What Can Cause Hand Tremors?

Hand tremors occur when the hands shake involuntarily and rhythmically. Hand tremors tend to occur in episodes, and certain medical conditions could cause them to worsen or increase in frequency over time. Hand tremors may make it difficult for patients to carry out daily tasks such as eating, writing, using the computer, dressing, and cooking. Although hand tremors might be benign, it is important to have them investigated by a physician as they can sometimes be early indicators of a neurological condition. Doctors will begin by asking the patient about their health history and current medications, and they will also conduct a physical examination, which will include checks of the patient's reflexes, sensation, strength, gait, and coordination, and doctors may also evaluate the tremors by asking the patient to drink from a glass, write, or hold their arms outstretched. Treatments for hand tremors depend on the underlying cause, and options such as beta-blockers, anticonvulsants, physical therapy, and surgery may be considered.

The primary causes of hand tremors are discussed below.

Panic Or Anxiety

Hand tremors sometimes occur as a result of panic or anxiety. For example, individuals experiencing a panic attack may report shaky hands. In these cases, hand tremors are likely the result of mental health issues and not an indication of a physical underlying medical condition, though patients experiencing hand tremors and anxiety or panic should still see their primary care provider just to ensure this symptom is not due to an undiagnosed neurological condition. If the tremors do stem from anxiety or panic alone, the patient's healthcare provider might offer a prescription for anti-anxiety medication such as beta-blockers or tranquilizers. Individuals who choose to take tranquilizers may require frequent follow-up visits since some of these medicines can be habit-forming. In addition to medication, patients might want to consider seeing a counselor or psychiatrist to learn behavioral techniques that could reduce panic attacks and anxiety symptoms.

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