, and lifestyle changes.

A person may want to see their doctor if they experience tremors for the first time, or if their tremors get worse or drastically change.

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Why are my hands trembling

Hand tremor is an involuntary trembling, rapid twitching of the upper limbs due to muscle contraction. It occurs in both young and old people. The reasons may be different, some of them require urgent treatment. Therefore, this condition is a reason to seek medical help.

General information

What is the name of the disease in which the hands shake? It is difficult to answer, since such a condition can be caused by a number of ailments. If hand tremor occurs regularly, hurry to the doctor. A medical examination is needed to answer this question.

Trembling of the limbs is classified according to a number of criteria:

• transient or permanent;
• rare or common;
• inconspicuous or sweeping;
• on one arm or symmetrical;
• at rest or during activity.

Species

Hand tremor can be:

• primary (essential) – often a hereditary disease;
• secondary – the result of any pathology.

If the tremor is due to damage to the cerebellum, the tremor is called cerebellar. The work of the central nervous system is disturbed – neuropathic, failures in the muscular system – dystonic.

Depending on how strongly the limbs are shaking, there are three degrees of tremor:

• insignificant – tremor occurs rarely, proceeds imperceptibly, passes quickly, without creating difficulties for a person;
• moderate – prevents meticulous work that requires holding small, fragile objects;
• significant – a person needs help, because he cannot perform routine activities.

Although tremor is not a life-threatening condition, its cause can lead to disability. Even in mild cases, shaking hands interfere with washing, eating, working, etc. A person often limits his social activity so as not to get into an awkward or dangerous situation.

Causes of hand tremors

Tremor can be physiological (not dangerous) or pathological (symptom of the disease).

Physiological occurs for a number of reasons:

• Hypothermia. Reflex shivering helps the body warm up.
• Strong emotions. Excitement, fear, stress literally make the hamstrings tremble. This is how excessive excitation of the nervous system manifests itself, especially in girls and women.
• Physical overvoltage. After intense training, hard work, not only hands, but also legs can tremble.
• Feeling of hunger. A sharp drop in blood sugar causes a strong tremor, up to loss of consciousness.
• Immaturity of the nervous system. Such trembling can occur in infants as a reaction to any discomfort, emotional shock.
• Hormonal failures. Tremor can occur in a teenager or young person for no apparent reason.
• Taking medication. Some antidepressants, antihistamines, adreno- and sympathomimetics, anticonvulsants and other drugs cause tremor as a side effect.
• Use of alcohol, drugs. Toxic damage to the nervous system provokes trembling of the limbs, body, head.

If the hands stop shaking after the trigger has been removed, there is nothing to worry about. However, frequent episodes should be the reason for a visit to the doctor, even if the person considers the tremor to be harmless, explainable.

What causes abnormal hand trembling?

• CNS disorders — Parkinson’s disease, Alzheimer’s, multiple sclerosis, neoplasms (tumors, angiomas), infections (neurosyphilis, encephalitis), vascular pathologies (strokes, encephalopathies), TBI.
• Failures of the cardiovascular system – hypertension, hypotension, vegetovascular dystonia.
• Endocrine disorders – hyperthyroidism, diabetes mellitus.
• Metabolic disorders, including Wilson-Konovalov disease, in which copper accumulates in the body.
• Diseases of the musculoskeletal system – cervical osteochondrosis.
• Poisoning: food, medicinal, heavy metals (mercury, lead), gases (carbon disulfide, carbon monoxide), plant substances (codeine, harmine, ergotamine).

Hand trembling of various etiologies may appear even at a relatively young age.

Diagnosis

An accurate diagnosis is essential to get rid of tremor. For an initial consultation, it is better to contact a therapist. After examining and receiving research results, he will refer you to narrow specialists: a neurologist, toxicologist, endocrinologist, psychologist or others.

The doctor will examine the patient, ask him about complaints, the state of health in general. He will be interested in when the problem arose, what, according to the patient, the seizures are associated with, what other symptoms accompany hand trembling, tremor occurs at rest or during movement.

The doctor will perform several functional tests: the patient will be asked to walk, stretch their arms forward, touch the tip of the nose, pour water from a cup, write something with their eyes closed. The sensitivity of different parts of the body will also be evaluated.

Examinations

It is impossible to determine the exact cause of trembling without additional research:

• Accelerometric diagnostics to get a complete picture of the nature of the tremor (with what force, frequency, amplitude oscillatory movements are performed).
• General clinical blood test: special attention is paid to indicators that indicate the development of inflammation, tissue damage in the body (C-reactive protein, procalcitonin), kidney (urea, creatinine), concentration of copper-containing protein.
• Blood test for the level of hormones of the adrenal glands, thyroid gland.
• Urinalysis for copper.
• CSF analysis, serological diagnostics to detect neuroinfections.
• Blood pressure monitoring (at home, for several weeks).
• Ultrasound of the thyroid gland, adrenal glands.
• Toxicological examination to identify poisonous substances.
• MRI or CT of the brain, CT angiography of the vessels.
• ECG, echocardiography, allowing to evaluate the work of the heart, vascular system.

Treatment

Therapy is carried out at home. Benign tremor in children and adults is treated with sedatives. If hand trembling is caused by pathological processes, then the underlying disease is eliminated.

Treatment in adults involves the use of the following medications:

• beta-blockers to reduce the frequency, severity of shaking;
• antiparkinsonian drugs that increase the level of dopamine in the central nervous system and reduce the severity of symptoms;
• anticonvulsants that relieve small hand shaking;
• benzodiazepines to stop an attack;
• carbonic anhydrase inhibitors effective in essential tremor;
• sorbents for poisoning;
• vitamins for general condition correction.

Other methods

In the treatment of Parkinson’s disease, strength exercises have proven themselves. They are selected by the doctor based on the characteristics of the course of the disease. Gymnastics, massage help get rid of cervical osteochondrosis. To alleviate the condition, wearing special orthoses that fix the hand and hinder oscillatory movements can be prescribed.

If medical or physiotherapy treatment is ineffective, patients are offered to correct the problem surgically. The operation allows you to remove neoplasms, hematomas, implant electrodes in the area of ​​the brain that regulates sensory excitation.

Prevention

It is necessary to follow the following recommendations:

• avoid stress, anxiety, master relaxation techniques;
• do not drink coffee, tea;
• adults – get rid of bad habits;
• comply with the regime of work and rest, which must include an 8-hour night’s sleep;
• eat right, monitor the presence in the diet of foods rich in calcium, potassium, magnesium, B vitamins;
• exercise;
• monitor blood pressure;
• regularly take blood and urine tests for sugar, thyroid hormones;
• treat any diseases at the first symptoms and complete the cure according to the recommendations of specialists.

If your relatives have tremors, you should have annual check-ups.

In cases where the hands of young people are shaking, people are embarrassed or prefer to ignore the problem. It is believed that this unpleasant condition will pass by itself. However, it would be right to consult a doctor in order to exclude a serious pathology and undergo a course of treatment. Take your health seriously!

Tremor (hands shaking) | ECHR Handbook

Many adults have experienced shaking hands, scientifically called a tremor. There are several types of such a problem, each of them has its own way of solving and causes. In this article, all aspects of hand tremor will be analyzed in detail.

Types of hand tremor

Tremor is classified according to the cause of occurrence:

• physiological (inherent to each person, vibrations of the hands that do not cause anxiety, often provoked by stress, anxiety, giving up bad habits, diseases with similar symptoms)

• essential (tremor indicative of disturbances in the functioning of the nervous system, often at the genetic level, usually mild, but quite noticeable, possibly causing discomfort when writing)

• cerebellar (caused by lesions of the cerebellum, one of the symptoms of multiple sclerosis is the replacement of nervous tissue with connective tissue in different parts of the central nervous system)

• secondary (side effect of a drug, symptom of another disease)

There is a classification of the disease according to the time of occurrence:

• Resting tremor, occurs when there is no movement

• action tremor associated with hand movement

Causes of hand tremors

There are enough types of the disease under study, but the causes can be combined:

• chronic fatigue

• lifting heavy objects

• side effect of medications

• blood sugar problems

• hormonal imbalance

• depression, anxiety, worries

• bad habits (smoking, alcohol, drugs)

• stroke, multiple sclerosis, Parkinson’s disease, traumatic brain injury, etc.

A doctor who treats tremors

Most often, a neurologist will help solve this problem, since in most cases hand tremors are caused by disorders in the central nervous system. Qualified, experienced doctors of the Kuntsevsky Medical and Rehabilitation Center will competently select a course of treatment suitable for different cases of hand tremor. Thanks to our center’s own diagnostic base (MRI, ultrasound, Electroneuromyography, etc.), the patient will be able to see doctors and begin recovery immediately, which is important for any disease.

IMPORTANT! Hand tremor is a neurological problem that requires the intervention of a qualified professional. Tremor self-treatment will not lead to a successful result, moreover, you can worsen your own condition, because the patient does not know at what level of functioning of the nervous system the “mistake” occurred.

Therefore, make an appointment with the neurologist of the Kuntsevsky Medical and Rehabilitation Center, who, thanks to his own experience, the wide diagnostic capabilities of our center, the appointment of the correct treatment tactics and rehabilitation program, will help you eliminate the causes of hand tremors.

Make an appointment

Methods of treatment

With cerebellar tremor, it is recommended to load the affected limb with weight, and medications will not help in this situation.

Physiological tremor, which does not cause anxiety, does not require treatment, it is only necessary to avoid suspected causative agents (caffeine, alcohol, anxiety). In case of inconvenience and the need for treatment, the use of propranolol at a dose of 20 to 80 mg 4 times a day will be effective.

Essential tremor can be treated with the same drugs as physiological irritant, another option is to take a small amount of alcohol, but this method is rarely resorted to due to the risk of abuse.

Parkinson’s disease is curable, and levodopa (the metabolic precursor of dopamine) is the drug that fights this disease.

Thus, drug treatment is widely used for types of hand tremors other than cerebellar, and physiological tremor in most cases will stop the consultation with a neurologist.

In the Kuntsevo Medical and Rehabilitation Center, SMT-therapy, also known as electrotherapy, is used, which affects the nervous system and muscles. All medical procedures are carried out by experienced specialists, and the technical equipment meets international quality standards.

Problems with the nervous system can be solved by the following procedures: drug therapy, manual intervention, massage, acupuncture, electropuncture, laser treatment, ultrasound therapy.

Results of treatment

The most significant consequence of the treatment of the disease is a decrease in tremor, sometimes it disappears altogether, this is how characteristic drugs act on the central nervous system. SMT therapy relieves muscle tension, thereby preventing the disease under study. As a rule, SMT therapy consists of 7-10 sessions, the interval between which is 1-3 days, positive dynamics is noted after the first session.

Rehabilitation and lifestyle restoration

Highly qualified doctors of the Kuntsevsky Medical and Rehabilitation Center study the risk of complications and carefully choose the course of treatment, so patients can be sure of a successful rehabilitation and subsequently a quick return to their usual lifestyle. During the course of the treatment process, it is necessary to avoid tremor pathogens, in which case rehabilitation will take a shorter period. The return to a full-fledged lifestyle, as a rule, occurs quickly.

Recommended lifestyle

There are currently no specific methods of prevention. General recommendations include a healthy lifestyle, proper nutrition, regular preventive examinations by a doctor – all this will help get rid of a boring disease forever.

So, there are several types of hand tremors, but each of them can be overcome with the help of competent treatment, which is provided by the Kuntsevo Treatment and Rehabilitation Center. In order for rehabilitation to take place quickly, it is necessary to follow the instructions of the doctor and lead a healthy lifestyle.

References:

1. Illarioshkin S.N., Ivanova-Smolenskaya I.A. Tremulous hyperkinesis: A guide for physicians. M.: Publishing holding “Atmosfera”; 2011
2. Diseases of the nervous system: a guide for physicians / Ed.