Thursday, December 5, 2013




1.  What are tremors?
A: Tremors are commonly referred to as shaking or shivering also. They are involuntary movements (occurring without one’s control) of a part of body.

2.  What are the common causes of tremors?
A: The most common causes of tremors are:
·      Physiological or normal
·      Essential or familial
·      Parkinson’s disease

3.  What are physiological tremors?
A: We all remember shivering of our hands during oral or viva examinations, or while learning to drive, or during any state of anxiety. Such tremors occurring during stress or anxiety is referred to as physiological. Most often, only hands are affected. Since, these affect most people at some time in life, they are also called as normal (or exaggerated normal). These do not require any treatment.

4.  What are familial or essential tremors?
A: These are probably the most common cause of tremors, which are pathological (abnormal).
·      They often start in adolescence or early adulthood.
·      Hands are most often affected, leading to difficulty in writing, signing, drinking tea or coffee, buttoning or unbuttoning, opening a lock or anything that requires fine finger movements.
·      Head may also be affected, with either side-to-side or front-to-back movements.
·      Voice tremors are also common.
·      These occur in families and so are supposed to be of hereditary origin.
·      Severe disability is uncommon with these tremors.
·      Good medications are available to treat them. These include beta-blockers, clonazepam, primidone, and botox injections. Consulting a neurologist would help you choose the best medicine.

PARKSINSON’S DISEASE has already been described in one of my previous blog articles. This can be found at

If you have any further queries on tremors or shaking, please send an email:

For online consultation with Dr Sudhir Kumar, please click


chennu sri said...

Sir i had wound on the foot which has taken 6 months for healing.
Now a finger is loosing sensation in line of wound.
What could be the reason

andrew bond said...

Quite impressive this post is.You have mentioned a very systematic and nice details of tremors .I have also fot much more ideas from your post.Today there are also online doctors from health care center are available, which solves your issues, problems and give the tips. Thanks for posting this blog.

Dr. Sudhir Kumar said...

Cheenu Sri, you need to exclude a disease of nerves called as peripheral neuropathy. This can be done by doing a nerve conduction studies of limbs after detailed neurological examination.
Dr Sudhir Kumar MD DM

Satish Pg said...

Hello sir,
this is satish from hyderabad i am 34 years old i am suffering from tremors in hands legs lips and even some parts of body i want to know do i have chance to get it cured
please reply me



Vinod Kumar said...

Hi Dr.sudhir
Is there any cure/treatment for essential tremor..???
Recently I met Dr.jmk Murthy at care hospitals jublihills who has 40+ years of experience, he indirectly said there is no cure for this shaking. But he suggested one tablet to have before 40minuts for any event to control the shivering for few hours

Dr. Sudhir Kumar said...

Mr Vinod, there is no cure for essential tremors, however, it can be kept under control with medications.

Dr. Sudhir Kumar said...

Mr Satish PG, there is no cure for essential tremors, however, it can be kept under control with medications.

Allah's Servant said...

hi dr sudhir im 16 years old from hyderabad my hands legs lip and face shake for no reason does there is a cure for it or can i do physical activitieslike gym,yoga and swimming for it please reply

Dr. Sudhir Kumar said...

First, we need to determine the cause of shaking of hands, legs, lips and face. Then, treatment can be started. You can do physical activities like gym, yoga and swimming.

Shree said...

I am not sure how to post a new question. So i am putting my question here.
Who is the best Neurosurgeon in NCR to do DBS for Parkinson.
However i m in touch with Dr. Aditya Gupta and Dr Alok gupta.

Anonymous said...

I do not where to put my question so i writing over here.

I am looking best Neurosurgeon for DBS- Parkinson in NCR. I am in touch with Alok Gupta and Adiyta Gupta.

Praveen said...

Hi Sudheer, iam 30years old .... i am suffering from tremors in hands legs lips, face and even some parts of body, please suggest me how to control and medications. my marriage got settled in next month, iam very much worried about hot to control this problem on my wedding event...

Dr. Sudhir Kumar said...

Hi Praveen, Please consult me at Apollo Hospital, Jubilee Hills, Hyderabad. I would surely help you so that you are well for your wedding as well as later on in your life.

Ashok Thallapally said...

Hello sir am Ashok age is 26 i am suffering from hands shaking while do something like writing drinking coffee drinking water bottle in front of others i feel my hands are too weak some times water jug in my hand it will some weight so my hands getting feel to o weight and shaking so how can I solve

Dr. Sudhir Kumar said...

Ashok, you can meet me or another neurologist. Once we identify the cause of your hand shaking, it can be treated.

leelavathi venu said...

Hello sir.
Once my hubby met with accident on 2013 from his bike but hardly fell towards the left side of his hand or body but nothing injured him from past 2 years his left hand his shivering. It can b cured

Dr. Sudhir Kumar said...

Hi Leelavathy, i need to see your hubby to decide the diagnosis and further treatment.


Hi sir this is SHIVAKRISHNA from Osmania University Hyderabad
My hands shivering without any reason please tell what is my problem sir


Hi sir this is SHIVAKRISHNA from Osmania University my hands shivering without any reason please find my problem sir

Dr. Sudhir Kumar said...

Hi Sivakrishna, please consult me at Apollo Hospital, Jubilee Hills. I would offer the best treatment.

siva nagaraju said...

Hi sir this is nagaraju registered male nurse recently I quit the job because of hand shivering I want the treatment and it guidance,pls help me out.

Dr. Sudhir Kumar said...

Mr Siva, I would be happy to treat you. Please meet me at your convenience.

P.K.Banerjee said...

Hello Dr. Sudhir Kumar,
I am now 66 + plus and suffering from tremors for the last say 20 years.My both the hands get affected, leading to difficulty in writing, signing, drinking tea or coffee, mainly hot when the pots / cups / glasses are fully filled in. I am based in Kolkata. My shaking / shivering gets aggravated to great extents and my anxiety level increases when I attend a meeting/ in front of others in social gatherings/in front of unknown persons. But I can drive or do other activities as usual. I am taking mainly tab anxit-5 since for the last 15 years as per advice of Dr.Paneer of Appollo Hospital, Chennai. I have had some pain in hands and shoulders later on and also now take tabs Revocon nd Liofen 5 since sometimes back as per advices of some other neurologists. I had undergone several tests and examinations. I am a diabetic and suffering from hypertension too and take medications for those ailments too as advised by my attending Doctors. After I gone through your blog, I develop some feelings that I may overcome from my sufferings and may at least write properly and take tea / coffee normally as before, if I receive proper treatments under your prudent guidance and may continue my professional activities normally. Please suggest what do I do ?

Dr. Sudhir Kumar said...

Mr Banerjee, I would be pleased to see you and advise the best medical treatment for your tremors.