Quick Answer
Rest tremor suggests parkinsonian biology; action tremor suggests essential or enhanced physiologic.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Tremor is classified by when it appears: at rest (parkinsonian), on posture/action (essential/enhanced physiologic) or with intention. Medication, caffeine, thyroid and anxiety review is essential —— many tremors are drug-induced.
At Kathmandu Neurology Clinic, Dr. Jitendra Prasad Yadav (NMC 8029) examines distribution, activation condition, associated features (bradykinesia, rigidity, gait) and titrates only after cause is clarified. No scan diagnoses tremor alone; exam is central.
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for tremor.
See /conditions/tremor and /conditions/parkinsons-disease.
Frequently asked questions
Answers reviewed by Dr. Jitendra Prasad Yadav • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
No. Essential tremor is more common and occurs on action. Parkinsonian tremor is classically at rest with slowness and stiffness. Only examination distinguishes.
Yes, stress, fatigue, and caffeine often amplify tremor amplitude but do not cause the underlying disorder.
No; essential tremor and other conditions also cause tremor and need evaluation.
No; some people present with slowness or stiffness without tremor. Specialist evaluation distinguishes Parkinson's from other causes.
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References & Review
Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
- International Classification of Headache Disorders, 3rd edition (ICHD-3).
- Harrison's Principles of Internal Medicine — Neurology sections.
- American Academy of Neurology guidelines for selected conditions (where applicable).
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.