TremorsSymptoms

Understand when tremors need urgent care and how physiotherapy improves coordination, strength and daily function.

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What are tremors?

Tremors are involuntary rhythmic shaking movements that can affect hands, arms, head, voice or other body parts. Many people improve with targeted exercises, coordination training and adaptive strategies.

Seek urgent care if tremors are sudden, severe, occur with weakness, speech changes, or affect breathing or swallowing.

Who it affects and typical treatment

Who it affects

  • People with neurological conditions like Parkinson's
  • Individuals with essential tremor or medication side effects
  • Those with anxiety, stress or fatigue-related tremors

Typical treatment plan

  • Coordination and balance training
  • Strengthening and fine motor exercises
  • Adaptive strategies and assistive devices

Common causes

Essential tremor

Most common cause of involuntary shaking, often hereditary.

Parkinson's disease

Resting tremor with stiffness and slow movement.

Medication side effects

Some drugs can cause tremor as a side effect.

Anxiety/stress

Emotional factors can trigger or worsen tremors.

Neurological conditions

Multiple sclerosis, stroke or brain injury.

Common symptoms

  • Rhythmic shaking of hands, arms, head or voice
  • Difficulty with fine motor tasks like writing or eating
  • Tremors that worsen with stress or fatigue
  • Problems with balance and coordination

Related symptoms: Balance problems, Coordination problems

How a physiotherapist can help

  • Coordination and fine motor skill training
  • Balance and proprioception exercises
  • Adaptive strategies and assistive device training

Effective treatments

Neurological physiotherapy

  • Coordination and balance training
  • Fine motor skill development

Neurological physiotherapy

Therapeutic exercise

  • Strengthening and stability exercises
  • Adaptive movement patterns

Therapeutic exercise

See all physiotherapy treatments

At‑home management

Stress management

  • Deep breathing and relaxation techniques
  • Adequate sleep and regular routine
  • Avoid caffeine and stimulants

Adaptive strategies

  • Use heavier utensils and adaptive devices
  • Hold objects close to the body
  • Take breaks during fine motor tasks

Exercise routine

  • Gentle coordination exercises daily
  • Balance and proprioception work
  • Maintain overall fitness and strength

Work with your healthcare team to develop a personalised management plan.

What to expect in physiotherapy

1) Assessment

  • Tremor pattern, coordination and balance evaluation
  • Agree goals (daily function, independence)

2) Plan

  • Coordination training and adaptive strategies
  • Balance work and assistive device training

3) Progress

  • Advance exercises and independence
  • Long-term management and maintenance

Progress varies by individual and underlying cause.

Medical Disclaimer

This information is for educational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.