Tremor - hand; Hand tremor; Tremor - arms; Kinetic tremor; Intention tremor; Postural tremor
A tremor is a type of involuntary shaking movement. Involuntary means you shake without trying to do so. A tremor is often most noticeable in your hands, but may affect any body part (even your head or voice).
There are three main types of tremors:
Tremors can happen at any age but tend to be more common in older people. Everyone has some tremor when they move their hands. Stress, fatigue, anger, fear, caffeine, and cigarettes may temporarily make this type of tremor worse.
However, a tremor that does not go away over time may be a sign of an underlying medical problem and should be evaluated. You may learn that your tremor is perfectly normal, but eliminating medical reasons for the shaking is important.
Essential tremor is the most common tremor. It is rarely seen when the hands are not being used. It becomes most apparent when you are trying to do something, such as reaching for an object or writing. It is not caused by an underlying disease. This type of tremor may also run in families.
Tremor may be caused by:
Fahn S. Hypokinesia and hyperkinesia. In: Goetz CG. Textbook of Clinical Neurology. 3rd ed. St. Louis, Mo: WB Saunders; 2007:chap 34.