Understanding the causes and symptoms of essential tremor

Essential Tremor: Understand the symptoms, causes, and treatment options. Learn the key differences between Essential Tremor vs Parkinson's for an accurate view.

1 February, 2026

A tremor in your hands can be alarming, but understanding the cause is key. Don't miss this clear, expert guide to Essential Tremor, a common movement disorder. Learn how to identify and manage the symptoms effectively.

What are the main causes of Essential Tremor?

  • The exact cause of essential tremor is not fully understood, but it is considered a neurological disorder affecting the cerebellum and its connections.
  • There is a strong genetic component, as about half of all cases are inherited from a parent through an autosomal dominant inheritance pattern.
  • Unlike tremors from other conditions, it is not caused by another disease, though its symptoms can be worsened by stress, fatigue, or caffeine.
A visual guide to essential tremor symptoms

Key symptoms of Essential Tremor to watch for

  • The primary symptom is an involuntary, rhythmic shaking, most often a tremor in hands that occurs during voluntary movements like writing or drinking.
  • The tremor may also affect the head, voice, arms, or legs, and typically occurs on both sides of the body, though one side may be worse.
  • A key aspect of essential tremor vs Parkinson's is that the shaking happens during action, not typically when the muscles are at rest.

How is Essential Tremor managed and treated?

  • While there is no cure, essential tremor treatment focuses on managing symptoms, often with medications like beta-blockers, such as propranolol, or anti-seizure drugs.
  • Physical and occupational therapy can help improve muscle control, coordination, and function, making daily tasks easier to perform for many patients.
  • For severe cases that do not respond to medication, more advanced treatments like deep brain stimulation (DBS) or focused ultrasound may be considered.

>>> Learn more: Parkinson's disease - New treatments for motor and non-motor signs

The top Essential Tremor images everyone is searching for

A diagram of deep brain stimulation treatment
Physical therapy exercises for essential tremor
A neurologist examining a patient's hand tremor
A patient performing a writing test for tremors

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Living with essential tremor can be challenging, but effective management is possible. If you are experiencing persistent tremors, consult a neurologist for a proper diagnosis and to explore the best treatment plan for your specific needs.

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