If your hands shake while writing, eating, drinking tea, or performing daily activities, you may have Essential Tremor (ET). Essential Tremor is one of the most common movement disorders and can significantly affect confidence, independence, and quality of life.
Dr Vibha Gaonkar provides comprehensive evaluation and treatment for Essential Tremor, including medications and advanced surgical options such as Deep Brain Stimulation (DBS) for suitable patients.
Essential Tremor is a neurological condition that causes involuntary shaking, most commonly affecting the hands.
Unlike Parkinson's disease, tremors in Essential Tremor usually become more noticeable when the hands are being used—for example while:
The condition often develops gradually and may run in families.


Symptoms may include:
✓ Shaking of the hands
✓ Head tremor ("yes-yes" or "no-no" movement)
✓ Voice tremor
✓ Tremor while writing
✓ Difficulty eating with a spoon
✓ Spilling liquids while drinking
✓ Tremor that worsens with stress, anxiety, or fatigue
Many patients initially dismiss the problem as nervousness or aging, delaying diagnosis and treatment.
The exact cause is not completely understood.
Research suggests abnormal activity within brain circuits responsible for movement coordination may contribute to tremor.
In many patients, there is a family history of similar symptoms.

You should seek medical evaluation if:
Early treatment may help improve quality of life and maintain independence.
Yes.
Many patients experience significant improvement with medication.
Treatment may include:
Treatment is individualized based on symptom severity and patient needs.


For patients with severe tremors that do not respond adequately to medication, Deep Brain Stimulation (DBS) may be an effective option.
DBS involves placing thin electrodes in specific areas of the brain to help control abnormal tremor signals.
Potential benefits include:
✓ Significant tremor reduction
✓ Improved ability to write
✓ Easier eating and drinking
✓ Greater independence
✓ Improved quality of life
Many patients experience dramatic improvement in day-to-day activities following successful DBS surgery.
The effect of DBS on tremor is immediate and stark. DBS can make a large difference in the quality of life of patients with essential tremor.
Please reach us at vibha.gaonkar92@gmail.com if you cannot find an answer to your question.
No. Essential Tremor is generally not life-threatening, but it can significantly affect quality of life.
No. They are different neurological conditions.
In many patients, tremors gradually progress over time.
Yes. Many patients have a family history of tremor.
For carefully selected patients, Deep Brain Stimulation (DBS) can provide excellent tremor control.
If shaking hands, head tremors, or voice tremors are affecting your daily life, specialist evaluation can help identify the cause and explore effective treatment options.
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