Postural tremor of the hands, arms, and other parts of the body is caused by tension. He is known in medicine as tremor poses. This pathological condition accompanies a wide range of diseases. Doctors have been studying the features of such a pathology for a long time, so quite extensive information has been accumulated about the features of the course, correction methods, and complications that people who suffer from tremor poses have to face. Consider this topic in more detail.
Symptoms and manifestations
The type of tremor in question is not a disease in itself. It may indicate multiple sclerosis. There are cases when the tremor developed on the background of Parkinson's disease. It can accompany degenerative processes in corticobasal tissues. Tremor is fixed against a background of motor problems caused by drug therapy. Possible family, benign tremor. Sometimes the syndrome accompanies hypercapnic encephalopathy. To determine what the patient’s diagnosis is, it is necessary to organize a full-fledged study.
Consider that there are several types of tremor. With a number of pathologies, several forms are observed simultaneously. Below we consider different options for combined states.
Theoretical introduction
Tremor of fingers, hands and other parts of the body in a postural form develops due to heredity, against the background of poisoning with medicines, chemical compounds, and also due to a variety of diseases. Often, the condition accompanies pathological processes that occur in the thyroid gland. It is easy to feel and notice the tremor, because during the attack muscle breakage appears, the tissues contract, relax. Processes occur abruptly. The muscle is trembling. This is especially noticeable if a person stretches out his arms and tries to keep his limbs on weight or concentrates on some activity, for example, walking. Symptoms become stronger under the influence of stress. Tremor is expressed in case of nervous strain.
It is known that the pathological condition usually appears or worsens due to excessive use of drugs, drug use, alcohol-containing drinks. The risks of deterioration are associated with the use of coffee of high strength. Energy drinks can lead to tremors, they also worsen the already existing deviation. The likelihood of a pronounced manifestation is characteristic of the period of the influence of stress, excessive excitement, fright. Tremor becomes stronger if a person gets tired, muscles strain. Sometimes this condition indicates a fever, impaired thyroid function.
How to help?
Knowing in a specific case the causes of tremor (arms, legs, and not only) that provoked in children and adults, it is possible to choose suitable measures for correcting the condition. Physical relaxation is required, relaxation. At the reception, the doctor will explain what exercises can be done that will help a particular patient. In this case, the localization of tremor will be taken into account. Rest is always useful. Soothing drinks, herbal teas should be included in the diet. It is recommended to do various procedures that stabilize the nervous state of a person. Muscular manipulations have been developed that allow you to take control of your body in order to reduce the number of unpredictable contractions or completely get rid of this problem. Having mastered such techniques, a person learns to better control himself.
If tremor poses are detected, you will have to reconsider the diet and daily routine. Refuse any products that irritate the nervous system, exclude caffeine, energy and a variety of invigorating substances. Avoid irritants that affect the nervous system. In general, the condition becomes better if you sleep a lot and have a good rest. An ideal regimen implies rest to bed before the onset of symptoms (or its exacerbation), as well as a long and high-quality rest. It is proved that such a relatively simple measure allows you to take the tremor under control and achieve a strong weakening of symptoms.
About medicines
To find out how to treat tremor, you should contact a doctor who will clarify what caused the condition, and will pick up medications based on this. Prescribe sedatives, funds containing propranolol. Beta blockers are a good effect. All these drugs affect the human brain, stabilizing the complex functioning of the internal organs. By taking these remedies, you can completely stop shivering, which is a key symptom.
Since tremor is possible due to excessive intake of chemicals, drug products, it is necessary to check whether there is such a factor, and if it is detected, eliminate it. Among chemical compounds, mercury is especially dangerous. By limiting or completely abandoning hazardous substances (including drugs), the patient's health can be improved. In some cases, surgery is indicated. They install an implant that controls the tremors of a specific part of the body or a generalized symptom.
Shape and Type
As mentioned above, postural tremor of hands, hands, feet is a condition that is also known in medicine as tremor of posture. All cases of tremor are generally divided into two categories: rest tremor and action. In the first case, the phenomenon is observed when muscle tissue is inactive; in the second, arbitrary tissue contractions are observed. In addition to postural kinetic action tremor. Postural often accompanies an attempt to maintain some specific posture. Kinetic is fixed when a person seeks to do something. The closer he gets to his goal, the stronger the trembling becomes. A classic example of this condition is intentional. Consider the different options and types of tremor, we will analyze what phenomena they are formed from and how they can be corrected.
Physiological tremor
Most often, this type of tremor is a postural syndrome. The frequency is quite high - about 8-12 Hz. Sweeping movements are not observed. Often a person simply does not notice the phenomenon until some point. There is a danger of occurrence in various parts of the body. Sometimes observed over the centuries. It is necessary to first analyze, planning to select the treatment, the causes of tremor (hands, feet, fingers and so on). Usually tremor is caused by excessive psychological stress or physical activity, severe muscle fatigue. Perhaps the manifestation of withdrawal symptoms against the background of a sudden rejection of alcohol-containing drinks. The physiological form is observed if the working capacity of the internal secretory organs is impaired, thyrotoxicosis, adrenal tumor, and diabetic disease develop. Possible causes are mercury poisoning, the influence of carbon monoxide, the penetration of arsenic into the body. There are known cases of physiological tremor against the background of excessive intake of caffeine. This tremor is sometimes explained by the influence of medications. More often observed against the background of lithium preparations, antipsychotics, valproate. It can be provoked by certain types of antidepressants, dopaminergic agents.
When deciding how to start treatment of tremors (hands, eyelids, fingers) after determining the causes, first of all, they select adequate therapy based on the current disease. If it is possible to correct the factors provoking tremor, they are possibly excluded altogether. It is necessary to completely remove alcohol from life, reduce the volume of coffee, try to avoid stress factors. If there is no result, the doctor prescribes beta-blockers.
Essential tremor
This form in medical practice is most common. Combined condition: kinetic, postural. The incidence rate reaches 7%. The condition is extrapyramidal pathological, that is, it does not signal another disease, but in itself is a disease. There are two main types: hereditary, sporadic. The first type of postural-kinetic tremor of the hands, feet, and other areas is observed in approximately 60% of patients with this diagnosis. The inheritance mechanism is autosomal dominant. For the first time, symptomatology manifests itself on average at the age of 35 with a possible deviation of five years up and down. However, there are many cases when such a tremor indicated symptoms almost from birth. Sporadic first appears no earlier than 60 years of age, although rarely the first symptoms come later than 70 years of age. Senile tremor belongs to this class. Its alternative name is senile. At first, the phenomenon is disturbed by attacks due to overload, mental stress, and therefore does not attract the attention of a person.
More often, postural-kinetic tremor simultaneously develops on both sides. Brushes are especially trembling if a person tries to draw a circle and stretch his arms forward if he eats using a spoon. Over time, the phenomenon covers the head, swaying is observed on the principle of negative, conciliatory head movements. Perhaps a condition in which there are no other symptoms. Others are affected by the tongue, tremor covers the eyelids, ligaments responsible for the ability to speak, jaw. At different times of the day, manifestations may vary in severity. During sleep, there are no symptoms, which indicates a similarity of pathology with other extrapyramidal. With excessive fatigue, the amplitude becomes stronger. This accompanies overheating, stress, coffee, stimulants of the psyche, energy. Many note that when drinking a small dose of alcohol, tremor disappears. This provokes some to alcoholism, due to which, over time, the essential state is supplemented by a physiological one.
Features and Therapy
Essential (kinetic, postural) tremor often manifests itself with a frequency of no more than 10 Hz. Over the years, the frequency tends to decrease to 4 Hz. As the condition worsens, rest tremor is observed. Pathology is recognized as benign. It is generally accepted that it lends itself to therapy. Moreover, the probability of obtaining disability status reaches 18%.
Having diagnosed an essential tremor caused by heredity or age-related changes, the doctor prescribes treatment to correct the manifestations. So far it has not been possible to develop methods for influencing the root cause. Treatment is indicated if the symptoms greatly reduce the quality of life. Recommended sedation. You can use motherwort, valerian tinctures. It is noted that all persons with this diagnosis suffer from aggressive negative thoughts, they are afraid of becoming disabled due to serious illnesses. For many, taking sedatives alone is already sufficient to relieve tremors. Sometimes beta-blockers are additionally indicated. They use drugs containing metopro-, nado-, propralol. Good results are given by the appointment of funds with anaprilin.
Essential form: more about treatment
Since the causes of tremor cannot be corrected in both children and adults, it becomes necessary to prescribe symptomatic treatment, sometimes you have to take quite potent drugs. The use of such funds is associated with increased risks of intolerance. If the drugs mentioned above provoke such an organism response, the doctor prescribes anticonvulsant drugs. Most often used by those whose active ingredients are primidone, hexamidine. If they are ineffective or not suitable, resort to topiramate, gabapentin.
In some cases, the doctor, explaining how to get rid of tremor, talks about the effects of levadopa. Drugs with clonazepam or the introduction of botulinum toxin A may be prescribed. If the condition is serious, all of the listed remedies are ineffective, neurosurgical therapy is necessary. It is necessary to stimulate the nuclei of the thalamus with electric current.
Parkinsonian tremor
Often, the cause of tremor in adults is Parkinson's disease. Tremor is possible with secondary parkinsonism against the background of other root causes - taking medications, poisoning the body, previous trauma or vascular disease. The forms of tremor in such individuals are diverse. A typical option is tremor of rest, the frequency of movements is about 4-6 Hz. Trembling intensifies when a person is calm, speaks, steps, watches TV. A person can do the exact actions without any particular difficulty - to dress, to eat. This type of tremor usually affects the limbs, chin. The head trembles rarely. The condition is usually one-sided, this character has been observed for many years. A combination of several forms of tremor is possible. A combination of resting tremors and posture is more commonly observed. Diagnosis shows a recurring tremor due to a late shiver: if a person is asked to stretch his hands, his hands will begin to tremble only a quarter of a minute after that.
Explaining to the patient how to get rid of tremor, the doctor will emphasize the need to use medicines. Prescribe drugs that are effective in Parkinson's disease. They write out “Stalevo”, “Levadopa”, “Uumex”. If the condition is secondary, you need to determine the primary primary disease and choose the appropriate method of treatment.
Cerebellar tremor
This is intentional, under certain conditions, turning into a postural tremor. A pathological condition is observed if the cerebellum or the connection of the elements of the organ is damaged. Most often, it transforms into postural syndrome if a person is sick with multiple sclerosis. The frequency of the phenomenon is estimated at 2.5 Hz on average. The limbs, head, body are affected. Development is possible on the one hand or symmetrically. In addition, other features appear that indicate cerebellar ataxia.
Since degeneration in the cerebellum is a difficult process, it is very difficult to cure intentional or postural tremor. The patient is prescribed a therapeutic program consisting of gymnastics, which is most suitable for the identified violation. This helps to alleviate symptoms. To weight the limbs, it is shown to use bracelets, the weight of which can reach 0.8 kg. The doctor prescribes medicinal formulations. They use funds, which include pregabalin, primidone, finlepsin. Pharmaceutical products containing ondansetron, diazepam, isoniazid are known for their effectiveness.
Rubral tremor
This is a combined phenomenon: kinetic, postural tremor. The frequency is quite low - about 3 Hz. The amplitude is quite large. Arrhythmia of movements is possible. As you approach the goal, the amplitude becomes more significant. Often, this condition accompanies violations of the midbrain with a previous heart attack, stroke. The condition is combined with other manifestations - eye movement disorders, paralysis.
Treatment involves fighting the underlying disease. To ease the symptoms, the patient is prescribed levodopa. Drugs that contain proserin, clonazepam will benefit. Valproates, hexamidine are often included in the therapeutic course. Injections of botulinum toxin into tremor-affected muscle tissue are sometimes indicated.
Dystonic tremor
This condition is observed with dystonia, accompanies focal, generalized cases. The phenomenon is asymmetric, low-frequency, observed while maintaining a dystonic position. The amplitude increases if the patient resists hyperkinesis. Treatment involves combating the underlying syndrome. Additionally trained to make corrective gestures. This makes the case easier.
Neurotic tremor
This phenomenon is usually also combined, tremors of posture and movement are observed simultaneously. They have a large amplitude. The cause is often polyneuropathy. There may be inherited genetic diseases. These include atrophic disease, recorded in the directory under the name Charcot-Marie-Tooth. The root cause may be acquired diseases - foci of inflammation against the background of a neuropathy of the demyelinating type, polyneuropathy in diabetes or uremia. In order to attenuate an undesirable phenomenon, it is necessary to choose an adequate course of the initial disease. Sometimes primidone is indicated. As can be seen from the reviews dedicated to the treatment of tremor, pharmaceutical products containing anaprilin, propranolol may be prescribed.
Psychogenic tremor
The condition is observed against a background of hysteria, has an acute onset.The patient has violent emotions. In a matter of minutes, the amplitude, frequency of movements change greatly. As one can conclude from medical reviews devoted to the course of hysteria, tremor (postural, kinetic) can appear when a person is calm or when moving, the main condition is the presence of an external viewer. If you attract the attention of the patient, the strength of the manifestations immediately weakens. The patient gets tired, which greatly distinguishes the phenomenon from organic tremors.
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