What is Essential Tremor?
Essential tremor is a neurological disorder characterized by involuntary shaking or trembling of part of the body, typically the hands, arms, head, voice, or other parts of the body during voluntary movements. The tremor may also occur at rest but usually worsens with purposeful movement, such as reaching for an object or writing. Essential tremor is one of the most common movement disorders and can significantly affect a person’s quality of life, especially in tasks requiring fine motor skills.
ET is the most common movement disorder, affecting millions of people worldwide.
The causes of Essential Tremor (ET)
It is caused by a combination of genetic predisposition, neurological abnormalities, and possibly environmental factors. Family history is a significant risk factor, with about half of cases having a familial link.


What are the other common causes of tremor?
Tremor can be a symptom of several other conditions, including:
- Parkinson’s disease: While tremors are common in Parkinson’s disease, they typically occur at rest and may be accompanied by stiffness and slowness of movement.
- Multiple sclerosis: Tremor in MS can be unpredictable and affect various parts of the body.
- Thyroid problems: An overactive thyroid can cause tremors.
- Medications: Certain medications can cause tremors as a side effect, commonly ones used for various neurological and psychiatric illnesses.
Who does essential tremor affect?
ET can develop at any age, but it most commonly begins in 20-40 yeas age group. Because tremor is fine at beginning, it is commonly missed as it doesn’t cause limitation of any task. It can affect both men and women, and the tremor intensity increases with age.
How does essential tremor affect my daily routine?
ET tremors typically occur during voluntary activities such as:
- Eating and drinking
- Writing and signing
- Holding objects
- Applying makeup
- Shaving
- Work at office, like using instruments and machines
How does ET affect my quality of life?
Essential tremor (ET) in advanced stage has deep impact on the person’s self-image, personal and professional relationships.
- Social and emotional impact, including feelings of embarrassment, low self-image, or social isolation.
- Occupational challenges if fine motor skills are required for work tasks.
- Emotional distress, including anxiety, depression, or frustration and low self-confidence.
- Safety concerns, particularly in tasks like driving or operating machinery.
What is the medicinal treatment of ET?
Medicinal treatments for essential tremor (ET) include:
Beta blockers like propranolol help reduce tremors, but they’re not suitable for those with certain heart issues or asthma. Side effects may include fatigue or lightheadedness.
Anti-seizure medications like primidone, gabapentin, or topiramate could be effective if beta blockers don’t work. Side effects may include temporary drowsiness or nausea.
Tranquilizers such as clonazepam may be used for tremors worsened by tension or anxiety. Caution is advised due to potential habit-forming tendencies. Side effects may include fatigue or mild sedation.
Is there a permanent cure of ET?
Yes, RFA (radio-frequency ablation) procedure offers a very long-lasting or permanent cure for ET without the need of any medicines.
Wrapping up…
Looking for an essential tremor treatment in Ahmedabad?
If you are experiencing tremors and live in Ahmedabad, you need to consult a Neuromodulation expert who deals with treatment of advanced neurological disorders, including essential tremor. Schedule an appointment with a neurologist today to discuss your concerns and explore treatment options.Frequently Asked Questions (FAQ)
Yes, essential tremor can be managed with medications, lifestyle changes, and in some cases, surgical interventions.
Yes, essential tremor often runs in families, and having a family member with the condition increases the likelihood of developing it.
Our Specialist
Dr Sagar Betai
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