Movement Disorder & Tremor Specialist in New Delhi

A neurologist, ideally one with movement-disorder experience. The key task is separating essential tremor, Parkinson's disease, drug-induced tremor and dystonia, because each has a different treatment pathway.

No. Essential tremor is more common than Parkinson's disease and behaves differently — it appears during action rather than at rest and is often familial. Thyroid disease, caffeine, anxiety and several medications also cause tremor.

Propranolol and primidone are the established first-line options, titrated gradually. Reducing caffeine and treating anxiety help. Botulinum toxin or procedural options are reserved for severe tremor unresponsive to medication.

Yes. Targeted botulinum toxin injections are the treatment of choice for cervical dystonia, blepharospasm, hemifacial spasm and writer's cramp, usually repeated every three to four months. It is also used for chronic migraine prevention.

Typically in Parkinson's disease where medication still produces good 'on' periods but with disabling fluctuations or dyskinesias, and in selected severe tremor or dystonia. Suitability is assessed clinically, with referral to a DBS centre where appropriate.

There is no cure at present, but treatment controls symptoms effectively for many years. Early diagnosis, correctly titrated medication and consistent exercise and physiotherapy make a substantial difference to long-term function and independence.