Is “hand shaking” Parkinson’s?

“Hand shaking”, or tremor, is one of the most common clinical symptoms in neurology. Besides Parkinson’s disease, the most common disease is idiopathic tremor.

idiopathic tremor is also known as familial tremor. About 60% of patients have a family history. Postural or motor tremor is the only manifestation and the disease progresses slowly. Patients usually begin with the upper limbs and often develop to the head, face, tongue and mandible. The cases involving trunk and bilateral lower limbs are rare, only in the late stage of the disease, and the degree is lighter than that of the upper limbs. The response of patients with idiopathic tremor to ethanol is characteristic. In many patients, even a small amount of alcohol can reduce tremor. Most of the patients with idiopathic tremor were relieved after drinking alcohol, but it was only temporary and lasted for 2-4 hours. The tremor became worse the next day. Therefore, patients with tremor are sometimes asked to drink a small amount of alcohol to identify early Parkinson’s disease and idiopathic tremor.

idiopathic tremor is mainly treated with drugs, which are effective for most patients with idiopathic tremor. However, western medicine in the treatment of idiopathic tremor, the use of some anticholinergic drugs, dopamine substitutes and sedative drugs, can only control the clinical symptoms, and will not be cured, and long-term use will damage the liver and kidney, so if the early tremor does not affect daily life, you can postpone the use of drugs, and when daily activities are affected, give a small dose of drugs. In patients with idiopathic tremor, surgical benefit is relatively low and is not recommended.

patients should maintain food diversity in their daily life. Diversified food can meet the body’s needs for various nutrients, but also make the diet itself full of fun. Eating happily in a relaxed environment and atmosphere can help relieve symptoms. If the tremor is serious in the late stage, the family members should encourage them to take more self-care, such as button up, tie shoelaces, raise chopsticks to eat. We should strengthen active exercise, balance training and increase independence as much as possible. Focus