Tremor
Involuntary, rhythmic muscle contractions causing shaking in one or more parts of the body, most often in the hands.
Understanding Tremor
Tremor is an involuntary, rhythmic muscle contraction leading to shaking movements in one or more parts of the body. It most commonly affects the hands but can also occur in the arms, head, vocal cords, torso, and legs. Common types include essential tremor, parkinsonian tremor, and cerebellar tremor. While not life-threatening, tremors can be disabling and significantly impact quality of life.
Summarized from public patient education published by the National Institutes of Health, the CDC, and Mayo Clinic. It is general information, not a diagnosis or a treatment recommendation for you.
The numbers
- ~10 million
- People in the United States are estimated to have essential tremor.
- Source: NINDS (NIH)
- 8x more common
- Essential tremor is far more common than Parkinson's disease.
- Source: International Essential Tremor Foundation
- Often inherited
- About half of cases appear to run in families.
- Source: NINDS (NIH)
- Action vs. rest
- Essential tremor typically appears with movement, while Parkinson's tremor is more often present at rest.
- Source: Mayo Clinic
Symptoms people describe
- Rhythmic shaking in hands, arms, or head
- Tremors that worsen with movement
- Voice tremors
- Tremors that worsen with stress or caffeine
- Difficulty performing fine motor skills
How it is treated
- Beta blockers
- Anti-seizure medications
- Botulinum toxin injections
- Deep brain stimulation
- Focused ultrasound
Which of these applies to you depends on your history and exam. We review the options with you rather than starting from a protocol.
What care looks like here
A full neurological evaluation by telehealth, alongside the five NEURO lifestyle domains — nutrition, exercise, unwinding stress, restorative sleep, and cognitive engagement — written into one plan you can read.
Before you book, three things to know
- Where we can see you
- Telehealth only, in the eight states where our clinicians hold licensure: Arizona, California, Florida, Georgia, Illinois, New Jersey, New York, Virginia.
- How payment works
- Out-of-network and cash-pay. We do not participate in Medicare or bill commercial insurance. You receive a superbill to submit yourself, and HSA and FSA cards are accepted.
- What it costs
- Initial neurological consultation $500. Follow-up visit $250. Comprehensive brain-health assessment $1,500. Prices are published, not quoted.
Who you would see
Clinicians affiliated with Healthopia Institute practice independently. Faculty affiliation means the clinician contributes to the Institute's protocols and education and meets its published standards. It is not a guarantee of outcomes and not an endorsement of individual clinical competence.
If this describes what you are living with, we can start with a conversation.
An initial consultation is a full neurological history and exam by telehealth — $500, cash-pay, in the eight states listed above.