Hand Tremors: When to See a Neurologist and Treatment Options

Finger tremors?

Hello, I have been researching but haven't found a similar issue.
My job requires me to use a computer for 8-9 hours a day, and over time, I am unsure if the excessive use of my fingers for fine motor tasks (such as writing, using chopsticks, or turning pages) is causing a tremor.
The shaking is very subtle, almost imperceptible to others, and only I can feel it; others need to look closely to notice.
Additionally, when I am very hungry, my hands also tremble, but larger movements like holding a cup or answering a phone do not cause shaking.
Should I consult a neurologist about this? My father also experienced hand tremors when he was younger, and he could only manage it with medication, but long-term use of medication seems to worsen the condition.
Besides medication, are there other treatment options available? Thank you for taking the time to respond, doctor.

Mi Mi Yan, 30~39 year old female. Ask Date: 2020/03/05

Dr. Cai Zongzhang reply Neurology

Hello, if your symptoms are interfering with your daily life or work, it is advisable to seek further evaluation or treatment from a neurologist.

Reply Date: 2020/03/05

More Info

When it comes to understanding hand tremors, especially in the context of prolonged computer use and fine motor activities, it is essential to consider several factors before deciding on the appropriate course of action. Your experience of subtle tremors during fine tasks, which are exacerbated by hunger, suggests a few potential underlying causes, including essential tremor, fatigue, or even anxiety-related tremors.
Given your symptoms, it is advisable to consult a neurologist. Neurologists specialize in disorders of the nervous system, and they can provide a comprehensive evaluation to determine the nature of your tremors. They will likely conduct a thorough history and physical examination, and may recommend additional tests such as blood tests, imaging studies, or electromyography (EMG) to rule out other conditions.

In terms of treatment options, there are several avenues to explore beyond medication. While medications like beta-blockers (e.g., propranolol) or anticonvulsants (e.g., primidone) are commonly prescribed for essential tremor, they may not be suitable for everyone, especially if you have concerns about long-term use. Here are some alternative approaches that may help manage your symptoms:
1. Lifestyle Modifications: Reducing caffeine intake, managing stress, and ensuring adequate hydration and nutrition can significantly impact tremor severity. Since you mentioned that hunger exacerbates your tremors, maintaining regular meal times and balanced nutrition may help.

2. Physical Therapy: Engaging in physical therapy can improve muscle control and coordination. A physical therapist can design a program tailored to your needs, focusing on strengthening the muscles involved in fine motor tasks.

3. Occupational Therapy: An occupational therapist can provide strategies and tools to help you manage daily tasks more effectively. They may suggest adaptive devices or techniques to minimize the impact of tremors on your work and daily activities.

4. Biofeedback and Relaxation Techniques: Techniques such as biofeedback, mindfulness, and relaxation exercises can help you gain better control over your body’s responses, potentially reducing tremor severity.

5. Surgical Options: In cases where tremors are severe and unresponsive to other treatments, surgical interventions such as deep brain stimulation (DBS) may be considered. This involves implanting a device that sends electrical impulses to specific brain regions responsible for tremor control.

6. Support Groups: Connecting with others who experience similar symptoms can provide emotional support and practical advice. Support groups can be a valuable resource for coping strategies and shared experiences.

In conclusion, while your symptoms warrant a visit to a neurologist for a thorough evaluation, there are various treatment options available beyond medication. Lifestyle changes, physical and occupational therapy, and alternative therapies can all play a role in managing hand tremors effectively. It’s essential to work closely with your healthcare provider to develop a personalized treatment plan that addresses your specific needs and concerns.

Similar Q&A

Understanding Hand Tremors: When to See a Doctor for Diagnosis

1. When holding a TV remote control or pressing buttons on a mobile phone, my fingers tremble. 2. When my elbows are resting on the table, my palms shake. I'm not sure which specialty to consult for this. Additionally, my blood pressure is elevated; can I directly see a card...

Dr. Lai Junlong reply Family Medicine
Hello: In response to your inquiry, for the issue of tremors, you may first consult a family medicine physician or a neurologist. For high blood pressure, you can seek care from a family medicine physician, a cardiologist, or a general internist. Thank you.

Understanding Hand Tremors: When to See a Neurologist

Hello Dr. Jiang: My right hand sometimes trembles involuntarily, but my left hand does not. My lips also exhibit similar symptoms, although they are milder. I am currently on psychiatric medication, but even after adjustments, the trembling persists. (I am currently taking easyfo...

Dr. Jiang Junyi reply Neurology
Hello Ms. Chen: You mentioned that "your right hand sometimes trembles involuntarily, but your left hand does not, and your lips have similar symptoms." This may indicate an abnormality in the signaling of the motor nervous system. Additionally, medication side effects ...

Understanding Involuntary Tremors: When to See a Doctor

If you experience involuntary shaking or trembling of the head or lips while watching television or concentrating on a task, and sometimes your hands also tremble involuntarily, it is advisable to see a doctor. You should consider consulting a neurologist, as they specialize in c...

Dr. Cai Jueren reply Family Medicine
When our body performs movements, it utilizes antagonistic muscle groups to maintain balance. In certain situations, when small muscle groups are insufficiently antagonistic, so-called "involuntary movements" may occur, such as hand tremors, blinking, or head shaking. T...

Which Specialist Should I See for My Hand Tremors and Numbness?

About two years ago, I experienced hand tremors that made it impossible for me to write properly, which lasted for 6 to 7 months. The episodes disappeared, and I thought everything was fine. However, this year my hands started shaking again, and I began to feel numbness in my lef...

Dr. Cai Jueren reply Family Medicine
Hello, your issue seems to be related to a higher-level neurological problem, and I cannot address it in written form as it may cause you further distress. Generally, a neurological examination should be prioritized. If necessary, in addition to endocrine blood tests, a CT scan o...