Surgical intervention in essential tremor has been used for over 50 years, and is used for those patients who have particularly severe/disabling tremor and do not respond to medication. For the unique psychogenic tremors, there may be a psychological issue that requires attention to prevent future episodes, such as psychological therapy or prescribed medication. If medications don’t control your essential tremor or if they cause too many side effects, your doctor might recommend surgery. In addition, essential tremor becomes progressively worse as you age. Treatment of Leg Shaking (Leg Tremors) Leg tremors are often treated with medication that targets the jerking motion or the underlying cause, if one is found. When used for hand tremors, you may notice finger or wrist weakness. Propranolol, 1 of 2 medications of choice for essential tremor, has been shown to be effective in double-blind, placebo-controlled trials. Postural tremors happen during steady contraction (e.g. Action tremors: These are the majority of tremors from medications. Surgical Treatment for Essential Tremor. Treatment Options for Essential Tremor Medication Dr. Beasley stated that the first line of treatment for essential tremor is medication. If your tremor is a side effect of medication, speak with your doctor about your options. Perhaps the best solution for tremors caused by antidepressants is to stop taking the drug causing it and switch to a different medication. Medications. A new treatment for essential tremor uses magnetic resonance images to deliver focused ultrasound to create a lesion in tiny areas of the brain’s thalamus thought to be responsible for causing the tremors. Tremors that change with posture or movement can occur in people with low blood sugar, drug withdrawal, thyroid problems, Parkinson’s disease, multiple sclerosis, or stroke. The treatment is approved only for those individuals with essential tremor who do not respond well to anticonvulsant or beta-blocking drugs. Tremor will generally resolve over time after the medication has been ceased, but occasionally a tremor caused by SSRIs may persist. Propranolol is a beta blocker, also used to treat high blood pressure and performance anxiety. Tremor-predominant Parkinson's disease is characterized by predominant tremors, which include one or more limbs. When used for voice tremors, Botox can cause a raspy voice or swallowing difficulties. If your shaky hands are caused by essential tremor, there’s no cure. Resting tremors can be caused by certain medications, Parkinson’s disease, or other conditions including multiple sclerosis and stroke. Treatment for tremors includes oral medications, injections with botulinum toxin, and neurosurgical procedures. when you’re holding your hands out in front of you). There are two types of action tremors, postural and kinetic, and they occur with voluntary movement. However, many patients will experience unpleasant side effects with this option. Levodopa, Medications: Medications commonly used to treat essential tremor include beta-adrenergic blockers (beta blockers), such as propranolol, and the anti-seizure medication primidone. Essential tremor treatments include medications and surgery. Medications that: Decrease anxiety like serotonin agonists can help stop the tremor. It can also be used to treat hand, head or voice tremors. Propranolol (Inderal) and primidone (Mysoline) are most effective in reducing tremors. Treatment for Tremors Caused by Antidepressants . Attack the problem, not the symptom. There is a relative lack of significant rigidity and bradykinesia. Botox. It is a nonselective beta-adrenergic blocker with negative inotropic, chronotropic, and dromotropic properties. The tremors can be very disabling. 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