Treatment for Tremors of Hands
Benign Essential Tremor is the most common movement disorder. It is a progressive, often inherited disorder that usually begins in later adulthood. Patients with ET normally experience tremors when the arms are held up and when the hands are being used for activities like drinking, eating and writing. The tremors also may affect the head, voice, tongue and legs and worsen with stress, fatigue and stimulant medications.
Patients with important functional impairment usually opt for some form of treatment. Less impaired patients may prefer to forgo treatment all together. Some patients that are not functionally impaired need treatment because their tremor is a significant source of discomfiture. Once a patient requirements therapy, there are some options;
Benign Essential Tremor Treatment Options include medication, thalamotomy procedures in which a predefined small volume of brain tissue containing nerve cells causing the essential tremor is destroyed, and deep brain stimulation in which a stimulator generates mild electrical currents through an electrode implanted in the brain.
Medication is usually the first line therapy for ET, and most patients preserve a good value of life with this treatment alone. Though, up to 30% of essential tremor patients do not respond to medicine and may therefore be considered as candidates for surgical treatment. Because the level of tremor does not always associate with the overall disability, the number of Benign Essential Tremor patients who may have important disability and are refractory to medication is likely underestimated.