What causes a mild head tremor? I m in excellent health, no balance problems, no hand shakes, just had a check up with my internist but my daughter saw a slight tremor in my head not all the time but periodically very subtle. I have stiffness in my next shoulders, have some arthristis in my neck, play tennis, work out. I plan to call my internist tomorrow but I m in Florida and she s in Idaho so I thought I d get some ideas of what s going on.