Dr. Majid Kihani Fard
Tehran
کد عضویت: System number: 79103
Hand tremor is one of the problems that can happen at any age.. For example, there are young people whose hands start shaking due to stress or most of the elderly suffer from hand tremors, especially those who suffer from diseases such as Parkinson's. When they stretch their hands straight and forward, they can see the tremors...it is different....For example, in people with Parkinson's, the hand tremors are so severe that over time the person has trouble even eating....those who suffer from hand tremors face many problems in their work and if their work requires artistic, artistic work, etc..they will undoubtedly face obstacles in their lives...done and with help Specialist doctors are trying to improve it, because the treatment of hand tremors is different according to its main cause... ### Types of hand tremors
There are different types of hand tremors, but they are generally divided into two categories: action tremor and resting tremor. Action tremor is more common than the other type, and it happens when a person begins to shake when they start to move their hands. It has... ### essential hand tremor or essential tremor. (age 40-50) and is seen in limbs such as hands, head or other parts of the body and increases in severity with age, but usually affects the hands first... Essential tremor is generally an activity tremor that occurs when performing subtle movements such as pulling, holding a cup, etc.. The hand, using a hammer, or even stretching the hands forward makes the tremor more pronounced, but when the body is at rest, For example, when you put your hands on your thighs, the shaking stops However, temperamental stress is usually the factor that causes it to increase.. Benign hand tremors are unknown, but in half of the patients who had hand tremors, this tremor was also present in a family member.. But the gene responsible for this disease has not yet been found.. According to webmd magazine, the main cause of tremors is not yet known correctly, but it seems that the abnormal electrical activity of the brain that causes tremors is processed in the thalamus. Medicine, tremors in the patient's hand can be recognized more by visiting the doctor and checking his medications... ### What is the cause of hand tremors?... In general, there is no specific cause for hand tremors, but some neurological diseases may cause this complication... #### MS:
For example, in the autoimmune disease MS or multiple sclerosis, the body's immune cells attack the covering of nerve cells and interfere with the movement of messages in the nervous system... #### Stroke:
Strokes in which cerebral vessels are blocked by factors such as fatty plaques (for example, in ischemic stroke) or blood clots (hemorrhagic stroke), blood supply to an area of the brain is reduced, and the brain cells of that area are faced with a reduction in the level of nutrients and oxygen... #### Brain damage:
When some areas of the brain are damaged by trauma, especially the cerebellum, which is very effective in fine body movements and balance, there is a possibility of hand tremors and the inability to perform fine movements with it, such as painting and hammering... #### Parkinson's:
Hand tremors at rest are the main characteristic of people with Parkinson's. In more than a quarter of these people, hand tremors occur even during activity. As the disease progresses in Parkinson's patients, their hands experience strong movements, especially when picking up a spoon or a glass, to the point where the person cannot eat independently. Pay attention to yourself... due to a disturbance in the tension or tonicity of the hand muscles, rhythmic movements are created in the form of ####PT disease in the hand.. Of course, sometimes hand tremors can be one of the symptoms of a disease called PTSD, which occurs after a stressful event that happened to the patient or when a person has to endure chronic stress and mental pressure.
#### Ataxia:
In another disease called ataxia, the person's body generally experiences intermittent tremors, and his hand is no exception to this rule.... This disease also has a genetic basis... #### Alcohol consumption:
Hand tremors may be observed in people who consume too much alcohol or drugs or who have suddenly stopped using them. In general, when a person develops a neurological or brain addiction to a substance, over time, this substance replaces the natural substance in his body, and if a person suddenly stops using it or continues to use it in the brain, there will be a disorder in his brain... For this reason, it is recommended that people who intend to quit a substance should quit it over time to better control its side effects. overcome.... ### Presence of some materials:
There are substances that can cause neuromuscular poisoning by entering the body. For example, mercury metal has the ability to pass through the skin, and when mercury thermometers break, if you try to collect it by hand, you have given the mercury a chance to enter your body. The person is always alert and alert and nervous. By solving the underlying problem... which is a thyroid disorder, hand tremors are easily resolved... ###:# Liver toxicity
The liver and kidneys are the organs that are responsible for cleansing the body of toxins... When a person is poisoned after consuming toxic substances, the body's cleansing organs may be damaged and as a result experience symptoms such as tremors or tremors... #### Widespread anxiety... Widespread anxiety is a type of anxiety that usually becomes gradual and chronic... When a person gets this disease, due to stress, chemical carriers such as catecholamines are released in his body. which increases muscle excitability and can cause symptoms such as tremors... refer to the stress and anxiety article... hypothyroidism
If a person suffers from diseases such as hypothyroidism and has to take synthetic thyroid hormones or levothyroxine, it can even cause symptoms of hyperthyroidism if they take the wrong dose.. As it was said, hyperthyroidism can cause tension and anxiety in the patient and as a result hand tremors... #### Caffeine consumption
Consumption of caffeinated substances such as coffee, energy drinks and tea can cause hand tremors in people prone to heart palpitations, restlessness and anxiety... #### Some drugs
Lithium and sodium valproate or depakine drugs that are used to treat psychosis.. and also salbutamol, coronet and amphetamine may cause hand tremors as a complication.... ### What is the treatment for hand tremors?... If your hand tremors are to the extent that they bother you and those around you, you can visit a neurologist or a neurologist and do the necessary tests to start treating your problem.. Correct...(high creatinine level in blood) can prescribe you medicine or refer you to another specialist...Also, if it is the dose of your medicine that is causing the problem, you can reduce the amount of medicine with the doctor's advice. Don't... - If, according to the doctor, your hand tremors require the intervention of a physiotherapist, you can visit the doctor by visiting special movement correction clinics.. Restoring balance, coordination and elegance to your body with special methods... Improve your hand by controlling stress.. You can control your emotions and stress by visiting a psychiatrist, changing your lifestyle, doing relaxation techniques or even taking medications prescribed by the doctor... the first line of treatment Medicines to eliminate hand tremors are drugs such as propranolol, metoprolol and nadolol, which are in the category of beta-blockers. These beta-blocker drugs are also used to reduce the symptoms of MS.. Diagnose the main cause of the tremor, either prescribe sedatives to the patient or paralyze the nerve-muscle junction by injecting botox and weaken the hand tremor...
### New treatments for hand tremors
In cases where the hand tremor does not improve with any of the above methods, it causes a disruption in the person's life and work, or if stronger treatments are needed, doctors perform newer methods such as brain stimulation with a TDCS device or deep brain stimulation (DBS). For DBS therapy, the doctor places a small generator under the skin of the upper chest. It is used to treat Parkinson's and dystonia... Also, to use the TDCS device, electrodes are placed on the head, which modulate hand tremors by sending signals to certain parts of the brain. Finally, it should be said that except in cases such as Parkinson's and dystonia, which severely affect the patient's quality of life, in other cases, hand tremors are not serious at the start of treatment and can be treated by visiting a doctor. The underlying cause of these conditions in more detail..