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Wednesday, November 17, 2021
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How To Control Parkinson’s Tremors



What To Take Aways From These 5 Ways To Reduce Tremors For Parkinsons Disease

Liftware spoon helps Parkinson

That concludes our tips for reducing tremors. Take the time to try each of these tips. We hope one, or all of these can make a significant change in your mobility, safety, function, and quality of life. If none of these seem to help don’t worry, we are all different and unique. Seek out a medical professional to find that one trick to combat these tremors!! If you are looking for a great physical therapists to help you fight against Parkinson’s, call Impact PT today!

 

About Dr. Eric Hefferon

Dr. Eric Hefferon received his advanced doctorate degree in physical therapy from the innovative A.T. Still University. He has been practicing in the west valley for 6 years and has made strong ties to local gyms and medical practitioners. Dr. Hefferon started Impact Physical Therapy due to his passion for an individualized healthcare approach. He knew by creating a clinic that was out of network he could help give patients the results they deserve. His treatment style attracts patients from all over the valley and even out of state. People will travel to seek Dr. Hefferon’s solutions!

What Are The Treatment Options For Tremor In Patients With Parkinson Disease

Levodopa/carbidopa, dopamine agonists, and anticholinergics each provide good benefit for tremor in approximately 50-60% of patients. If a patient is experiencing troublesome tremor and if symptoms are not controlled adequately with one medication, another should be tried. If the tremor is not controlled adequately with medication, surgical therapy may be considered at any time during the disease.

How You Can Control Parkinsons Disease Symptoms With Deep Brain Stimulation

February 21, 2018

There is no cure for Parkinson’s disease, but neurological specialists can help patients control the tremors and other symptoms that patients experience through a procedure called deep brain stimulation .

Parkinson’s disease is a brain disorder that results in shaking and tremors, and difficulty with walking, movement and overall coordination. The disorder is associated with damage to a part of the brain that involves movement.

In many cases of Parkinson’s, symptoms can be managed and virtually eliminated through DBS.

Cognitive And Psychological Differences In Patients With Essential Tremor

Benign essential tremor is probably the most common of all movement disorders. Someone with essential tremor has increased shakiness, usually of the hands or arms, whenever the limb is being used.?? This distinguishes the tremor from that of classical Parkinson’s disease, which is usually worse when the arm and hand are at rest.

Tremors In Parkinsons Disease: What They Are Types Of Tremors And More

Pill Rolling Tremor: Parkinson’s, Motion, and More

Getting the trembling associated with Parkinson’s under control can be a challenge, but treatments can help.

Don RaufJustin Laube, MDNicole Rerk/Shutterstock

Tremors are a defining characteristic of Parkinson’s disease, affecting about 8 out of 10 people with this movement disorder. Many people think the involuntary shaking motion is the main problem for patients. While it is certainly an irritating symptom that individuals want to get under control, other characteristics of the disease can be more debilitating.

What Does Benign And Essential Mean In Benign Essential Tremor

The term “essential” is not meant to indicate the tremor’s value. The shaking is an annoyance and can even be debilitating in some cases. The word “essential” is intended to indicate that tremor is the only symptom involved — that it’s the “essence” of the entire problem. Similarly, the word “benign” signifies that the disorder, while annoying, is not inherently dangerous.

These views, while comforting and widely held, might be wrong.

For one thing, essential tremor is probably not actually just one disease, but rather a symptom caused by any one of a number of different processes.?? Some of these may indeed be “benign,” but others may be more serious.

What Lifestyle Changes Can I Make To Ease Parkinsons Symptoms

Exercise: Exercise helps improve muscle strength, balance, coordination, flexibility, and tremor. It is also strongly believed to improve memory, thinking and reduce the risk of falls and decrease anxiety and depression. One study in persons with Parkinson’s disease showed that 2.5 hours of exercise per week resulted in improved ability to move and a slower decline in quality of life compared to those who didn’t exercise or didn’t start until later in the course of their disease. Some exercises to consider include strengthening or resistance training, stretching exercises or aerobics . All types of exercise are helpful.

Eat a healthy, balanced diet: This is not only good for your general health but can ease some of the non-movement related symptoms of Parkinson’s, such as constipation. Eating foods high in fiber in particular can relieve constipation. The Mediterranean diet is one example of a healthy diet.

Preventing falls and maintaining balance: Falls are a frequent complication of Parkinson’s. While you can do many things to reduce your risk of falling, the two most important are: 1) to work with your doctor to ensure that your treatments — whether medicines or deep brain stimulation — are optimal; and 2) to consult with a physical therapist who can assess your walking and balance. The physical therapist is the expert when it comes to recommending assistive devices or exercise to improve safety and preventing falls.

Improve the quality of your sleep.

What Is A Tremor And What Makes It Different With Parkinsons

Tremor is an uncontrollable, rhythmic muscle contraction that triggers quivering in one or more parts of the body. It often occurs in hands, arms, or legs but can also affect the head, neck, or torso. This shaking may appear in sporadic spells or continue constantly.

The National Institute of Neurological Disorders and Stroke says that age is a risk factor — middle-aged and older adults are more likely to experience tremors.

New Therapy Uses Electricity To Cancel Out Parkinson Tremors

HealthScience

A new therapy could help suppress tremors in people with Parkinson’s disease, an Oxford University study suggests.

The technique – called transcranial alternating current stimulation or TACS – cancels out the brain signal causing the tremors by applying a small, safe electric current across electrodes on the outside of a patient’s head.

The preliminary study, conducted with 15 people with Parkinson’s disease at Oxford’s John Radcliffe Hospital, is published in the journal Current Biology. The researchers showed a 50 per cent reduction in resting tremors among the patients.

Physical tremors are a significant and debilitating symptom of Parkinson’s disease, but do not respond well to existing drug treatments.

Tremors can be successfully treated with deep brain stimulation, a technique that involves surgery to insert electrodes deep into the brain itself to deliver electrical impulses. But this invasive therapy is expensive and carries some health risks, including bleeding in to the brain, which means it is not suitable for all patients.

In TACS in contrast, the electrode pads are placed on the outside of the patient’s head, so it does not carry the risks associated with deep brain stimulation.  

‘We are very hopeful this research may, in time, lead to a therapy that is both successful and carries reduced medical risks. We have proved the principle, now we have to optimise it and adapt it so it is able to be used in patients. Often that is the hardest part.’

Tremor And Loss Of Physical Control In Parkinson’s Disease

Often, the first symptoms of Parkinson’s disease to appear are in the upper limbs. People had discovered there were things that they had always done without a second thought, like opening a door or combing their hair, that for some reason they now have difficulty doing or may not be able to do at all. What they can’t understand is why they can no longer do them. As Natalia described it, “To move papers around, the message doesn’t get to my hands and my brain doesn’t give the message what to do.” Khadim said it felt as though someone was pulling at his hand stopping him from moving it.

Foods Containing Nutrients That People May Be Deficient In

Some research suggests that people with Parkinson’s often have certain nutrient deficiencies, including deficiencies in iron, vitamin B1, vitamin C, zinc, and vitamin D.

The above study points out that some of these deficiencies may be associated with neuroinflammation and neurodegeneration, which are key factors in Parkinson’s.

Therefore, people with Parkinson’s may wish to consume more of the following foods.

Foods containing iron

The following foods are good sources of iron:

  • liver
  • certain fortified foods

Tremor And Loss Of Physical Control In Parkinsons Disease

Often, the first symptoms of Parkinson’s disease to appear are in the upper limbs. People had discovered there were things that they had always done without a second thought, like opening a door or combing their hair, that for some reason they now have difficulty doing or may not be able to do at all. What they can’t understand is why they can no longer do them. As Natalia described it, “To move papers around, the message doesn’t get to my hands and my brain doesn’t give the message what to do.” Khadim said it felt as though someone was pulling at his hand stopping him from moving it.

What Are The Surgical Treatments For Parkinsons Disease

Pin on ESSENTIAL TREMORS

Most patients with Parkinson’s disease can maintain a good quality of life with medications. However, as the disease worsens, medications may no longer be effective in some patients. In these patients, the effectiveness of medications becomes unpredictable – reducing symptoms during “on” periods and no longer controlling symptoms during “off” periods, which usually occur when the medication is wearing off and just before the next dose is to be taken. Sometimes these variations can be managed with changes in medications. However, sometimes they can’t. Based on the type and severity of your symptoms, the failure of adjustments in your medications, the decline in your quality of life and your overall health, your doctor may discuss some of the available surgical options.

What Is The Outlook For Persons With Parkinsons Disease

Although there is no cure or absolute evidence of ways to prevent Parkinson’s disease, scientists are working hard to learn more about the disease and find innovative ways to better manage it, prevent it from progressing and ultimately curing it.

Currently, you and your healthcare team’s efforts are focused on medical management of your symptoms along with general health and lifestyle improvement recommendations . By identifying individual symptoms and adjusting the course of action based on changes in symptoms, most people with Parkinson’s disease can live fulfilling lives.

The future is hopeful. Some of the research underway includes:

  • Using stem cells to produce new neurons, which would produce dopamine.
  • Producing a dopamine-producing enzyme that is delivered to a gene in the brain that controls movement.
  • Using a naturally occurring human protein – glial cell-line derived neurotrophic factor, GDNF – to protect dopamine-releasing nerve cells.

Many other investigations are underway too. Much has been learned, much progress has been made and additional discoveries are likely to come.

What Medications Are Used To Treat Parkinsons Disease

Medications are the main treatment method for patients with Parkinson’s disease. Your doctor will work closely with you to develop a treatment plan best suited for you based on the severity of your disease at the time of diagnosis, side effects of the drug class and success or failure of symptom control of the medications you try.

Medications combat Parkinson’s disease by:

  • Helping nerve cells in the brain make dopamine.
  • Mimicking the effects of dopamine in the brain.
  • Blocking an enzyme that breaks down dopamine in the brain.
  • Reducing some specific symptoms of Parkinson’s disease.

Levodopa: Levodopa is a main treatment for the slowness of movement, tremor, and stiffness symptoms of Parkinson’s disease. Nerve cells use levodopa to make dopamine, which replenishes the low amount found in the brain of persons with Parkinson’s disease. Levodopa is usually taken with carbidopa to allow more levodopa to reach the brain and to prevent or reduce the nausea and vomiting, low blood pressure and other side effects of levodopa. Sinemet® is available in an immediate release formula and a long-acting, controlled release formula. Rytary® is a newer version of levodopa/carbidopa that is a longer-acting capsule. The newest addition is Inbrija®, which is inhaled levodopa. It is used by people already taking regular carbidopa/levodopa for when they have off episodes .

What Does This Mean For Me If I Have Essential Tremor

There is compelling evidence that cognition differs between people with and without an essential tremor. Those differences, however, are slight, and the cause of those changes is unclear. If essential tremor is, in fact, a degenerative illness, it’s very slow.?? How this all relates, if at all, to patient care is unclear at this time. Perhaps identifying more serious causes of essential tremor could end up benefiting people who would otherwise be written off as having an entirely benign disorder.

DISCLAIMER: The information in this site is for educational purposes only. It should not be used as a substitute for personal care by a licensed physician. Please see your doctor for diagnosis and treatment of any concerning symptoms or medical condition.

What Are The Different Categories Or Types Of Tremor

Tremor is most commonly classified by its appearance and cause or origin.  There are more than 20 types of tremor.  Some of the most common forms of tremor include:

Essential tremor

Essential tremor is one of the most common movement disorders.  The exact cause of essential tremor is unknown.  For some people this tremor is mild and remains stable for many years.  The tremor usually appears on both sides of the body, but is often noticed more in the dominant hand because it is an action tremor.

The key feature of essential tremor is a tremor in both hands and arms, which is present during action and when standing still.  Additional symptoms may include head tremor without abnormal posturing of the head and a shaking or quivering sound to the voice if the tremor affects the voice box.  The action tremor in both hands in essential tremor can lead to problems with writing, drawing, drinking from a cup, or using tools or a computer.

Tremor frequency may decrease as the person ages, but the severity may increase, affecting the person’s ability to perform certain tasks or activities of daily living.  Heightened emotion, stress, fever, physical exhaustion, or low blood sugar may trigger tremor and/or increase its severity.  Though the tremor can start at any age, it most often appears for the first time during adolescence or in middle age .  Small amounts of alcohol may help decrease essential tremor, but the mechanism behind this is unknown.

Dystonic tremor

Cerebellar tremor

Technology Holds Potential To Change Surgical Trends

Meanwhile, INSIGHTEC is exploring a much bigger canvas. The company has identified over a hundred different diseases that it could target with its Exablate Neuro technology, says Ferré.

“The trend is to try to treat diseases earlier in their cycle,” he says, adding that focused ultrasound treatment may become a tool in this regard. In addition, “This technology, as a platform, has the capabilities of transforming the way we look at surgery. If you look at the trends of surgeries, you’ve seen it go from open surgery, to laparoscopic surgery, to robotic surgery. We think we’re now the next generation—incisionless surgery— which is completely noninvasive.”

Mandy Roth is the innovations editor at HealthLeaders.

Photo credit: Courtesy of INSIGHTEC

What Are The Different Stages Of Parkinsons Disease

Each person with Parkinson’s disease experiences symptoms in in their own unique way. Not everyone experiences all symptoms of Parkinson’s disease. You may not experience symptoms in the same order as others. Some people may have mild symptoms; others may have intense symptoms. How quickly symptoms worsen also varies from individual to individual and is difficult to impossible to predict at the outset.

In general, the disease progresses from early stage to mid-stage to mid-late-stage to advanced stage. This is what typically occurs during each of these stages:

Early stage

Early symptoms of Parkinson’s disease are usually mild and typically occur slowly and do not interfere with daily activities. Sometimes early symptoms are not easy to detect or you may think early symptoms are simply normal signs of aging. You may have fatigue or a general sense of uneasiness. You may feel a slight tremor or have difficulty standing.

Often, a family member or friend notices some of the subtle signs before you do. They may notice things like body stiffness or lack of normal movement slow or small handwriting, lack of expression in your face, or difficulty getting out of a chair.

Mid stage

Mid-late stage

Standing and walking are becoming more difficult and may require assistance with a walker. You may need full time help to continue to live at home.

Advanced stage

Cognitive And Emotional Aspects Of Essential Tremor

A growing number of scientists have described subtle differences in how people with essential tremor perform on neuropsychological tests.?? In one study, people with essential tremor performed worse than the control group on tests of memory, attention, and concentration.

In addition to these cognitive differences, people with essential tremor have been described as being at an increased risk for depression, as well as to suffer from anxiety or social phobias.?? Some studies have described patients with essential tremor as more introverted, rigid, or lonely than the general population. All of these characteristics, though, were described by comparing groups of people, meaning that there is still a lot of variation between individuals.

Stretching To Loosen Stiff Muscles Of Parkinson’s

Parkinson

The following stretching and flexibility exercises can help to relieve stiff muscles, improve flexibility, and make everyday tasks easier:

  • Stand facing a wall, about 8 inches away and reaching your arms upward. Place your hands on the wall for balance and stretch out your arms and back.
  • Place your back against a wall for support and briskly march in place, lifting your knees as high as possible.
  • Sit in a chair with a high, straight back and stretch your arms behind it, bringing your shoulders back as far as you can. As you stretch, lift your head toward the ceiling.
  • Sitting in a chair, stomp your feet up and down while pumping your arms back and forth at your sides.
  • Causes Of Resting Tremors In Parkinsons Disease

    Resting tremors are among the most noticeable features of Parkinson’s disease .?? The tremors are believed to be caused by complex interactions between a number of factors. Alterations in the activity of several areas of the brain including the substantia nigra, the basal ganglia, and the thalamus, as well as changes in the level and action of the neurotransmitter dopamine, are all related to each other and to the production of the tremors.

    Tremors Not Associated With Parkinsons Disease

    There are different types of tremors, of which not all are associated with Parkinson’s disease, and they vary slightly in terms of how, when and where they manifest in the body. They include essential tremor and dystonic tremor and may be associated with other conditions and genetic mutations, although a specific gene has not been identified.

    A patient with a Parkinson’s tremor typically will find that their symptoms worsen and spread to other parts of the body over time. Generally, the tremor starts in one hand and can progress to the arm and foot on the same side of the body, and then eventually to the other side of the body. In severe cases, tremors also can affect the jaw or lips.

    The Role Of The Cerebellum In Essential Tremor

    Certainly, many studies have suggested that the cerebellum does not function normally in essential tremor. This may explain why some people with essential tremor have other “cerebellar findings” on their neurological examination, such as ataxia or poor hand-eye coordination.??

    In the last decade, we have become increasingly aware that the cerebellum does more than coordinate movement — it may help to coordinate thoughts and perhaps emotions as well. Studies have connected cerebellar activity with the dorsolateral prefrontal cortex, a region of the brain classically associated with problem-solving, attention, and memory.??

    Foods Containing Saturated Fat And Cholesterol

    Some studies suggest that dietary fat intake may increase the risk of Parkinson’s.

    Although having a higher intake of cholesterol can elevate a person’s Parkinson’s risk, having a higher intake of polyunsaturated fatty acids may reduce the risk.

    Therefore, a person with Parkinson’s may wish to reduce their intake of cholesterol to help control the symptoms of the condition. They may also wish to reduce the amount of saturated fat in their diet.

    However, further studies are required to explore the link between dietary fat and Parkinson’s.

    Ways To Reduce Tremors For Parkinsons Disease

    5 Ways to Reduce Tremors

    Tremors are a common symptom associated with Parkinson’s disease, a chronic progressive neurological disorder. Medical management may or may not help with reducing tremors so it is imperative to help patients find a specific way to combat tremors. Therefore, we are going to share with you tips that we’ve seen improve quality of life with patients, large groups of individuals, and our community. How great would it be for you to feel more confident in a crowd, eating in public, and attend family/grandchild/sporting events? With these 5 ways to reduce tremors for Parkinson’s disease you can feel confident when out and about living your life to the fullest. 

    Each one of these tips can be individualized to you, because everyone has different symptoms. Maybe all, or just one with help you feel better, move better, and look better.

     

    Tip 1: Flicks – putting maximum range of motion and opening through the hands, acting as if you are throwing away your tremors with tons of effort. How to do this: close your hands and squeeze tightly, followed by throwing your hands out sideways and opening them maximally. This can be performed with just the hands, or with total arm involvement.

    Tip 2: Punching– with hands squeezed tightly and in a fist, throw a few punches in front of you giving them your best effort. How to do this: close your hands and squeeze tightly, raise your arms and straighten your elbows as you punch in front of you. Repeat with both arms.

    Which Body Parts Do Parkinsons Tremors Affect

    There are five main places you’ll have Parkinson’s tremors:

    1. Hands. Parkinson’s disease tremors often start in the fingers or hands with what’s called a pill-rolling motion. Imagine holding a pill between your thumb and index finger and rolling it back and forth.

    2. Foot. A Parkinson’s foot tremor is more likely to happen while you’re sitting or lying down with your feet at rest. If the tremor moves into your thigh muscles. It could look like your whole leg is shaking.

    Foot tremors disappear when you stand or walk because those are active movements. A foot or leg tremor while you’re standing may be another condition.

    3. Jaw. This is common in people with Parkinson’s. It may look like you’re shivering. It can become bothersome if the tremor makes your teeth chatter. If you wear dentures, it could make them shift or fall out.

    Chewing eases the tremor, so gum might help.

    4. Tongue. It’s rare, but a tongue tremor can cause your entire head to shake.

    5. Internal. Some people with Parkinson’s say they can feel a shaking sensation in their chest or abdomen. But can’t be seen from the outside.

    Limit Stress & Practice Relaxation Techniques

    Parkinson’s tremors are sometimes exacerbated by emotional stress. Aging adults living with Parkinson’s disease may be able to relieve or lessen the severity of tremors by addressing sources of stress and reducing anxiety levels as much as possible. There are a variety of methods for managing stress, so it may be necessary for older adults with Parkinson’s to try out several different options and techniques to discover which ones are most effective for them. Strategies such as spending time with loved ones, practicing meditation, and participating in favorite activities can often eliminate stress-induced tremors.

    Living with serious health conditions can make it challenging for seniors to age in place. However, they can maintain a higher quality of life with the help of professional live-in care. Edmonton seniors can benefit from assistance with meal prep, bathing, transportation to the doctor’s office, medication reminders, and much more.

    A Lower Protein Diet To Help Meds Work Better

    Know About Parkinson

    Your diet can impact how well your medication helps to manage common Parkinson’s symptoms, including tremors and constipation.

    Diets heavy in protein, for instance, can limit your body’s absorption of levodopa in Sinemet, a common medication used in the management of Parkinson’s disease. As a result, some doctors recommend that people with Parkinson’s limit protein intake to 12 percent of their total daily calories. And taking your medication on an empty stomach before your meals can help your body absorb the drug, notes the Parkinson’s Disease Foundation.

    The Michael J. Fox Foundation recommends avoiding certain foods because of possible medication interactions, including:

  • Cured, fermented, or dried meats or fish
  • Aged cheese
  • Fermented cabbage
  • Soy products
  • Red wine and beer
  • Iron supplements
  • In addition, fruits and vegetables in your diet may protect nerve cell function and possibly help keep Parkinson’s symptoms under control. Fruits and veggies also provide fiber, which can stimulate bowel movement and prevent constipation. Ask your doctor for a referral to a nutritionist to help make it easier to follow a healthy diet.

    Medications Used To Treat Parkinsons Symptoms

    Like other symptoms of the disease, tremor can be managed with medication. Medications used in Parkinson’s disease are aimed to increase the level of dopamine, a neurotransmitter known to be deficient in the brain of Parkinson’s patients.

    Following are the main classes of drugs used to treat Parkinson’s symptoms:

    Increased Stress Can Lead To More Tough Days

    Currently, in California, we are under increasing stress as our governor places more restrictions on us almost daily. In addition, the continuing political unrest in the US seems to be spiraling out of control in some cities. Here at home, after 6 weeks of helicopters overhead and sirens blaring on a daily basis, at times many of us feel like we are in a war zone. PTSD anyone? It certainly seems like it could be.

    So those random days when you just know you should not get out of bed start to make more sense. Sunday was one of those days for me. I could feel it before I even got out of bed that morning. I was stiff and just felt off. My tremors were worse than usual and clearly were going to be with me all day.

    I struggled through my online yoga class one Sunday morning. It was hard to concentrate on pretty much everything I tried to do all day. Late afternoon, Mr. Twitchy and I had planned to play 9 holes of golf. I got a new set of clubs on Thursday to replace my pre-industrial revolution clubs I had been using for so long. These new clubs were supposed to make me a superwoman on the golf course, so I was looking forward to this.

    How To Stop Tremors With Medical Treatments

    Treating the condition causing tremors may be sufficient to address it. All the same, the tremor can be treated using medications. Some of the common medications for tremors are listed below:

    • Beta-blockers are prescribed for people with high blood pressure conditions and also useful in reducing tremors for certain individuals.

    • Tranquilizers like Xanax could be given to relieve tremors as a result of anxiety.

    • Anti-seizure medication is usually provided as an alternative for people who cannot use beta-blockers.

    • Botox injections are chemical injections that are usually given to individuals suffering from tremors affecting the head and face.

    • Physical therapy may be done to help people strengthen their muscles and enhance their body coordination. Wrist weights along with adaptive devices like heavier utensils can also help in treating tremors.

    • Brain stimulation involves a surgery that could be the only choice for people with debilitating tremors. In such an operation, the surgeon puts an electrical probe in a part of your brain in control of the tremors. After the placement of the probe, a wire is connected from the probe into the chest, below the skin. A small device is then placed on the chest and is connected to the wire to send pulses directly to the prop to stop the production of the tremors.

    What Are The Symptoms Of Parkinsons Disease

    Symptoms of Parkinson’s disease differ from person to person. They also change as the disease progresses. Symptoms that one person gets in the early stages of the disease, another person may not get until later—or not at all.

    Symptoms most often start between the ages of 50 and 60. They develop slowly. They often go unnoticed by family, friends, and even the person who has them.

    The disease causes motor symptoms and non-motor symptoms. Motor symptoms are those that have to do with how you move. The most common one is tremor.

    Tremor and other motor symptoms

    Tremor, or shaking, often in a hand, arm, or leg, occurs when you’re awake and sitting or standing still . It gets better when you move that body part.

    • Tremor is often the first symptom that people with Parkinson’s disease or their family members notice.
    • At first the tremor may appear in just one arm or leg or only on one side of the body. The tremor also may affect the chin, lips, and tongue.
    • As the disease progresses, the tremor may spread to both sides of the body. But in some cases the tremor stays on just one side.

    Emotional and physical stress tends to make the tremor more noticeable. Sleep, complete relaxation, and intentional movement or action usually reduce or stop the tremor.

    The most common cause of non-Parkinson’s tremor is essential tremor. It’s a treatable condition that is often wrongly diagnosed as Parkinson’s.

    Besides tremor, the most common symptoms include:


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