Uncontrollable Hand and Foot Tremors: Possible Causes and Solutions - Neurology

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Uncontrollable shaking of the hands and feet?


Hello doctor, I would like to ask why my hands and feet keep shaking at irregular times throughout the day.
My classmates say it might be due to the cold weather, but I don't feel cold or hot, and the shaking persists for about 5 to 15 minutes, and I can't control it.
I started experiencing this after I fainted last month, and I was diagnosed with epilepsy after a 6-day hospital stay due to abnormal electrical discharges in my brain.
I've been having recurrent seizures, and I had another episode this week.
Recently, my hands and feet have been shaking, and I don't know why.

Xiao En, 10~19 year old female. Ask Date: 2014/05/22

Dr. Gao Chunde reply Neurology


This symptom is still caused by unstable electrical discharges in the brain, which is due to incomplete control of epilepsy.
It is necessary to return to the prescribing physician for epilepsy medication to inform them and make some adjustments to the medication.
Once the brain's electrical activity stabilizes, these tremors will naturally subside.

Reply Date: 2014/05/22

More Info


Understanding uncontrollable hand and foot tremors can be quite complex, especially when there are underlying medical conditions involved. Based on your description, it seems that you are experiencing tremors that last for 5 to 15 minutes and are not influenced by temperature. Additionally, you mentioned a recent history of fainting and a diagnosis of abnormal electrical discharges, which suggests that your symptoms may be related to a neurological condition.

Tremors can arise from various causes, and they can be classified into several types. The most common types include:
1. Essential Tremor: This is a neurological disorder that causes rhythmic shaking, often in the hands, but it can also affect the feet. It usually worsens with movement and can be hereditary.

2. Parkinsonian Tremor: Associated with Parkinson's disease, this type of tremor typically occurs at rest and may be accompanied by other symptoms such as rigidity and bradykinesia (slowness of movement).

3. Psychogenic Tremor: This type of tremor is often linked to psychological factors and can vary in intensity. It may improve with distraction or when the individual is not aware of it.

4. Tremors due to Medication or Substance Withdrawal: Certain medications, especially those affecting the central nervous system, can cause tremors as a side effect. Similarly, withdrawal from substances like alcohol or certain drugs can lead to tremors.

5. Neurological Disorders: Conditions such as multiple sclerosis, stroke, or traumatic brain injury can also lead to tremors.

Given your recent history of fainting and the diagnosis of abnormal electrical activity, it is crucial to consider that your tremors may be related to a seizure disorder. Seizures can manifest in various ways, including tremors, and may require specific treatment.


Recommended Actions:
1. Consult a Neurologist: Since you have a history of fainting and seizures, it is essential to follow up with a neurologist. They can perform a thorough evaluation, including a neurological examination and possibly imaging studies (like an MRI) or an EEG (electroencephalogram) to assess brain activity.

2. Keep a Symptom Diary: Documenting when the tremors occur, their duration, and any associated symptoms (like fatigue, stress, or changes in medication) can provide valuable information for your healthcare provider.

3. Medication Review: If you are on any medications, discuss them with your doctor. Some medications can exacerbate tremors, and adjustments may be necessary.

4. Lifestyle Modifications: Stress management techniques, such as mindfulness or yoga, may help reduce the frequency of tremors. Additionally, ensuring adequate sleep and nutrition can support overall neurological health.

5. Avoid Triggers: If you notice that certain activities or situations exacerbate your tremors, try to avoid them or find ways to manage them.

6. Follow-Up on Seizure Management: If you have been diagnosed with a seizure disorder, it is crucial to adhere to your treatment plan and follow up regularly with your healthcare provider to monitor your condition.

In summary, while tremors can be benign in some cases, your recent medical history suggests that a more comprehensive evaluation is warranted. It is essential to work closely with healthcare professionals to determine the underlying cause of your symptoms and develop an appropriate treatment plan.

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