Involuntary Body Tremors: Causes and Solutions

I experience involuntary shaking throughout my body?

In the past, it would happen occasionally while I was studying, but as I got older, the frequency increased.
I consulted a neurologist who said there was no problem and that I was just too anxious.
However, it has gotten to the point where I struggle to walk properly.
Sometimes, when I experience an episode while walking, it scares others.
During these tremors, I am fully aware, but I am unable to control it.

Mr. Wu, 20~29 year old female. Ask Date: 2008/05/13

Dr. Lin Zijing reply Neurology

Involuntary shaking is usually associated with tremors or seizures.
If the shaking occurs throughout the body while consciousness is preserved, it is less likely to be a seizure.
The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors.
1.
Physiological tremors: These do not occur under normal circumstances and only arise in specific situations such as stress, anxiety, or anger.
Other factors like side effects from certain medications or the consumption of beverages like coffee, tea, or cola also fall under physiological tremors.
2.
Psychological tremors: These have a more erratic pattern, sometimes present and sometimes absent, without a fixed shaking pattern.
Treatment focuses on addressing the underlying mental health issues.
3.
Essential tremors: The exact cause of these tremors cannot be determined; they may be due to a unique constitution or hereditary factors.
Typically, shaking is more pronounced when holding objects, and some individuals may experience tremors while writing or performing specific movements.
4.
Pathological tremors: These are caused by dysfunction in the nervous system, such as in Parkinson's disease, lesions in the midbrain, cerebellum, or basal ganglia, or metabolic abnormalities (like hypoglycemia or hyperthyroidism).
These types of tremors tend to be persistent rather than intermittent.
To accurately differentiate these types of shaking, consultation with a neurologist is essential.
If multiple neurologists conclude that there are no issues, it is more likely to be physiological or psychological tremors.

Reply Date: 2008/05/13

More Info

Involuntary body tremors, also known as tremors, can be a concerning symptom for many individuals, especially when they become more frequent or severe over time. Understanding the potential causes and solutions for these tremors is essential for managing them effectively.

Tremors can be classified into several types, with the most common being essential tremor and Parkinsonian tremor. Essential tremor is often characterized by rhythmic shaking, particularly in the hands, arms, and sometimes the head. It typically worsens with movement and can be exacerbated by stress or anxiety. On the other hand, Parkinsonian tremors are associated with Parkinson's disease and usually occur at rest, often accompanied by other symptoms such as stiffness and bradykinesia (slowness of movement).

Given your description of experiencing tremors that have increased in frequency and severity with age, it is crucial to consider several factors that may contribute to this condition:
1. Anxiety and Stress: As noted by your neurologist, anxiety can significantly impact muscle control and lead to tremors. When the body is under stress, it releases adrenaline, which can cause involuntary muscle contractions. Learning stress management techniques, such as mindfulness, meditation, or cognitive-behavioral therapy, may help reduce the frequency of tremors.

2. Neurological Conditions: While your neurologist has indicated that there are no significant issues, it may be worth seeking a second opinion or further evaluation if the tremors are affecting your daily life. Conditions such as multiple sclerosis, hyperthyroidism, or even certain vitamin deficiencies (like Vitamin B12) can lead to tremors. A comprehensive neurological examination, including imaging studies or blood tests, may provide additional insights.

3. Medications and Substances: Certain medications, caffeine, and recreational drugs can induce tremors. If you are taking any medications, review them with your healthcare provider to determine if they could be contributing to your symptoms. Reducing caffeine intake or avoiding stimulants may also help.

4. Lifestyle Factors: Regular exercise, a balanced diet, and adequate sleep can improve overall health and potentially reduce tremors. Engaging in activities that promote relaxation, such as yoga or tai chi, may also be beneficial.

5. Physical Therapy: If tremors are affecting your mobility, working with a physical therapist can help improve muscle control and coordination. They can provide exercises tailored to your needs and help you develop strategies to manage tremors during daily activities.

6. Medications: If tremors are significantly impacting your quality of life, medications may be considered. Beta-blockers, anticonvulsants, or even botulinum toxin injections have been used to manage essential tremors. Discussing these options with your healthcare provider can help determine the best course of action.

7. Support Groups: Connecting with others who experience similar symptoms can provide emotional support and practical advice. Support groups can be found through local hospitals, community centers, or online forums.

In conclusion, while involuntary body tremors can be distressing, understanding their potential causes and exploring various management strategies can lead to improved quality of life. It is essential to maintain open communication with your healthcare providers, seek further evaluations if necessary, and actively engage in lifestyle modifications that promote overall well-being. If the tremors continue to worsen or significantly impact your daily activities, do not hesitate to seek further medical advice or intervention.

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