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Tremor is an involuntary rhythmic shaking, most often of hands, that can reflect essential tremor, Parkinsonian tremor, or other neurological causes.
Quick Answer
Tremor is an involuntary rhythmic shaking, most often of hands, that can reflect essential tremor, Parkinsonian tremor, or other neurological causes. Dr. Jitendra Prasad Yadav (NMC 8029, 15+ years of clinical experience) evaluates tremor at Kathmandu Neurology Clinic & Cognitive Center, Durbar Marg, Opposite of Yak & Yeti Hotel, Kathmandu 44600, Nepal — evidence-based, medically reviewed.
Tremor is common and not always Parkinson's disease. Essential tremor is action-related and often familial, while Parkinsonian tremor is classically at rest. Medication effects, thyroid disease, anxiety, and cerebellar disorders also cause tremor. Characterization by timing, frequency, and associated features guides evaluation.
History of activation, family, medication review, neurological examination focusing on rest vs action vs postural components; labs and imaging only as indicated.
Depends on cause: education, trigger review, discussion of options where frequent or disabling under specialist guidance; no guaranteed cure.
Management is individualized and discussed with benefits, limitations, and follow-up.
Review medications, limit caffeine where sensitive, manage thyroid and stress contributors, and seek early evaluation for persistent tremor.
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.
Yes — bronchodilators, some antidepressants, lithium, valproate, and thyroid hormone excess are examples. Review with your clinician.
Sudden tremor with confusion, fever, or after new medication, or tremor with weakness/speech change, warrants prompt care.
No specific prevention; early evaluation and medication review may reduce reversible contributors.
Cognitive Health
Parkinson's Care in Kathmandu —— Tremor, Slowness and Continuity
Parkinson's care in Kathmandu: clinical diagnosis, medication titration and rehabilitation coordination with Dr. Jitendra (NMC 8029).
Neurology
Tremor Evaluation in Kathmandu —— Rest vs Action, Essential vs Parkinsonian
Tremor evaluation in Kathmandu: rest vs action tremor, drug review and movement analysis with Dr. Jitendra (NMC 8029).
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: 2026-09-04
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.
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