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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Hand Tremor Indicate?

I have experienced a hand tremor since January I first associated it with stress but the stress is gone and the tremor isn't. I also have noticed it when I stretch I feel a weird tremble like feeling. I am currently getting my thyroid tested and I have already had lab work done. I was noted to be anemic and have a vitamin d deficiency but I am not sure if any of that is associated with the tremor. The NP said it was probably because I wasn't eating regularly but I have since started to eat regular and haven't noticed a change. Any suggestions?
Tue, 19 Aug 2014
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General & Family Physician,  's  Response
Hello dear,

The symptoms as mentioned in your post can be attributed to:
1. Entrapment of nerve fibers at the Cervico-thoracic region.
2. Inadequate hydration status & electrolyte imbalance of the body
3. Dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.
4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level.

Symptomatic relief can be obtained by intake of nervigenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & Vitamin D needs to be added in your diet.
Physiotherapy & postural exercise will also be helpful.

If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done.
Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.
X ray & MRI of Cervico-dorsal spine can also be carried out to detect any nerve entrapment.

Wishing you a Good Health.
Take care.
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What Could Hand Tremor Indicate?

Hello dear, The symptoms as mentioned in your post can be attributed to: 1. Entrapment of nerve fibers at the Cervico-thoracic region. 2. Inadequate hydration status & electrolyte imbalance of the body 3. Dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction. 4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level. Symptomatic relief can be obtained by intake of nervigenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & Vitamin D needs to be added in your diet. Physiotherapy & postural exercise will also be helpful. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms. X ray & MRI of Cervico-dorsal spine can also be carried out to detect any nerve entrapment. Wishing you a Good Health. Take care.