Shaking of hands or other body parts like head, chin and legs can be due to many conditions. It can occur in normal healthy persons especially when they are nervous. Causes include problems with thyroid gland, excessive caffeine intake, certain diseases of brain like Parkinson’s disease and essential tremors.


Patients usually note shakiness of their hands. This shakiness can occur during rest or while performing some activity. Sometimes, patients can have shakiness in head, chin, legs and
other body parts. Voice may also become shaky.


Treatment usually involves identifying the underlying disease process and treating it. It is usually lifelong.


Patients are usually advised not to take caffeine or any stimulant drinks.

Frequently Asked Questions:

Do I need treatment for my tremors?

It is the patient who decides whether to take treatment or not. Patients who can manage work and activities of daily living without difficulty may not need drug treatment. On other hand, if patient has problems at his work or home due to tremors, he should be treated.

What are essential tremors?

Essential tremor is a  neurological condition that causes shakiness of both hands. It may also involve the head and voice. This disease is usually hereditary and can start at any age. Essential tremors are sometimes confused with Parkinson’s disease. You can ask your doctor in detail.

What foods can make my tremors worse?

Excessive use of tea and coffee and other caffeinated drinks should be avoided in the patients suffering from essential tremors.

Are tremors hereditary?

Essential tremors are hereditary.

Is there any surgical treatment for essential tremors?

Yes, thalamotomy and deep brain stimulation surgery can help with tremors in selected patients. Please ask your doctor about this.

Is there any cure for essential tremors?

There is no cure for essential tremors but treatment can help patient a lot and they can have better quality of life. Treatment is usually lifelong.

Do tremors get worse over time?

Yes, tremors tend to increase as the disease progresses.

The information given here is intended for use of general public . It should not be taken as standard medical reference.

About the Author:

One of the most well known neurologists in Lahore, he is serving as Assistant Professor of Neurology at Lahore General Hospital. He is a graduate of King Edward Medical College and did residency in general medicine & neurology at Mayo Hospital Lahore. He did FCPS in neurology and moved to Lahore General Hospital, and has been working there since.

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