Q:

How can you treat uncontrollable hand shaking?

A:

Some treatments for uncontrollable tremors in the hands and other areas of the body include deep brain stimulation; thalamotomy; physical therapy; psychological treatments; and medications such as pramipexole, ropinirole, primidone and beta blockers, explains the National Institute of Neurological Disorders and Stroke. Treatment varies depending on the cause of the tremors.

Uncontrollable shaking is classified into the following categories of tremors: essential, psychogenic, dystonic, parkinsonian, orthostatic, cerebellar and physiologic, according to NINDS. Alcohol consumption or withdrawal can also produce tremors. Although most types of tremors do not have a cure, treatments can help lessen the problem in many cases.

Doctors may prescribe pramipexole, ropinirole, amantadine hydrochloride or anticholinergic medications to help with parkinsonian tremors, notes NINDS. Beta blockers and the anticonvulsant medication primidone can help address essential tremors, while drug therapies for dystonic tremors include anticholinergic drugs, clonazepam and botulinum toxin injections. Patients who suffer from psychogenic tremors may receive relief from therapies aimed at treating their underlying psychological illnesses. Drug therapies are not usually effective at treating tremors of a cerebellar nature.

Deep brain stimulation and thalamotomy are two surgical procedures sometimes used to treat uncontrollable shaking, explains NINDS. Surgeons perform a thalamotomy by strategically adding lesions to the thalamus, a region of the brain. Deep brain stimulation delivers electrical signals to the thalamus using surgically implanted electrodes.

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