Postpartum Hand Tremors: Causes and Treatment Options - Neurology

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Postpartum tremors


Hello Doctor: In mid-February of this year, I had a natural delivery without epidural anesthesia.
About ten days after being discharged, I occasionally experienced tremors in my right thumb, which later progressed to my entire arm shaking.
Before the tremors started, I would feel soreness in a specific tendon, and then the shaking would begin, with significant amplitude.
I recorded a video to show my doctor.

The Western medicine doctor from the neurology department conducted blood tests and ruled out hyperthyroidism but could not find a cause.
The traditional Chinese medicine practitioner diagnosed me with postpartum stroke due to body deficiency and advised against heat supplementation.
I have been taking medication from both treatments for over three months now.
The hand tremors have shown some improvement intermittently; however, they return after a few days of stability, and this cycle continues.
Could you please advise what this condition might be? Should I consult another specialty or visit a different hospital's neurology department?

Rita Tsai, 40~49 year old female. Ask Date: 2023/05/22

Dr. Wu Mukhan reply Neurology


Your symptoms may indicate a movement disorder, and a personal evaluation by a physician is necessary for further assessment.
It is recommended to visit a medical center where a neurologist with expertise in movement disorders can arrange for subsequent examinations and treatment.

Reply Date: 2023/05/22

More Info


Postpartum hand tremors can be a concerning and distressing condition for new mothers. The symptoms you describe, including tremors in your thumb and arm, along with the sensation of muscle soreness prior to the tremors, suggest a complex interplay of physical and possibly neurological factors.
Firstly, it’s important to understand that postpartum tremors can arise from various causes. One common reason is the physical strain and hormonal changes that occur after childbirth. The body undergoes significant adjustments during and after pregnancy, and these changes can affect muscle control and coordination. Stress and fatigue, which are common in new mothers, can also exacerbate these symptoms.

From a neurological perspective, the tremors you are experiencing could be related to several conditions. Essential tremor, a neurological disorder that causes involuntary shaking, can sometimes manifest after significant life changes, including childbirth. However, since your blood tests have ruled out hyperthyroidism, which can also cause tremors, it may be worthwhile to explore other neurological conditions or even consider a referral to a neurologist for further evaluation.
In terms of treatment, it is essential to address both the physical and emotional aspects of your recovery. Here are some options to consider:
1. Physical Therapy: Engaging in physical therapy can help improve muscle strength and coordination. A physical therapist can provide exercises tailored to your specific needs, which may help reduce tremors and improve overall function.

2. Stress Management: Since stress can exacerbate tremors, incorporating stress-reducing techniques such as mindfulness, meditation, or yoga may be beneficial. These practices can help you manage anxiety and improve your overall well-being.

3. Medication: If the tremors are significantly impacting your daily life, discussing medication options with your healthcare provider may be necessary. Medications such as beta-blockers or anticonvulsants are sometimes prescribed for tremors, but this should be carefully considered and monitored by a physician.

4. Nutritional Support: Ensuring you have a balanced diet rich in vitamins and minerals can support your recovery. Some studies suggest that deficiencies in certain nutrients, such as magnesium or vitamin B12, can contribute to muscle tremors.

5. Alternative Therapies: Some individuals find relief through acupuncture or chiropractic care, which may help with muscle tension and overall body balance. However, it is crucial to consult with your healthcare provider before starting any alternative treatments.

6. Follow-Up Care: Since your symptoms have been fluctuating, regular follow-up with your healthcare provider is essential. If your current neurologist is not providing satisfactory answers, seeking a second opinion from another specialist or a different hospital may be warranted.

In conclusion, postpartum hand tremors can be multifactorial, and addressing them requires a comprehensive approach. It’s crucial to continue advocating for your health and seeking the appropriate care. If symptoms persist or worsen, do not hesitate to pursue further evaluations or alternative specialists. Your well-being is paramount, and finding the right support can make a significant difference in your recovery journey.

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