A Simple Guide to Hand Tremors, Related Diseases and Use in Disease Diagnosis
By Kenneth Kee
3.5/5
()
About this ebook
Hand Tremors
I have seen so many hand tremors in my many years of medical practice.
Most of them are very obvious in some stroke and old people.
Hand tremors are important especially when the tremors affect the muscle functions of their hands.
One patient was so affected by her tremors that she could not use her scissors to cut hair as a hairdresser. One time the scissors nearly dropped into her customer’s lap while cutting her hairs.
That was when she came for a checkup and she was found to have a late and severe hyperthyroid condition. She improved after treatment and is back at her hairdressing job.
What are Hand Tremors?
A hand tremor is an involuntary, muscle contraction and relaxation involving to-and-fro movements (twitching) of the hands and fingers.
The best way to demonstrate a hand tremor is by placing a piece of paper on the outstretched fingers.
Slight movement of the paper is within normal physiological finger movements but shaking of the paper is obvious sign of tremors.
Tremor can be a symptom due to neurological disorders in those parts of the brain that control muscles throughout the body or in particular areas such as the hands.
There are 4 common tremors:
1. The resting tremors “pill rolling” movements of Parkinson Disease.
This type of tremors is maximal at rest and with emotion but inhibited by movement.
It is typical of Parkinson’s Disease.
2. Essential tremor.
This is an accentuation of normal physiological tremors which is present at rest and brought out by placing a piece of paper on the outstretched fingers.
a. It occurs in Thyrotoxicosis where it is associated with warm moist palms, exophthalmos and tachycardia.
b. Anxiety states may produce a similar tremor without the exophthalmos.
c. It also runs in families.
d. In alcoholics the tremor is often reduced by the ethanol and exacerbated by its withdrawal.
e. Taking caffeine may also bring out these tremors.
f. Certain drugs such as antidepressants, adrenergic, anticholinerigics, and xanthines
g. Cigarette withdrawal can also cause the tremors.
h. Low blood sugar together with cold sweats and chills can also cause the tremors
i. It also increases with age (Aging)
3. The Intention tremor of Cerebellar disease (finger-nose test)
It can occur in neurologically disease of the cerebellum especially if a stroke is affecting the cerebellar region.
It is reduced or absent at rest.
It is also associated with past-pointing, nystagmus and ataxia including truncal ataxia.
It is rare except in Multiple sclerosis.
4. Flapping tremor occurs in hepatic precoma and in the carbon dioxide retention of respiratory failure.
What is the treatment of Hand Tremors?
Treatment
There is no cure for most hand tremors.
Treatment may not be needed unless the tremor interferes with the daily activities or causes embarrassment.
The treatment depends on diagnosis of the cause.
Hand tremors respond to treatment of the underlying condition. Tremor caused by a medical condition such as hyperthyroidism will become better when the condition is treated.
If the tremor is caused by a certain medicine, stopping the drug will usually help it go away.
Non- Medical treatment:
1. Physiotherapy
A physiotherapist will test the patient for tremor positioning, muscle control and strength.
The patient must be taught to brace the affected hand during the tremor
He can also keep the affected arm close to the body in order to gain motion control.
Coordination and balancing exercises may help some patients.
2. Avoid caffeine and alcohol.
3. Psychological treatment
Medications
Medicines may help relieve symptoms.
TABLE OF CONTENT
Chapter 1 Hand Tremors
Chapter 2 Disease Diagnosis
Chapter 3 Parkinson Diseas
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
Read more from Kenneth Kee
Iodine Deficiency, A Simple Guide to the Condition, Treatment and Related Diseases Rating: 4 out of 5 stars4/5A Simple Guide to The Pineal Gland (The Third Eye) And Its Function Rating: 5 out of 5 stars5/5Avoidant Personality Disorder, A Simple Guide To The Disorder, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsShoulder Disorders, A Simple Guide To The condition, Diagnosis, Treatment And Improvised Treatment Rating: 5 out of 5 stars5/5Oppositional Defiant Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Hyper-Pigmentation Of The Skin A Simple Guide To The Condition, Treatment, And Related Conditions Rating: 5 out of 5 stars5/5Hernia, (Different Types) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5A Simple Guide to Skin Fungal Infections, (Updated 2023) Diagnosis, Treatment and Related Conditions Rating: 5 out of 5 stars5/5Dependent Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsCongestive Heart Failure, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Peripheral Neuropathy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5A Simple Guide to Psychosis, Diagnosis, Treatment and Related Conditions Rating: 0 out of 5 stars0 ratingsA Simple Guide to Anemia, Treatment and Related Diseases Rating: 5 out of 5 stars5/5Ankylosing Spondylitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsIntestinal Parasitic Diseases, A Simple Guide to These Conditions Rating: 4 out of 5 stars4/5Vitamin B12 Deficiency, A Simple Guide To The Condition, Treatment And Related Diseases Rating: 5 out of 5 stars5/5Case Notes From A Family Doctor Rating: 5 out of 5 stars5/5Lymphedema (Lymph Obstruction), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsSulfur Deficiency, A Simple Guide To The Condition, Treatment And Related Conditions Rating: 3 out of 5 stars3/5Paranoid Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5A Simple Guide to Oxygen Therapy, Diagnosis, Treatment and Related Conditions Rating: 0 out of 5 stars0 ratingsLiver Cirrhosis, A Simple Guide To The Condition, Treatment And Related Diseases Rating: 0 out of 5 stars0 ratingsCervical Spondylosis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Delusion Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsMelasma, (Chloasma) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsElectrolyte Imbalance, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 1 out of 5 stars1/5
Related to A Simple Guide to Hand Tremors, Related Diseases and Use in Disease Diagnosis
Titles in the series (50)
A Simple Guide to Sexually Transmitted Diseases Rating: 5 out of 5 stars5/5A Simple Guide to Liver Diseases Rating: 0 out of 5 stars0 ratingsA Simple Guide to Hypertension and Heart Diseases Rating: 5 out of 5 stars5/5A Simple Guide to Sexual Health Rating: 5 out of 5 stars5/5A Simple Guide to Skin Polyp and Other Polyps Rating: 5 out of 5 stars5/5A Simple Guide to Bad Breath and Mouth Diseases Rating: 5 out of 5 stars5/5A Simple Guide to Sleep Disorders Rating: 5 out of 5 stars5/5A Simple Guide to Dementia and Alzheimer's Diseases Rating: 5 out of 5 stars5/5A Simple Guide to Hemorrhoids and Anal Diseases Rating: 0 out of 5 stars0 ratingsA Simple Guide to AutoImmune Diseases Rating: 0 out of 5 stars0 ratingsA Simple Guide to Water Borne Diseases Rating: 0 out of 5 stars0 ratingsA Simple Guide to Myopia and Refractive Eye Diseases Rating: 0 out of 5 stars0 ratingsA Simple Guide to Genetic Diseases Rating: 5 out of 5 stars5/5A Simple Guide to Alternative Therapy Rating: 0 out of 5 stars0 ratingsA Simple Guide to Stye and Related Eyelid Diseases Rating: 0 out of 5 stars0 ratingsA Simple Guide to Depression and Bipolar Disease Rating: 0 out of 5 stars0 ratingsA Simple Guide to Eating Disorders Rating: 1 out of 5 stars1/5A Simple Guide to Vitamins, Minerals and Health Rating: 0 out of 5 stars0 ratingsA Simple Guide to Blindness and Related Eye Diseases Rating: 0 out of 5 stars0 ratingsA Simple Guide to Thyroid Diseases Rating: 3 out of 5 stars3/5A Simple Guide to Plantar Fascilitis and Heel diseases Rating: 0 out of 5 stars0 ratingsA Simple Guide to Kidney Stones and Kidney Diseases Rating: 0 out of 5 stars0 ratingsA Simple Guide to Women's Health Rating: 0 out of 5 stars0 ratingsA Simple Guide to Deafness and Related Ear Diseases Rating: 0 out of 5 stars0 ratingsA Simple Guide to Men's Health Rating: 2 out of 5 stars2/5A Simple Guide to Childhood Infectious Diseases Rating: 5 out of 5 stars5/5A Simple Guide to The Posture, Spine Diseases and Use in Disease Diagnosis Rating: 0 out of 5 stars0 ratingsA Simple Guide to Back Pain and Other Spine Disorders Rating: 0 out of 5 stars0 ratingsA Simple Guide to Celiac Disease and Malabsorption Diseases Rating: 0 out of 5 stars0 ratingsA Simple Guide to Back Pain and Other Spine Disorders Rating: 0 out of 5 stars0 ratings
Related ebooks
Vertigo, A Simple Guide to The Condition, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Peripheral Neuropathy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Hypokalemic Periodic Paralysis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsSpinal Stenosis And Pinched Nerve A Simple Guide to These conditions Rating: 5 out of 5 stars5/5Myasthenia Gravis, A Simple Guide To The Condition, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsRinging in Ears (Tinnitus), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Temporal Lobe Epilepsy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Nystagmus, (Rapid Eye Movements) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsDizziness, A Simple Guide to The Condition, Diagnosis, Treatment And Related Conditions Rating: 3 out of 5 stars3/5Cluster Headache, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsSleep Problems, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Transient Ischemic Attack, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsDifferent Sleep Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsStroke How to Deal with It! Rating: 0 out of 5 stars0 ratingsCervical Radiculopathy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsPseudobulbar Palsy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsCarpal Tunnel Syndrome, A Simple Guide To The Condition, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Lupus: Natural Treatment Protocols for Complete Recovery Rating: 0 out of 5 stars0 ratingsA Simple Guide to Stroke, (Cerebrovascular Infarction) Diagnosis, Treatment and Related Conditions Rating: 0 out of 5 stars0 ratingsTorsade De Pointes, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsA Simple Guide to Dizziness and Related Diseases Rating: 0 out of 5 stars0 ratingsThe Clinician's Guidebook to Lumbar Spine Disorders: Diagnosis & Treatment Rating: 0 out of 5 stars0 ratingsHeart Palpitations, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsTardive Dystonia, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsEpilepsy: An Introduction Rating: 0 out of 5 stars0 ratingsGuillain Barre Syndrome A Simple Guide To The Condition, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsBenign Fasciculation Syndrome, (Muscle Twitching) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsDelirium, (Confusional State) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsBreaking the Headache Cycle: A Proven Program for Treating and Preventing Recurring Headaches Rating: 4 out of 5 stars4/5Headaches, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratings
Wellness For You
Sex Hacks: Over 100 Tricks, Shortcuts, and Secrets to Set Your Sex Life on Fire Rating: 4 out of 5 stars4/5The Subtle Art of Not Giving a F*ck: A Counterintuitive Approach to Living a Good Life Rating: 4 out of 5 stars4/5Brain Hacks: 200+ Ways to Boost Your Brain Power Rating: 4 out of 5 stars4/5A Woman's Guide to Oral Sex: Your guide to incredible, exhilarating, sensational sex Rating: 3 out of 5 stars3/5The Little Book of Hygge: Danish Secrets to Happy Living Rating: 4 out of 5 stars4/5The Big Book of 30-Day Challenges: 60 Habit-Forming Programs to Live an Infinitely Better Life Rating: 4 out of 5 stars4/5The Illustrated Easy Way to Stop Drinking: Free At Last! Rating: 4 out of 5 stars4/5Thinner Leaner Stronger: The Simple Science of Building the Ultimate Female Body Rating: 4 out of 5 stars4/5The Alchemy of Herbs - A Beginner's Guide: Healing Herbs to Know, Grow, and Use Rating: 5 out of 5 stars5/5Mating in Captivity: Unlocking Erotic Intelligence Rating: 4 out of 5 stars4/5Glucose Revolution: The Life-Changing Power of Balancing Your Blood Sugar Rating: 5 out of 5 stars5/5Feeling Good: The New Mood Therapy Rating: 4 out of 5 stars4/5The Diabetes Code: Prevent and Reverse Type 2 Diabetes Naturally Rating: 4 out of 5 stars4/5Summary of Anna Lembke's Dopamine Nation Rating: 4 out of 5 stars4/5When the Body Says No Rating: 5 out of 5 stars5/5The Wim Hof Method: Activate Your Full Human Potential Rating: 5 out of 5 stars5/5Deep Nutrition: Why Your Genes Need Traditional Food Rating: 4 out of 5 stars4/5How Am I Doing?: 40 Conversations to Have with Yourself Rating: 5 out of 5 stars5/5Bigger Leaner Stronger: The Simple Science of Building the Ultimate Male Body Rating: 5 out of 5 stars5/5The Secret Language of Your Body: The Essential Guide to Health and Wellness Rating: 5 out of 5 stars5/5Childhood Disrupted: How Your Biography Becomes Your Biology, and How You Can Heal Rating: 4 out of 5 stars4/5How Not to Diet: The Groundbreaking Science of Healthy, Permanent Weight Loss Rating: 4 out of 5 stars4/5Why We Sleep: Unlocking the Power of Sleep and Dreams Rating: 4 out of 5 stars4/5
Reviews for A Simple Guide to Hand Tremors, Related Diseases and Use in Disease Diagnosis
3 ratings0 reviews
Book preview
A Simple Guide to Hand Tremors, Related Diseases and Use in Disease Diagnosis - Kenneth Kee
A
Simple
Guide
to
Hand Tremors,
Related Diseases
And
Use in Diagnosis of Diseases
by
Dr Kenneth Kee
M.B., B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2013 Smashwords Edition
Published By Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
to my wife Dorothy
and my children
Carolyn, Grace
and Kelvin
This book describes the symptom Hand Tremors and the Its Use in Diseases Diagnosis such as Parkinson Disease, Cerebellar Disease, Hyperthyroidism, Anxiety, Alcoholism, Liver Disease and other Diseases which are seen in some of my patients in my Family Clinic.
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Chapter 1
Hand Tremors
I have seen so many hand tremors in my many years of medical practice.
Most of them are very obvious in some stroke and old people.
Hand tremors are important especially when the tremors affect the muscle functions of their hands.
One patient was so affected by her tremors that she could not use her scissors to cut hair as a hairdresser. One time the scissors nearly dropped into her customer’s lap while cutting her hairs.
That was when she came for a checkup and she was found to have a late and severe hyperthyroid condition. She improved after treatment and is back at her hairdressing job.
What are Hand Tremors?
A hand tremor is an involuntary, muscle contraction and relaxation involving to-and-fro movements (twitching) of the hands and fingers.
The best way to demonstrate a hand tremor is by placing a piece of paper on the outstretched fingers.
Slight movement of the paper is within normal physiological finger movements but shaking of the paper is obvious sign of tremors.
Tremor can be a symptom due to neurological disorders in those parts of the brain that control muscles throughout the body or in particular areas such as the hands.
There are 4 common tremors:
1. The resting tremors pill rolling
movements of Parkinson Disease.
This type of tremors is maximal at rest and with emotion but inhibited by movement.
It is typical of Parkinson’s Disease.
2. Essential tremor.
This is an accentuation of normal physiological tremors which is present at rest and brought out by placing a piece of paper on the outstretched fingers.
a. It occurs in Thyrotoxicosis where it is associated with warm moist palms, exophthalmos and tachycardia.
b. Anxiety states may produce a similar tremor without the exophthalmos.
c. It also runs in families.
d. In alcoholics the tremor is often reduced by the ethanol and exacerbated by its withdrawal.
e. Taking caffeine may also