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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Essential Tremor. Become Worse. Difficulty In Writing, Carrying Things. Have Restless Leg Syndrome. Treatment?

I have been diagnosed with a right handed essential tremor. It started off very mild but has definitely become worse. I have difficulties with writing,using eating utensils, and carrying anything in this hand. I have now also noted that my left hand is starting to have tremors. I am under the care of a neurologist and we have gone through a whole combination of drugs (Parkinsons has definitely been ruled out). At rest my hand is fine. Also more recently, I have developed restless leg syndrome. Is this in any way connected? Both of my sisters have significant head shakes. I am finding this very frustrating as it becomes more significant. It is affecting my quality of life. Any suggestions????
Thu, 3 Oct 2013
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Radiologist, Nuclear Medicine 's  Response
Essential tremor is type of tremor in which the cause is unknown and this is unlike the tremor in Hyperthyroidism and Parkinsonism where there are definitive treatment available.
There are some mechanism to control these tremors eg
1.Since anxiety and stress classically make the tremor worse, non-medical relaxation techniques and biofeedback can be effective in some patients.
2. To avoid some medication if they are related with tremor.
3.Medications known to make tremors worse should be eliminated or minimized when possible.

If the tremor becomes unbearable some methods are available to control eg.
In some patients, tremors can be reduced by weighting the limb, usually by applying wrist weights. In a small proportion of patients, this can dampen down the tremor enough to provide some relief or improve functioning.
Other than this there are some medicine which can relieve embarrassing tremors eg

1.Betablocker eg Propranolol
2.Primidon
but the treatment should be prescribed by an expert Neurologist and taken under his/ her guidance
thanks
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Diagnosed With Essential Tremor. Become Worse. Difficulty In Writing, Carrying Things. Have Restless Leg Syndrome. Treatment?

Essential tremor is type of tremor in which the cause is unknown and this is unlike the tremor in Hyperthyroidism and Parkinsonism where there are definitive treatment available. There are some mechanism to control these tremors eg 1.Since anxiety and stress classically make the tremor worse, non-medical relaxation techniques and biofeedback can be effective in some patients. 2. To avoid some medication if they are related with tremor. 3.Medications known to make tremors worse should be eliminated or minimized when possible. If the tremor becomes unbearable some methods are available to control eg. In some patients, tremors can be reduced by weighting the limb, usually by applying wrist weights. In a small proportion of patients, this can dampen down the tremor enough to provide some relief or improve functioning. Other than this there are some medicine which can relieve embarrassing tremors eg 1.Betablocker eg Propranolol 2.Primidon but the treatment should be prescribed by an expert Neurologist and taken under his/ her guidance thanks