Symptoms And Syndromes
Symptoms And Syndromes

Hands shake for a reason: why there is a tremor and what to do

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hands are shaking Clinically, tremors are rhythmic repetitive involuntary vibrations of any part of the body.

From other similar syndromes: athetosis, chorea and ballistics - differs systematically and stencil.

Contents

  • Different
  • variability Why the hands are shaking
  • General clinical picture
  • Diagnosis and therapy
    • Exercises for the limbs
    • Traditional medicine
  • What is fraught?

The different nature of the

deviation The tremor is classified:

  • on the part of the body in which it occurs ( arms, lower limbs, body, head, tongue, voice);
  • by the nature of the ( with relaxed or strained muscles, in motion or at rest);
  • physiological - in healthy individuals and pathological( as a symptom of the disease).

Mechanisms of tremor:

  • mechanical arises due to uneven muscle tension, which often depends on the mass of the limb, muscle tone, joint condition;
  • reflex arises as a reaction to changes in the environment, the nerve impulse switches to the motor nerve, and the hand involuntarily makes movement.
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  • tremor, associated with pathological changes in the brain ;
  • violation, associated with damage to neural connections in the central nervous system , manifests itself when performing arbitrary targeted movements.

By nature of origin, the tremor is divided into 3 types: tremor of rest

  • statistical or resting tremor manifests itself in a relaxed state, characteristic for those suffering from Parkinson's disease, is not always pathological;
  • postural appears with increased support for a certain posture, for example, palm compression in the fist;
  • Intrinsic jitter - occurs during the execution of small movements that require precision( with Wilson-Konovalov disease, multiple sclerosis, tumors).

According to the vibration frequency, the tremor is conventionally divided into 3 groups:

  • high-frequency( 9-12 Hz);
  • mid-range( 5-8 Hz);
  • low-frequency( 3-5 Hz).

Why the hands are shaking

Arm tremors are rhythmic repetitive involuntary fluctuations of the upper limbs of a person, the causes of such tremor depend on the variety and nature of the disorder:

  1. The physiological kind of shaking can appear when hypothermia, emotional arousal, fatigue, muscle tension. Usually this is a normal reaction of the body to external stimuli and ceases after elimination of the causes. Medical assistance is not required in this case.
  2. Accentuated or strengthened type of disorder occurs with stress, intoxication, endocrine diseases, with a lot of caffeine, in situations that triggered the release of adrenaline into the blood.
  3. Because of hunger, improper diet, physical exhaustion of .It is associated with a drop in the level of sugar in the blood, which causes the development of hypoglycemia, accompanied by malaise, headache, aggression. Normalization of nutrition, as a rule, leads to the cessation of hand trembling.
  4. Essential( familial) - often this type of tremor affects people with hereditary predisposition, it appears in adulthood and develops gradually. First, hands tremble, later other parts, in a state of excitement, tremors increase. With the hands can tremble the lower jaw, head. This condition must be distinguished from Parkinsonian tremor by the fact that it is enhanced by movement( in Parkinson's disease, on the contrary).neuralgia in the hands
  5. Cerebellar type of impairment is associated with damage to the cerebellum of the brain. When trying to keep an elongated hand motionless or with vigorous movement, tremor increases. During actions that require small movements, disappears. The patient is not able to fully control his movements, his muscle tone is lowered and fatigue is increased. The rhythm of jitter is chaotic and uneven. It can be a consequence of poisoning with barbiturates, multiple sclerosis or craniocerebral trauma.
  6. Rhythmic myoclonus is characterized by wide movements of hands and body. Tweaks can reach several centimeters. A shiver occurs at the beginning of the motion and disappears at rest. It is a consequence of vascular diseases, multiple sclerosis, Wilson-Konovalov's disease, pathologies of the brain stem. The main disease is treated to eliminate tremor.
  7. Hysterical( psychogenic) tremor occurs during emotional outbursts. When a person calms down, the trembling stops. Most often this is a symptom of posttraumatic stress disorder and similar psychopathological conditions.
  8. Parskinsonic tremor - can occur not only in Parkinson's disease, for example, with multisystem atrophy. A specific feature of this disease is hand trembling in a calm state. At movement it weakens or disappears and amplifies again at distraction of attention.
  9. The tremor of Holmes ( phorbital or mesencephalic) - has signs of all types of tremor: rest, postural and intentional, but may differ in severity. For example, more manifest in the movement, at rest be less pronounced. It occurs due to damage to the midbrain, sometimes the thalamus.
  10. The dystonic is typical for people with dystonia. Often occurs in complete calm, localized in one part of the body, including hands. It is activated in a certain position of the body.

causes of tremor in the hands

General clinical picture of

Concomitant hand tremor symptomatology:

  • for of the essential type of impairment is characteristic - in the late stages of the disease, there are mild cerebellar dysfunctions: ataxia, disturbances in coordination of movement, balance in walking;
  • Parkinsonian type is accompanied by hypokinesia( limited mobility), postural instability( imbalance), rigidity( a sharp increase in the tone of the anatomical structures);
  • dystonic type accompanies the pathological posture in the affected part of the body;
  • for tremor Holmes is characterized by additional symptoms: rigidity, improper coordination, imbalance, other stem symptoms( dizziness, swallowing, floating movements of eyeballs);
  • cerebellar tremor accompanies a disorder of coordination, dysmetry( a person can not hit the target), adiadochokinesis( difficulty performing alternating movements at a fast pace).

Diagnosis and therapy of

tremble hands It is not easy to diagnose with tremor of the hands, it requires a complex study, which can consist of tests, tests, blood tests, examination of the fundus, blood pressure measurement, thermography, shooting, and MRI.

Physiological tremor can occur in almost any person and surrounding people to be almost invisible. Light and physiological forms usually do not require treatment.

To overcome the unpleasant state it is enough to relieve tension and drink soothing herbs: lemon balm, chamomile, mint, motherwort, etc.

Treatment of pathological forms of tremor of the hands is aimed at reducing the intensity of the trembling. In the first stages of the drug in most cases, not appointed.

To reduce the amplitude of hand tremor at later stages of the disease, beta-blockers will help: Propranolol, Obsidan and Anaprilin. If the result is not achieved, then appoint Primidone, Hexamidine, other anticonvulsants.

What if the above drugs do not help and your hands still shake - in particularly difficult cases, injections of botulinum toxin-A are given intramuscularly.

In especially severe cases, when resistant and pharmacological treatment does not help, neurosurgical intervention is used.

Exercises for limbs

Exercises to reduce hand tremors: exercises with tremor of hands

  1. Connect palms, raise them to eye level - this is the starting position. Take a deep breath. On exhalation, one hand is lowered by a half-finger, and the other hand squeezes the dropped arm. On inhalation return to the starting position. Repeat cycle 10 times.
  2. With hysterical or psychogenic tremor, rubbing the palms helps, until the hands warm.
  3. Strengthen hands and restore the lost control of the muscles of the hands of practicing modeling clay or plasticine, playing musical instruments, needlework( knitting).
  4. Coordination of movement and concentration of attention card tricks develop.

Traditional medicine

Folk remedies for hand tremor

In case of a nervous tremor,

  • recommends 150 grams of browned oats in 2 liters of water at night, the broth is insisted, in the morning the mixture is filtered and drunk during the meditation and relaxation day in small portions;course - 5 days, with a relapse course repeat.
  • soothing teas from heather, valerian, motherwort, mint, lemon balm: 1 tablespoon per 200 ml of water;the broth is insisted and drunk in small portions throughout the day.
  • will calm the nervous system and help to relax a warm bath with 2 liters of broth and a few drops of essential oil.
  • practicing meditation and relaxation.

It is more difficult to determine the clinical diagnosis with hand trembling, this is explained by:

a variety of somatic and neurological diseases, the symptom of which is trembling;

patterned manifestations of tremor for various causes and mechanisms of occurrence.

Follows:

  • to avoid stressful situations, overwork;
  • to refuse from the use of caffeine, tobacco, alcohol;
  • to exercise;
  • to conduct outdoor activities in nature.

sketching on paper

What is fraught with?

Tremor can appear at any age, but the older the person, the easier the manifestations of the disease and the better the prognosis.

Treatment is usually aimed at reducing the symptoms manifested and improving the quality of life of the patient.

With essential hand tremor, the frequency of tremor decreases with time, but if the disease occurs at an older age, the condition worsens in a short time.

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