Hand Tremors: Causes and Solutions for Young Adults

Q: Hand Tremors: Causes and Solutions for Young Adults

Hello Mr. <br>Hsiao： You mentioned that "when both hands are extended forward, all ten fingers tend to tremble slightly." This trembling may warrant consideration of certain metabolic disorders, such as hyperthyroidism or electrolyte imbalances. <br>Additionally, some nerve-stimu

Tremors in the fingers while holding a phone with one hand and slight tremors in the fingers when both hands are extended?

Hello Doctor, I am 21 years old.
Recently, I noticed that when I hold my phone with one hand and swipe with my thumb and index finger, my thumb and index finger tremble (about 4-5 times per second).
When I extend both arms straight out in front of me, all ten fingers slightly tremble.
However, when I let my hands rest naturally and relaxed on my thighs, my fingers do not shake.
I also remember that during blood tests, when I had to grip tightly, my hands would feel weak and tremble.
However, I do not experience shaking when holding a teacup.
I would like to ask what this issue might be and how I should address it.
Thank you for your assistance.

Xiao Hao, 20~29 year old female. Ask Date: 2024/02/05

Dr. Jiang Junyi reply Neurology

Hello Mr.
Hsiao: You mentioned that "when both hands are extended forward, all ten fingers tend to tremble slightly." This trembling may warrant consideration of certain metabolic disorders, such as hyperthyroidism or electrolyte imbalances.
Additionally, some nerve-stimulating substances, such as caffeine, may exacerbate muscle twitching while awake.
Furthermore, it may be important to consider issues related to abnormal muscle tone.
I recommend consulting a neurologist, specifically a movement disorder specialist, to discuss and address these concerns.
Thank you for your inquiry, and feel free to reach out for further discussion.
Wishing you good health, peace, and joy.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Medical Center, cares about you.

Reply Date: 2024/02/05

More Info

Hello! Thank you for reaching out with your concerns regarding hand tremors. Based on your description, it seems that you are experiencing tremors primarily when your hands are in use, particularly when holding your phone or extending your arms. This type of tremor can be concerning, especially for a young adult like yourself, and it’s important to understand the potential causes and solutions.

Tremors can arise from various factors, and in young adults, they are often benign essential tremors or may be related to anxiety, fatigue, or even caffeine intake. Essential tremors are characterized by involuntary shaking that typically occurs when you are trying to perform a task, such as holding a phone or reaching for an object. These tremors can be exacerbated by stress or fatigue, which may explain why you notice them more during certain activities.

Another possibility is that your tremors could be related to muscle fatigue or weakness, especially if you have a history of using your hands for prolonged periods without adequate rest. The fact that your hands do not tremble when they are resting on your legs suggests that the tremors may be task-specific rather than a constant issue.

Additionally, it’s worth considering whether you have any underlying medical conditions that could contribute to tremors. For instance, thyroid issues, neurological conditions, or even vitamin deficiencies can lead to tremors. Since you mentioned experiencing weakness and shaking during blood tests, it may be beneficial to consult with a healthcare provider for a thorough evaluation, including blood tests to check for thyroid function and other potential issues.

To manage your symptoms, here are some recommendations:
1. Reduce Stress and Anxiety: Since stress can exacerbate tremors, practicing relaxation techniques such as deep breathing, meditation, or yoga may help. Regular physical activity can also reduce stress levels.

2. Limit Caffeine and Stimulants: Caffeine can increase tremors, so consider reducing your intake of coffee, tea, and energy drinks.

3. Take Breaks: If you find that your hands tremble more during prolonged use (like texting or gaming), take regular breaks to rest your hands and reduce fatigue.

4. Strengthening Exercises: Engage in hand and wrist strengthening exercises to improve muscle control and stability. This can help reduce the occurrence of tremors during tasks.

5. Consult a Specialist: If your symptoms persist or worsen, it would be wise to consult a neurologist or a specialist in movement disorders. They can conduct a thorough examination and may recommend further tests, such as an electromyography (EMG) or a neurological assessment, to determine the underlying cause of your tremors.

6. Ergonomic Adjustments: Ensure that your posture and hand positioning are ergonomic when using devices. This can help reduce strain on your muscles and joints.

In conclusion, while hand tremors can be concerning, they are often manageable with lifestyle adjustments and professional guidance. It’s essential to monitor your symptoms and seek medical advice if they persist or interfere with your daily activities. Remember, early intervention can lead to better outcomes, so don’t hesitate to reach out to a healthcare provider for further assistance. Take care!

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