As we age, the frequency of our normal background tremor tends to slow down, making it more noticeable during everyday activities. Approximately one-quarter of individuals over the age of 70 experience some form of visible tremor. To distinguish between normal tremors and those that might indicate an underlying condition, it's essential to consider various factors.
There are several potential triggers that can enhance baseline tremors, making them more noticeable. These triggers include extreme fear, anxiety, fatigue, fever, hyperthyroidism, low blood sugar, vigorous exercise, and withdrawal from substances such as alcohol, opioids, or certain medications like anti-depressants, albuterol, prednisone, nicotine, and caffeine.
Addressing the potential triggers can often alleviate the apparent tremor. However, there are instances when a tremor could be a sign of an underlying condition, such as Parkinson's disease or multiple sclerosis. If an individual experiences a new tremor without an obvious trigger, it is advisable to consult a doctor.
Understanding the Causes of Tremors
Tremors are involuntary movements resulting from quick, alternating contractions of antagonistic muscles. Beyond the known role of the brain and muscles in tremors, recent evidence suggests that the gut may play a crucial role in neurological disorders. Changes in the microbiomes of individuals with Parkinson's disease and essential tremor, as well as alterations in specific short-chain fatty acids, have been linked to tremor severity.
Physicians often inquire whether a tremor occurs at rest or during voluntary activity. In cases where the cause of the tremor is unclear, doctors may order special head scans to identify underlying causes.
Potential Causes of Tremors
- Essential Tremor: Common among older individuals, essential tremor is characterized by tremors that occur more with action and may run in families. Treatment options include medications, weighted gloves, or deep brain stimulation.
- Parkinson's Disease: Tremor is often the initial symptom in about three-quarters of people with Parkinson's disease. Medications that boost dopamine levels, such as levodopa, may be recommended.
- Multiple Sclerosis: Tremor is prevalent in patients with multiple sclerosis, an immune-related disease affecting the central nervous system. Symptoms may occur in episodes, improving between attacks.
- Wilson's Disease: A less common cause, Wilson's disease, is diagnosed more frequently in younger patients and results from a genetic defect causing copper accumulation.
Acupuncture Therapy
New findings from researchers at Liaoning University of Traditional Chinese Medicine highlight the success of a combined approach involving acupuncture therapy and a modified Cassia Twig Oyster Shell Decoction (Gui Zhi Long Gu Mu Li Tang), boasting an impressive total effective rate of 81.25%. This study, which included 16 patients undergoing a six-week Traditional Chinese Medicine (TCM) treatment regimen, sheds light on the potential benefits of this integrated approach.
Additionally, researchers from Heilongjiang University of Chinese Medicine have identified the effectiveness of two distinct acupuncture methods in treating essential tremor. The application of zone needling in the chorea tremor control area demonstrated an outstanding 96.7% total effective rate, while conventional acupuncture exhibited a commendable 73.3% total effective rate. These findings provide valuable insights into the diverse acupuncture techniques that can contribute to the management of essential tremor.
Advice for Patients
For those dealing with tremors, it's crucial to communicate openly with healthcare providers. While essential tremors are not inherently dangerous, keeping healthcare professionals informed about any changes is essential. Individuals experiencing tremors may benefit from a broader healthcare team, including physical and occupational therapists, psychologists, or dietitians, to improve overall health and wellness.
In conclusion, while hand tremors are a common part of aging, understanding the potential triggers and seeking medical advice when necessary can help individuals manage and address any underlying conditions associated with tremors.
(Source of Information: Dr. Harshal Ashok P
awar, MD (AM), DNYS, DYA, Registered Acupuncturist - AAI NATURE CURE, Office No.3, First Floor, Mega Silver, Chikanghar, Kalyan (West) -421301, Maharashtra, India., Contact No. +91-8097148638, Website: https://aphinfo.com/aai-nature-cure/)