Not every tremor signifies Parkinson’s since numerous other ailments can lead to shaking; therefore, recognizing the distinctions aids in early detection and appropriate treatment. Tremors or involuntary shaking motions can be concerning, prompting many individuals to dread the diagnosis of Parkinson’s disease; however, it is crucial to realize that not every tremor signifies Parkinsonism.

Dr. Shirish M Hastak, Regional Director of Neurology - Stroke and Neurocritical Care at Gleneagles Hospitals in Parel, Mumbai, stated, “Although tremors associated with Parkinson’s are commonly recognized, various other ailments can also induce shaking, many of which are neither severe nor progressive. Obtaining early medical advice can facilitate accurate diagnosis and care. ”

Understanding tremors:

Dr. Shirish M Hastak mentioned, “Did you know? Tremors are involuntary, rhythmic muscle contractions that can affect multiple areas of the body, primarily the hands, arms, legs, head, or voice. They can manifest while at rest, during action, or when holding a position. Tremors can be categorized into various types, with Parkinson’s tremors being only one type among several. Not every tremor indicates Parkinson’s disease, so please consult your physician or neurologist. ”

Parkinson’s disease influences movement, resulting in symptoms such as tremors, stiffness, and reduced mobility. However, as stated by Dr. Shirish M Hastak, several other conditions can also result in tremors -

• Essential Tremor (ET): This condition is frequently confused with Parkinsonism. It generally impacts the hands, head, or voice and intensifies during movement, whereas Parkinson’s tremor is more evident at rest.

• Physiological Tremor: This mild, hardly noticeable tremor occurs in everyone during stressful situations and can be triggered by stress, fatigue, caffeine, or anxiety.

• Dystonic Tremor: This type is typically observed in individuals with dystonia, a disorder that causes involuntary muscle contractions, which result in abnormal movements.

• Conditions such as thyroid disorders, liver or kidney diseases, and low blood sugar levels can also cause trembling and shaking.

How can one tell Parkinson’s tremor apart from other tremors? Dr. Shirish M Hastak stated, “Parkinson’s tremors get better with movement, while essential tremors worsen with movement. These tremors typically begin on one side of the body and progress gradually. Additional symptoms accompany Parkinson’s tremors, such as muscle stiffness, slowness of movement, and issues with balance. ”

The diagnosis: Dr. Shirish M Hastak explained, “A neurological examination, MRI or CT scans to identify any structural brain problems, and blood tests to assess thyroid, kidney, and liver functions are essential. Dopamine imaging scans (DaTscan) may also be recommended for detecting Parkinson’s disease if there is uncertainty surrounding the clinical diagnosis. ”

Treatment and management Treatment is based on the underlying cause. Dr. Shirish M Hastak mentioned, “For essential tremors, medications like beta-blockers or anticonvulsants can be effective. Changes in lifestyle, stress management, and physical therapy can also aid. In severe cases of essential tremors, deep brain stimulation (DBS) might be an option. If tremors stem from medication or metabolic disorders, addressing the primary issue can frequently alleviate the problem. With the correct strategy, tremors can often be managed, allowing people to live without undue fear or stress. ”

Discussing the advantages of lesioning surgery for certain selected patients, Dr Shirish M Hastak stated, “This technique is notable for its immediate effectiveness, cost-effectiveness, and durability. In individuals who are unable to use a spoon or a glass because of severe tremors in the hand or leg, this surgery can enhance their quality of life. Lesioning surgery entails the creation of a small, controlled lesion in a precisely targeted brain region. ”

He concluded, “For patients who have faced chronic symptoms of essential tremors for many years, the outcomes are nearly miraculous. Furthermore, the lower cost and abbreviated recovery time make it a feasible option for many who cannot afford deep brain stimulation. It signifies a major progress in functional neurosurgery. ”

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