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Topic How do the Tremors Start? Go to previous topic Go to next topic Go to higher level

By WitsEnd On 2009.07.20 15:30
Okay, I need one of the PWP folks or somebody else to answer something for me...although I am kind of scared to even ask the question. I just turned 50. For the past few years I've had problems with blood sugar (metabollic syndrome) and thyroid. When the thyroid was first diagnosed (hyper and then hypo), I had weakness in my right hand (trouble holding a glass) as well as that hand was really shakey. When they got the thyroid worked out it got okay.

The past year or so that symptom has come back. Other people have noticed it and I keep telling them its my thyroid or my blood sugar (and I've changed doctors and he's working on adjusting both of those). My first doctor chalked it up to stress or too much caffiene. I also just started estrogen treatment for menopause...another issue.

I can lay down on a bed or sit down in a chair with my right arm at rest completely relaxed and nothing is shakey. It's when I go to work with something or hold my hands straight out in front of me you can see it. Also I might have a little bit of carpel tunnel syndrome I'm wondering in that hand because that hand is starting to get numb when I'm on the phone or its in a certain position for awhile so I'm beginning to wonder if that has something to do with it.

Anyway...because of my dad's Parkinson's I am a little concerned. Did anybody with PD's tremors start out the way I described my hand doing.....or am I just being a little over concerned about this?

By Newcaregiver On 2009.07.20 16:45
WitsEnd: my parkie's tremor began as a resting tremor and continues that way. I believe the neuro explained that an "intension tremor" - one starts as you move your arm, is indicative of essential tremor, not PD. I do know that it is a lot more complicated than that, but you could have some essential tremor beginning. Many people have essential tremor as they age. It might be something else, though. You should ask your doctor...

By lurkingforacure On 2009.07.20 17:31
Ditto, if anything at all, essential tremor, not PD. PD is resting tremor, when your hand/arm/foot is resting, it tremors....ET is an action tremor, when you move it, it tremors, but when at rest, nothing. We did a ton of research on tremor before dx and were hoping for an ET dx but got PD instead, so I have read way more on tremor types than I ever cared to.

There are other things that could cause it too, so I would ask the doc, and relax, stress and anxiety make everything worse. Deep breathing, and I mean DEEP, holding it for a few seconds, then exhaling through your mouth should help (I recently read that you should inhale for 4 counts, hold for 7, then exhale through the mouth for 8 counts...if you do this several times, is slows down your system and forces you to relax).

By susger8 On 2009.07.21 08:31
I agree with Lurking, it sounds like Essential Tremor, not PD. I have ET. Fortunately it doesn't bother me too much yet. The tremor can be treated with blood-pressure medication.

Caffeine makes it worse, so I avoid caffeine as much as possible. Interestingly, alcohol lessens the tremor -- this is actually diagnostic. So if you have a glass of wine and the tremor goes away, you can be pretty sure you have ET. However, walking around drunk all the time is not a recommended treatment!

I'd suggest seeing a neurologist or movement-disorder specialist.

Sue

By WitsEnd On 2009.07.21 09:16
Thanks everybody.


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