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Dr. Sudheer treats migraine and headache, epilepsy, vertigo, stroke, Parkinson's disease, multiple sclerosis, dementia, neuropathy, GBS and CIDP, trigeminal neuralgia, Botox therapy, cervical pain, tremor, Bell's palsy, and sciatica.

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Tremor Treatment in New Delhi

Tremor is involuntary rhythmic shaking, most often of the hands. Essential tremor is the most common cause and is distinct from Parkinson's disease, although the two are frequently confused.

Medically reviewed 2026-08-08 · Dr. Sudheer Pandey, DrNB Neurology

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What is Tremor?

Tremor is involuntary rhythmic shaking, most often of the hands. Essential tremor is the most common cause and is distinct from Parkinson's disease, although the two are frequently confused.

Accurate classification matters: it determines treatment and prognosis. Many tremors respond very well to medication, and lifestyle adjustments can substantially reduce the day-to-day impact on writing, eating and other fine tasks.

What are the symptoms of Tremor?

Common symptoms include the features below. Patterns vary — a neurologist matches your history to the right diagnosis rather than treating a single symptom in isolation.

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Shaking when holding a cup or writing

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Tremor of head or voice

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Tremor worsened by stress or caffeine

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Difficulty with fine tasks like buttoning

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Improvement with alcohol (essential tremor)

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Tremor present at rest (Parkinsonian)

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Family history of tremor

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Slowly progressive over years

What causes Tremor?

Identifying the cause guides treatment. These are frequent contributors — your evaluation may reveal one factor or a combination.

Essential Tremor

The commonest cause; often runs in families.

Parkinson's Disease

Tremor at rest, with slowness and rigidity.

Thyroid Overactivity

A reversible cause that must always be checked.

Medications & Caffeine

Many drugs and high caffeine intake can produce tremor.

Anxiety

Enhanced physiological tremor under stress.

Cerebellar Disorders

Tremor with coordination problems.

How does Dr. Sudheer treat Tremor?

Care is personalised after examination and targeted tests. The usual pathway has three stages:

Diagnosis

Classify action versus rest tremor on examination, check thyroid and medication triggers, and distinguish essential tremor from early Parkinson's disease.

Treatment Plan

Propranolol or primidone for essential tremor, dopaminergic therapy if Parkinson's is confirmed, plus caffeine reduction and task-specific occupational strategies.

Follow-up

Dose titration against writing and feeding function; discuss botulinum toxin for selected dystonic or voice tremors, or advanced options if disability persists.

When should I seek urgent care for Tremor?

• Sudden onset of tremor
• Tremor with weakness or speech changes
• Tremor with severe imbalance

Frequently asked questions about Tremor

Direct answers patients ask before booking a neurology consultation.

No. Essential tremor occurs with action such as holding a cup or writing, while Parkinson's tremor is typically at rest. Treatments, prognosis and associated symptoms differ significantly between the two conditions.

Most tremors improve significantly with medication such as propranolol or primidone. Severe, disabling cases may benefit from focused ultrasound or deep brain stimulation after specialist assessment.

Essential tremor often temporarily improves after alcohol, which can be a diagnostic clue — but drinking is not a recommended treatment because of health risks and rebound worsening later.

Essential tremor often progresses slowly over years, yet with proper medication and caffeine reduction it is rarely disabling. Seek review sooner if new slowness or stiffness appears.