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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tremors In The Hands?

I m 72, 170 pd. Tremors are at times over the whole body, but are most bothersome when they effect my hands, and therefore my typing – even though my keyboard has a device to help steady my hands. Tremors have been with me since my stroke in September 1990. Since 93 they have been treated by Neurontin. which seemed to ease matters a bit. They seem worse of late. This may be because the medication is less effective after all these years. Also since moving to this group home – after a major operation (which left me minus some cancer, and plus a colostomy bag) and three months-plus recovery, I ve been fed here rather than feeding myself, as I ve been doing for years. That lack of activity (though seemingly slight) may heighten my tremor sensitivity. Anyway I wish that they were less bothersome. Any recommendations? Pete Donhowe
Fri, 15 May 2020
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Neurologist 's  Response
Hi,

The commonest cause of tremors are essential tremors, which seem to be the cause in you. Propranolol is the drug of choice, to be taken in mornings. The usual starting dose is 40 mg once daily. For patients who do not improve, deep brain stimulation (DBS) can help a lot.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Sudhir Kumar, Neurologist
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What Causes Tremors In The Hands?

Hi, The commonest cause of tremors are essential tremors, which seem to be the cause in you. Propranolol is the drug of choice, to be taken in mornings. The usual starting dose is 40 mg once daily. For patients who do not improve, deep brain stimulation (DBS) can help a lot. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sudhir Kumar, Neurologist