Tremors are an unintentional, involuntary movement of the body. They can be caused by environmental factors, medications, neurological diseases, or stress/anxiety. 

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There are several types of tremors, however the main two categories being an action or rest tremor. This is important to differentiate diagnoses. 

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A common action tremor is an essential tremor (ET). It is believed that essential tremor is hereditary and thought to be caused by excessive brain waves in the cerebellum. There are many treatment options for ET. 

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A common type of tremor at rest is a parkinsonian tremor which can often be an early symptom of Parkinson’s Disease. It is caused by reduced levels of dopamine in the basal ganglia, an important structure in the brain for regulating movements. Parkinsonian type tremor can also be caused by certain medications. 

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NeuroBytes: Essential vs Parkinsonian Tremor - American Academy of Neurology

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Another type of tremor is a physiological tremor, which is generally not caused by a neurological disease. This tremor can be caused by medications, environmental factors, anxiety, hyothyroid, hypoglycemia, overactive thyroid, and it typically resolves once the cause is addressed. 

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At Neura Health, we treat a variety of conditions within the tremor category including essential tremor, as well as tic (a sensation of an urge to repeat an activity), and cervical dystonia (neck pain due to a severe muscle spasm).

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Your provider will take a thorough history and perform a comprehensive virtual exam to indicate what type of tremor you may have. There are different types of nonpharmacological and pharmacological ways to manage tremor depending on the type of tremor. Here at Neura Health, you and your provider will take the best approach for your individual situation in managing your tremor.

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