reasons why your hands are shaking

reasons why your hands are shaking

A hand tremor is a term used to describe shaky hands. Although a hand tremor isn’t life threatening, it can make everyday chores more challenging. It can also be a precursor to various neurological and degenerative diseases.
Essential tremor, a disorder doctors don’t completely understand, is the most prevalent cause of shaking hands in adults. In the reasons section below, you may learn more about it.
Speak with your doctor if you have hand tremors.
Continue reading to discover more about shaky hand remedies and the numerous reasons of this ailment.

What drugs are available to help with unsteady hands?

Treatment isn’t necessary for everyone who has unsteady hands. However, if your doctor thinks you’re a suitable candidate, they could start with medicine.

Medications that are often administered

The following are the most regularly given drugs for treating shaky hands caused by essential tremor, according to the National Tremor Foundation:

  • primidone propranolol (Inderal) propranolol (Inderal) propranolol (Inderal) (Mysoline)

Propranolol is a beta-blocker that is used to treat the following conditions:

  • hypertension arrhythmia arrhythmia arrhythmia arrhythmia arrhythmia
  • Primidone is an anti-epileptic drug.

Your doctor may prescribe different drugs if they don’t work for you.

Beta-blockers in other forms

Beta-blockers such as metoprolol (Lopressor) and atenolol (Tenormin) can also be used to treat essential tremor. If other prescriptions fail to improve your tremor, your doctor may prescribe one of these medications, although it may not work as well as propranolol.

Anti-seizure drugs that aren’t as effective

Other drugs used to treat neurological or mental problems, such as seizures or neuropathic pain, include gabapentin (Neurontin) and topiramate (Topamax). They may be beneficial to persons who suffer from essential tremor.

Anti-anxiety medicine is a type of drug that is used to treat anxiety.

Alprazolam (Xanax) is a drug that is used to treat anxiety (which can produce tremors in the hands) and panic disorders, but early research Trusted Source suggests it could also be used to treat essential tremor. Because this medicine is known to be habit-forming, it should be used with caution.


Botulinum toxin type A (Botox) shows potential as a therapy for essential tremor in the hands Trusted Source. Because this medication might produce considerable muscular weakening when injected, talk to your doctor about the risks and benefits.

A successful injection can provide advantages for up to three months. It’s possible that more injections will be required.

What treatments are available for shaky hands?

A doctor may suggest one or more ways to aid with essential tremor symptoms. Suggestions might include the following:

Making use of larger objects. Lightweight or fragile things, such as glasses, cutlery, or plates, may need to be replaced with heavier ones. The added weight may make the thing more manageable.
Using tools and utensils that have been carefully created. If you have unsteady hands, gripping and handling objects like pens, pencils, garden tools, and culinary utensils might be challenging. You might want to seek for versions of these things that are developed for persons who have difficulty with grip and control.
Wrist weights are worn. The added weight on your arm may help you maintain control.

What procedures are used to cure shaky hands?

Surgery is unlikely to be recommended as your initial treatment choice by a doctor. Surgical therapy is usually reserved for those who have a tremor that is highly debilitating. As you become older or if your tremor gets worse, surgery may be a possibility.

Deep brain stimulation (DBS) is a type of brain

Tremors are treated with deep brain stimulation (DBS), a surgical treatment. During a DBS operation, a surgeon Composition electronic devices in your brain called electrodes that receive an electrical signal that interferes with the tremor-causing brain activity.

The signal is sent via a device that is placed beneath your upper chest skin. DBS is only suggested for those who have advanced or severe limb tremor at this time.


Another surgical possibility is thalamotomy.
Your surgeon will use radiofrequency sound waves to create a permanent lesion in a tiny part of your thalamus during this treatment. An MRI is used to determine where the waves should be directed. The tremor is reduced or stopped as the brain’s normal electrical activity is disrupted.

Shaking hands has a variety of causes.

A tremor, or trembling hands, is not usually the outcome of a sickness or disease. It could be a result of something as simple as medication or stress.
Tremors might be mild or severe. They can occur at random or on a regular basis.
Understanding the underlying problem or issue can frequently help you and your doctor identify a therapy that’s helpful.

Essential tremor is a kind of tremor that affects

Essential tremor is the most common cause of shaking hands, and it mostly affects adults. The cause of essential tremor is unknown. A disruption in the regular functioning of elements of your central nervous system, such as your cerebellum, is considered to be the reason.

This sort of tremor can run in families. According to the National Institute of Neurological Disorders and Stroke, nearly half of all instances of essential tremor are believed to be inherited.

The reason of the neurological disruption and how to halt it remain unknown to researchers. They’re also unsure whether it’s a degenerative condition.

Essential tremor causes regular shaking, which is exacerbated while the person is moving. The shaking is uncontrollable, and it usually affects your hands, arms, head, and voice chords. Your dominant hand may shake more than the other, although it can affect both sides of your body.

Parkinson’s disease

is a neurological disorder that affects people.People with Parkinson’s disease, on the other hand, often have a hand tremor while their muscles are at rest and a reduction in tremor when their muscles are used. This is referred to as resting tremors.

However, around a quarter of persons with Parkinson’s disease also have an action tremor, which is a tremor that happens when muscles are used.

Tremor is a common symptom of Parkinson’s disease. The majority of people will feel the shaking on one side of their body at first, but it may spread over time. The shaking might be exacerbated by stress, worry, or enthusiasm.


When a blood clot clogs an artery supplying blood to the brain, an ischemic stroke develops. This blocks the flow of blood and oxygen to your brain.
If a stroke is not treated right away, it might have long-term consequences. Any long-term injury to your brain’s neurological circuits might result in tremors in your hands.

Thyroid hyperactivity

The thyroid gland is located right above the collarbone in your neck. It creates hormones that aid in the energy supply of your body and regulates your metabolism with those hormones.
You may develop a metabolic disorder called as hyperactive thyroid, or hyperthyroidism, if you create too many hormones. Your body will be more active than it needs to be if you have an overactive thyroid. This can lead to problems such as:

  • a faster heartbeat
  • Shaking hands when sleeping

Cerebellar maladies

Cerebellar diseases are a set of conditions that affect the cerebellum, the part of the brain that regulates balance and coordination. The complicated circuits that regulate movement and coordination can be disrupted if this area of your brain is damaged.

The cerebellum is affected by diseases such as fragile X syndrome. Tremors, as well as balance and walking difficulties, are typical side effects.

Other disorders can affect the cerebellum and lead to shaky hands. Strokes, seizures, and tumors are all possible causes. Damage to the brain can make it difficult to move in a smooth, controlled manner.

Huntington’s disease

Huntington’s disease is a neurological disorder that causes the disintegration of nerve cells in the brain. One of the most common symptoms of Huntington’s disease is a shaking or jerking hand. Over time, the disorder will drastically affect your cognitive and emotional capacities, as well as your physical ones.

Traumatic brain injury

A physical injury to your brain can impair your brain’s typical functioning. The damage to your brain may impact physical movement.

Hand tremors or shaking may occur when the injury affects certain areas of your brain, like the cerebellum, or the nerves that control hand movement.

A brain injury may occur in an accident, such as a car collision or a fall. It can even result from activities like sports.

Medication side effects

Shaking hands can be the result of medication side effects, including certain:

  • psychiatric medications
  • antiepileptic medications
  • anti-asthma medications
  • immunosuppressant medications

Some of these drugs suppress a brain chemical called dopamine, which is one cause of drug-induced tremors. This substance transports data from one section of your brain to another. When dopamine is unable to reach the parts of the brain where it is needed, movement problems such as shaking hands can arise.

The tremors will most likely go away if you stop taking the medication. However, make sure to weigh the benefits of the medication against the risks of side effects, or ask your doctor about a different medication that is less likely to cause hand shaking.

Overdosing on caffeine

If you’ve ever had a cup of coffee or tea on an empty stomach, you might know the impact caffeine may have on your hands. Too much coffee might lead to shaky hands. Caffeine stimulates the muscles in your body, causing them to move out of order.

Other signs and symptoms of a caffeine overdose are:

  • fast heartbeat
  • confusion
  • headache
  • insomnia 

Alcohol overuse or withdrawal

People whose bodies are physically dependent on alcohol may experience a number of withdrawal symptoms if they try to stop drinking. Shaking hands, or “the shakes,” is one of the most common signs of alcohol withdrawal. Other symptoms include:

  • sweating
  • hallucinations
  • naughty
  • vomiting

The shaking or tremors may last a few days, but if your body has been physically dependent on alcohol for a long period of time, this symptom, as well as others, can last many months.


For many people, stress and worry are a part of daily life.

When you’re stressed or anxious, your body reacts by generating a burst of adrenaline, a hormone that helps regulate your energy levels.

Stress also triggers your natural “fight of flight response.” This surge of adrenaline can cause your heart to race and blood flow to your brain to increase. It may also induce trembling in the hands.

Stress can also worsen an existing tremor.

Low blood sugar

Low blood sugar, or hypoglycemia, occurs when your body doesn’t have enough energy, or glucose, to fuel your activities. Skipping meals, taking too much medication, exercising too much, or eating too little can lead to a drop in your blood glucose levels.
When your blood sugar levels drop too low, your body triggers its own stress response. This can make you feel shaky and jittery. Other symptoms of low blood sugar include:

  • sudden nervousness
  • rapid heartbeat
  • trouble thinking
  • sweating
  • dizziness

For people with diabetes, low blood sugar can be dangerous. If left untreated, it can lead to loss of consciousness, seizure, or coma.

Multiple sclerosis

Multiple sclerosis (MS) is a progressive disease that occurs when your body’s immune system attacks your brain, nerves, and spinal cord. This leads to issues like inflammation and lesions in your central nervous system and brain.
As the damage worsens, symptoms like shaking hands may appear. In fact, MS can cause a number of tremors.
Other symptoms of MS include:

  • changes to speech
  • difficulty swallowing or chewing
  • issues with bladder control

Is there a cure for shaky hands?

Though there’s no cure for most tremors, there are available treatments options. These treatments are determined by the cause of your hand tremor. If your tremor is caused by an underlying condition, treating that condition may reduce or eliminate the tremor.

If caffeine, alcohol, or other stimulants affect your tremor, consider removing them from your diet. If your tremor is a side effect of medication, speak with your doctor about your options.

If your shaky hands are caused by essential tremor, there’s no cure, but there are ways to manage it. The condition, which often begins in adolescence or in your 40s, may worsen as you get older.

However, treatments may offer some symptom relief. The types of treatment you use will depend on how severe the shaking is and the potential side effects of each treatment option. You and your doctor can discuss your options.

Speak with your doctor about treatments

If you’ve experienced shaky hands or symptoms of essential tremor, make an appointment to speak with your doctor. They will likely request several medical and physical tests to rule out other possibilities before a diagnosis can be made.

Once a diagnosis is made, you can begin to discuss treatment options. Treatment may not be necessary if the tremor is mild and doesn’t interfere with day-to-day activities.

If the shaking becomes too difficult to manage, you can revisit the treatment options. Finding one that works well with minimal side effects may take time. You can work with your doctor and any therapists or specialists you visit to find a plan that best suits your 

The bottom line

Essential tremor is the most common cause of shaky hands. This neurological condition causes uncontrollable shaking, especially when moving.

While there’s no cure for most hand tremors, prescription medications and lifestyle changes may provide relief, depending on the cause.

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    • JimAvami
    • March 2, 2022

    Really interesting post!

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