Treatments for Tremor
Treatments for Tremor:
Treatment plans for tremors are individualized based on the underlying cause, the presence of coexisting diseases, the age and medical history of the patient, and other factors. Treatment generally involves a multifaceted plan that addresses the cause, minimizes the tremors or episodes of tremors, and increases the ability of a person to function effectively and lead an active, normal life.
Tremors are commonly caused by Parkinson's disease. There are currently no treatments that can cure Parkinson's disease. However, there are treatments that can slow the progression of the disease and help people to minimize problems with tremors, coordination and walking.
There are several medications used to treat Parkinson's disease. Medications can help to restore the imbalance of the chemicals dopamine and acetylcholine in the brain, which cause tremors and other symptoms of Parkinson's disease. Medications include levodopa, a chemical that is converted to dopamine in the brain. Levodopa often becomes less effective after several years of treatment, and other medications may also be used. These include segeline, which allows dopamine to have a longer lasting effect on the brain. Anticholinergic medications may also be used to reduce tremors.
Physical therapy and occupational therapy can help to improve muscle strength and maintain balance and coordination for people with Parkinson's disease. Surgery may be an option for some people with severe symptoms or symptoms that do not improve with medication treatment. One surgical procedure involves placing special electrical wires in the brain that stimulate the brain in a certain way to control tremors.
Treatment of mental health disorders that can cause tremors, such as anxiety disorders, anxiety attacks, post-traumatic stress disorder and phobias, can include medications and psychotherapy. Treatment of alcoholism and alcohol withdrawal can include medications, a medically-supervised alcohol detoxification program and ongoing rehabilitation program.
Tremors that are the result of side effects of medications are often addressed by switching to another medication or lowering the dose of the medication. Tremors caused by excessive caffeine intake or the use of diet pills or other stimulants generally go away by themselves when the effects of the substance have worn off.
Treatment of neurological causes of tremors, such as Parkinson's disease, focal seizures, brain tumor, multiple sclerosis, stroke and head injury, often requires the expertise of a neurologist.
Treatment List for Tremor
The list of treatments mentioned in various sources
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
- Treatment of underlying cause of tremor
- Symptomatic drug therapy
- Thalamotomy (surgery)
- Magnesium - possibly used for related magnesium deficiency
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Hospital statistics for Tremor:
These medical statistics relate to hospitals, hospitalization and Tremor:
- 0.001% (158) of hospital consultant episodes were for essential tremor in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 86% of hospital consultant episodes for essential tremor required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 44% of hospital consultant episodes for essential tremor were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 56% of hospital consultant episodes for essential tremor were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 47% of hospital consultant episodes for essential tremor required emergency hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
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Discussion of treatments for Tremor:
There are some treatment options available for tremor;
the appropriate treatment depends on accurate diagnosis of the cause. Some
tremors respond to treatment of the underlying condition, for example in
some cases of hysterical tremor treating the patient's underlying mental
problem may cause the tremor to disappear. Also, patients with tremor due
to Parkinson's disease may be treated with Levodopa drug therapy.
Symptomatic drug therapy is available for several other tremors as well.
For those cases of tremor in which there is no effective drug treatment,
physical measures such as teaching the patient to brace the affected limb
during the tremor are sometimes useful. Surgical intervention such as
thalamotomy may be useful in certain cases.
(Source: excerpt from NINDS Tremor Information Page: NINDS
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