Hand Tremor — Shaking Hands Diagnosis and Treatment in Hyderabad

Essential Tremor

The most common cause of hand tremor — often mistakenly called 'Parkinson's'. Essential tremor causes shaking during action (writing, holding a cup) and is usually absent at rest. It runs in families and responds well to medication (propranolol or primidone).

Parkinson's Disease

Parkinson's tremor classically occurs at rest — the hand shakes when it is still and on the lap, but less when in use. Usually starts on one side. Accompanied by slowness, rigidity, and small handwriting. Very treatable with medication.

Drug-Induced Tremor

Many common medications cause tremor — antipsychotics, antidepressants, lithium, thyroid hormone, steroids, and even salbutamol inhalers. This is fully reversible once the medication is changed or stopped.

Physiological / Enhanced Physiological Tremor

Fine tremor brought on by anxiety, caffeine, sleep deprivation, thyroid overactivity, or low blood sugar. Worst during stress or exertion. Resolves when the underlying cause is addressed.

Cerebellar Tremor

A tremor that worsens as the hand approaches a target (intention tremor) — caused by cerebellar disease. Associated with unsteady gait and incoordination. Requires brain imaging and cerebellar workup.