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Essential Tremor: Diagnosis and Treatment

Sandeep Dhanyamraju MD
Medically reviewed by Sandeep Dhanyamraju
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Sandeep Dhanyamraju MD
Medically reviewed by Sandeep Dhanyamraju

The control of our limbs is an important aspect in our life. A person needs to have control over their hands and body to perform daily tasks. But there are diseases that can significantly interfere with the performance of daily tasks. One such disease is essential tremor.

This disease is not dangerous to human health. But this condition causes many difficulties during routine tasks. It can be hard to cope with drinking, holding objects, or washing dishes. But fortunately, this condition can be usually treated.

In our article, we will tell you about the methods for diagnosing essential tremors. We will also provide you with information on professional treatment. And you can also learn about the home treatment of essential tremors. Read our article so that your body is always under your control and you enjoy life.

 Essential Tremor Diagnosis

Here is a general overview of the steps involved in diagnosing essential tremor:

  • Medical history. A doctor will ask about the patient’s symptoms. It includes the pattern and duration of tremors as well as any other related medical conditions or medications.
  • Physical examination. The doctor will examine the patient’s movement and coordination. It includes any tremors or other involuntary movements. They may also assess posture, gait, and muscle strength.
  • Neurological examination. The specialist will perform a thorough neurological examination. It can be an essential tremor test of balance, reflexes, and sensory function. They may also assess the patient’s speech and hand coordination.
  • Laboratory tests. Blood tests, imaging studies, and other laboratory tests may be performed. They are to rule out other underlying medical conditions that can cause the tremors.
  • Electrophysiological tests. Electrophysiological tests, such as electromyography (EMG) and nerve conduction studies, may be performed to help in diagnosing essential tremor and determine the extent of nerve damage.
  • Challenges tests. Tests like holding a glass of water or drinking from a cup may assess the severity of tremors and their impact on daily activities.
  • Differential diagnosis. The doctor will also consider other conditions that may cause tremors, such as Parkinson’s disease, dystonia, or multiple sclerosis, and rule them out.

A diagnosis of essential tremor is usually based on a combination of the patient’s:

  • Symptoms.
  • Physical examination.
  • Essential tremor test results.

In some cases, a definitive diagnosis may need further testing or a second opinion.

treatment of essential tremors

Treatment of Essential Tremor

Essential tremor can be a disabling condition that affects a person’s quality of life. Fortunately, there are various treatment options available for essential tremors. 

Treatment of any disease most often involves many factors. This helps to affect as many areas of the disease as possible and to carry out therapy better. Essential tremor is no exception.

To treat this disease, doctors often resort to many solutions. Among them are most often distinguished:

  • Medication.
  • Therapy.
  • Surgery.
  • Nerve stimulation devices.

As a result, if you feel the symptoms of the disease, you need to contact a specialist for help. Common symptoms of essential tremors include kinetic and postural trembling of the hands, head, lower jaw, lips, eyelids, vocal cords, less often – legs, and torso.

Essential tremor can be a disabling condition that affects a person’s quality of life. Fortunately, there are various treatment options available for essential tremor. Now let’s take a look at popular professional treatment options for essential tremor.


Antidepressants, beta-blockers, and anticonvulsants are the most commonly prescribed medications for essential tremor. These medications work by altering the activity of certain chemicals in the brain. And they reduce the severity of tremors. 

Some of the most commonly used medications include propranolol, primidone, and gabapentin. But these cures for essential tremors may cause side effects. 

They can be:

  • Drowsiness.
  • Dizziness.
  • Blurred vision.


Physical therapy and occupational therapy can help with essential tremor. They improve coordination and reduce the impact of tremors on their daily activities. Physical therapy can help improve posture, balance, and muscle strength. And occupational therapy can help people learn new techniques for performing everyday tasks. It can help with eating and dressing with less difficulty.


In some cases, surgical intervention may be necessary to treat essential tremor. One of the most common surgical procedures used to treat essential tremor is deep brain stimulation. It involves implanting electrodes into the brain and delivering electrical stimulation to the affected area. This can help reduce the severity of tremors and improve quality of life.

Nerve Stimulation Devices

There are also non-invasive nerve stimulation devices as a cure for essential tremors. They can treat essential tremor. One such device is a hand-held vibrating device. It can be placed against the affected limb. It provides a sense of sensory feedback that can help reduce tremors. Another device is a wearable device. It delivers electrical stimulation to the nerves in the arm. This helps to reduce the severity of tremors.

In conclusion, there are various treatment options available for essential tremor. And the best option will depend on the severity of the tremors. It is vital to work with a doctor or specialist to determine the most appropriate treatment plan for you.

Complications of Treatment

The treatment of essential tremor can sometimes lead to complications. Here is a list of potential complications associated with each type of treatment.

Medications The complications: 

  • Side effects. Medications can cause a range of side effects of essential tremor. It can be drowsiness, dizziness, blurred vision, and gastrointestinal distress.
  • Drug interactions. Some cures for essential tremors can interact with other medications. And it can lead to dangerous side effects.
Therapy The complications: 

  • Injuries. Certain physical therapy exercises may increase the risk of injury if performed incorrectly. It is important to follow your therapist’s instructions carefully.
  • Lack of improvement. In some cases, therapy may not produce the desired results. It can lead to frustration and disappointment.
Surgery The complications: 

  • Risks of anesthesia. As with any surgery, there are risks associated with anesthesia. It includes breathing difficulties, allergic reactions, and heart problems.
  • Risks of brain surgery. Deep brain stimulation involves brain surgery and carries risks. It can be an infection, bleeding, or injury to the brain or nerves.
  • Side effects of DBS. DBS can cause a range of side effects like headaches, dizziness, and changes in mood or behavior.
  • Ineffectiveness. In some cases, DBS may not effectively reduce tremors or may lose effectiveness over time.
Nerve Stimulation Devices The complications: 

  • Skin irritation. Wearable nerve stimulation devices can cause skin irritation or redness.

home remedies for tremors

Home Remedies for Tremor

There are many home remedies that can help ease symptoms:

  • Exercise. Regular exercise can help improve tremors by building strength, flexibility, and coordination. Simple activities like walking, swimming, and yoga reduce tremors and improve health.
  • Relaxation techniques. Stress and anxiety can exacerbate tremors. So it is important to incorporate relaxation techniques into your daily routine. Deep breathing, meditation, and progressive muscle relaxation help calm the mind. And it reduces tremors as a result.
  • Massage. Massaging the affected area can help reduce tremors. It’s done by promoting blood flow and reducing muscle tension. Gentle massages using essential oils such as lavender or chamomile help improve relaxation.
  • Acupuncture. Acupuncture is another home remedy for tremors. It’s ancient Chinese therapy. It involves inserting fine needles into specific points on the body. It balances the flow of energy and promotes relaxation. Research suggests that acupuncture can help reduce tremors and improve well-being.
  • Vitamins and minerals. A balanced diet with adequate amounts of vitamins and minerals helps reduce tremors. Vitamins B1, B6, and B12 can help improve tremors by supporting healthy nerve function. Magnesium and calcium can also help reduce tremors.
  • Herbs. Some herbs, such as ginkgo biloba, passionflower, and valerian root, reduce tremors. But it is vital to consult with a doctor before taking any herbal remedies. It’s because they may interact with other medications and have potential side effects.

It’s vital to note that home remedies for tremors should not be used as a substitute for medical treatment. If you are experiencing tremors, it is important to consult with a doctor. They can determine the underlying cause and develop an appropriate treatment plan.

Bottom Line 

As a result, essential tremor is a complex disease. It negatively affects a person’s daily routine and can lead to negative complications. But with the right treatment and diagnosis, any patient can improve their condition.


  • What is the first line treatment for essential tremor?

The first-line treatment for essential tremor typically involves medications. They are beta-blockers, primidone, propranolol, or topiramate. In some cases, anticonvulsants may be great. In severe cases, deep brain stimulation (DBS) may be used.

  • What is the main cause of essential tremors?

The main cause of essential tremors is not fully understood. But it can involve changes in certain areas of the brain that control movement. Some theories suggest that a combination of genetic and environmental factors develop the essential tremors.

  • How do you calm down essential tremors?

There is no one sure way to calm down essential tremors. But some techniques that may help include:

  1. Deep breathing.
  2. Meditation.
  3. Progressive muscle relaxation.

Also, avoiding caffeine or stress can also help reduce the severity of tremors.

  • What improves essential tremor?

You can improve ET with medications, and lifestyle changes. And in severe cases, surgical interventions such as deep brain stimulation can help. Physical therapy and occupational therapy can also help improve fine motor skills. And it reduces the impact of tremors on daily activities.

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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