Tremor

Tremor is caused by alternating adversary muscle contraction and produces a rhythmical oscillation of the body part affected. Tremor is an uncontrollable movement of one part or one limb of the body. It can occur at any part of the body. Tremor is more common in Middle aged or old age people.

It is the most common of all involuntary movements and can affect the hands, legs, Arms, face, or trunk. Most tremor occurs in the hands.

Types of tremor:

There are many types of tremor such as-

●  Physiological tremor: It can be seen in all involuntary

muscle groups and can be detected by extending the arm. Physiological tremor enhanced by anxiety, emotions, or toxins. It affected both arms more than legs.

●  Parkinsonian tremor: A Parkinsonian tremor is usually a resting tremor that’s often the first sign of Parkinson’s disease. It is caused by damage to structure within the brain that controls movement. It affects unilateral or asymmetrical arms more than leg, and chin. Typically pill-rolling character. Frequency 3 – 4 Hz.

●  Essential tremor: it is the most common type of tremor. Essential tremor may be mild or non progressive in some people. Essential tremor is slowly progressive first it affects one side of arms and then affects other side of

arms. Amplitude of disease low to moderate. Family history. Frequency 8 – 10 Hz.

●  Dystonic tremor: A dystonic tremor occurs irregularly. Complete rest can relieve these tremors. This tremor occurs in people who have dystonia. Dystonia means involuntary muscle contraction that causes abnormal posture or movement. Some dystonia only occur with specific tasks, such as writer’s cramps or other occupational cramps.

●  Orthostatic tremor: Orthostatic tremor may occur in patients who have essential tremor. The High frequency of tremor makes the tremor look like rippling of the leg muscles while standing.

●  Intention tremor

●  Hysterical tremor

●  Excessive Alcohol consumption or withdrawal alcohol can kill certain nerve cells and resulting tremor.

Causes:

●  Multiple sclerosis

●  Brain injury

●  Age above 50, risk factor of tremor ( Parkinsonian tremor

).

●  Lack of vitamin

●  Parkinson’s disease

●  Lack of sleep ( chronic )

● Increased stress
● Excessive alcohol consumption ● Stroke
● Intake too much caffeine
● Muscle fatigue
● Low blood sugar level

Symptoms:

● Gradually rigidity of muscles.
● Involuntary movement of muscles.
● Loss of postural reflexes.
● It affects unilateral, asymmetrical or bilateral. ● Jerky tremors
● Head is twisted repeatedly to one side.
● Writer’s cramp

Diagnosis:

●  Physical examination check reflexes, doctor will check any tremor symmetry, any senses loss, weakness of muscles.

●  History of symptoms and family history

●  Neurological examination

●  Electromyography to measure involuntary muscle activity

●  Thyroid test, blood sugar fasting test to know the exact cause of disease.

Management:

● Take a healthy nutritional diet.
● Avoid alcohol and tobacco smoking.
● Maintain your body weight .
● Do exercise and yoga daily.
● Manage high blood pressure and diabetes

Homeopathic medicines:

●  Alumina : alumina is the best indicated medicine for tremor with a heavy feeling of staggering gait. People can walk in the daytime but are unable to stand at night. Constricted feeling of esophagus with difficulty in swallowing.

●  Argentum nitricum : argentum nitricum is given when there is trembling of limbs while walking . their difficulty in control over limbs while walking or standing.

●  Causticum : causticum is marked in tendency to fall forward and sideways. Frequently falling off. Unsteady walk . trembling of hands and legs.

●  Gelsemium : Gelsemium can be given in tremor due to weak muscle . there is no coordination of muscle control

with excessive weakness. Difficulty in speech and trembling of tongue is marked in this medicine