Loading…
Loading…
Essential tremor is the most common movement disorder — causing action or postural tremor of hands, head or voice, often familial.
Quick Answer
Essential tremor is the most common movement disorder — causing action or postural tremor of hands, head or voice, often familial. Dr. Jitendra Prasad Yadav (NMC 8029, 15+ years of clinical experience) evaluates essential tremor at Kathmandu Neurology Clinic & Cognitive Center, 117 Lal Durbar Marg, Kathmandu, Bagmati Province 44600, Nepal — evidence-based, medically reviewed.
Essential tremor (ET) is the most common movement disorder, affecting ~4% of people over 40. It causes action or postural tremor — shaking when holding a posture or performing tasks — most commonly affecting the hands, but also head, voice and legs. It is typically bilateral, symmetric and slowly progressive.
Clinical diagnosis: action/postural tremor|Exclusion of other causes (Parkinson's — rest tremor, dystonia, medication-induced, thyroid, alcohol withdrawal)|Spiral drawing test
Propranolol (beta-blocker — first-line)
Management is individualized and discussed with benefits, limitations, and follow-up.
Primidone (anticonvulsant — alternative)
Content on this website is for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified healthcare professional. Always seek the advice of your physician or other qualified provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. In case of a medical emergency, contact emergency services immediately. No doctor–patient relationship is established by use of this site or by contacting the clinic through the site.
Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-11-10
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.
Doctor — medically reviewed
Dr. Jitendra Prasad Yadav
Consultant Neurologist & Headache Specialist • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
This condition guide was medically reviewed by Dr. Jitendra Prasad Yadav.
On this site
Article information
Emergency
For sudden neurologic change, thunderclap headache, or seizure >5 min, seek emergency services now.