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Health

Shivering in my hands

, medical expert
Last reviewed: 04.07.2025
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If you are unpleasantly surprised and upset by the fact that in a certain situation or for no apparent reason your hands start shaking, do not rush to panic and immediately run to a neurologist.

About 6% of the world's population faces a similar situation. But you shouldn't brush the problem aside either, because the causes of this pathology can be both pathological in nature and included in the symptoms of "normal" tremor.

Causes of hand tremors

So what are the causes of hand tremors? How dangerous is this symptom, and is it possible to get rid of it on your own, without turning to specialists? Everything in order.

I think many people have experienced this unpleasant feeling at least once, when a person gets lost and finds it difficult to concentrate. So what could be the reason that makes a person's hands shake?

This process of small back-and-forth movements of parts of the human body, and in this case the upper limbs, is referred to in medicine by the term " tremor ".

  • This physiological reaction of the body can be related to the manifestations of normal tremor. This pathological deviation is manifested by small twitching in the limbs, the cause of which can be an external irritant:
    • Psychological arousal of the human nervous system in a stressful situation (anxiety, overexcitement, depression, hysteria ) - this is explained by the fact that during emotional arousal, a hormonal surge occurs in the human body, during which the level of hormones in the plasma increases sharply, which is the catalyst for tremors of the upper limbs.
    • Physical activity: overexertion in the gym, professional activity associated with increased loads on the arms. Or, to put it simply, the upper limbs tremble from fatigue.
  • The causes of hand tremors may be associated with some serious pathology. Based on the nature of the tremors and accompanying symptoms, a qualified specialist can quite accurately suggest the disease causing the discomfort. This may be:
    • A profound depressive state that requires medical intervention.
    • Nervous disorders of various origins.
    • Parkinsonian tremor – shaking in the hands is constant and asymmetrical. With this disease, the right limb is subject to greater shaking than the left hand, but at the moment of concentration, when it is necessary to perform a certain action, the hands stop shaking.
    • Atrophic phenomena affecting the cerebellar region.
    • There is also the so-called essential tremor, which affects elderly people; cases of hereditary transmission of this symptom have been reported. The manifestation of essential tremor is similar to Parkinsonism, with the only difference being that the tremor of the right and left limbs occurs symmetrically. Hand tremor in this case is slightly noticeable.
  • Alcohol can provoke such symptoms. Just remember a chronic alcoholic who abuses strong drinks, with constantly shaking hands. Often this manifestation is associated with a morning hangover. After taking another dose of alcohol, the tremor goes away.
  • Similar symptoms are observed with drug abuse – this is how withdrawal manifests itself.
  • The cause of pathological manifestations may be taking prescribed medications. If such symptoms appear while taking medication, you must inform your doctor about it. In such a situation, the doctor should change the drug to another drug with a similar effect.
  • Myoclonus is the so-called rhythmic tremor. Functional shaking of the upper limbs occurs together with high-amplitude movements of the entire body and arms. This tandem is observed in the case of increased motor activity and disappears at the moment of muscle relaxation. This pathology is characteristic of:
  • Asterixis - arrhythmic asymmetrical twitching with tonic tension of the muscles of the limbs, as well as the trunk and neck, inability to maintain a fixed posture. Often this disease is also called "fluttering" movement. Such symptoms are observed, for example, in hepatic encephalopathy.
  • The cause of this symptom may be chronic fatigue, especially tremors, which are clearly visible when the body is stimulated by consuming energy drinks.
  • Hand tremors can be a consequence of changes in the quantitative component of glucose in the blood plasma. At the same time, a person may be overcome by general apathy and physical weakness. In this case, it is enough to eat a little sweet and the pathology is often stopped (but this applies to changes that are not associated with diabetes). You can measure the blood sugar level with a special mobile device, a glucometer, which can be bought at any pharmacy today.
  • This pathology can also be provoked by diseases of the spine, for example, osteochondrosis.
  • Numerous diets and long fasts.

To understand the cause and dot the i's, it is worth seeking help from a neurologist, especially if the patient observes trembling in the hands for a long time and even at rest.

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Hand tremors as a symptom

Tremor of the upper limbs is an unpleasant sensation that can be only a consequence of physical or emotional overstrain, and rest will be enough for such symptoms to disappear. But, sometimes, abnormal symptoms continue to be observed against the background of calm and tranquility, then hand tremor can become one of the first bells in the manifestation of more dangerous diseases. In this situation, hand tremors can be considered a symptom of one of the many diseases that, as they develop, can affect the receptors of the central nervous system, leading to tremor.

Let's try to consider the most common pathological causes of hand tremors.

  • Poisoning caused by various provoking factors. This may include food poisoning, chemical poisoning, drug poisoning, etc. Intoxication of the body can provoke neuroparalytic shock. Toxins negatively affect individual areas of the brain, leading to various disruptions in motor activity. In this situation, fine tremors in the hands are usually accompanied by nausea, increased sweating, headache, pale skin, vomiting, and may be accompanied by tremors of the lower extremities and loss of spatial orientation.
  • Essential or hereditary tremor. Mostly minor tremors that intensify when trying to tense the arms or when trying to hold them up. There is a family history, where the patient's parents have the same gene defect. This symptom usually affects other parts of the body.
  • Parkinson's disease is currently an incurable pathology that mainly affects old people. Simple excitement is enough for the motor amplitude to increase. Large tremors, distinguishable even at rest. A distinctive feature is that the tremor is asymmetrical.
  • Pathological changes affecting the "control center" located in the cerebellum of the brain. The cause of this pathology may be a craniocerebral injury or multiple sclerosis. The patient quickly gets tired, cannot touch the tip of the nose with closed eyes.
  • Wilson's disease - large, sweeping, rhythmic tremors are most visible at the slightest need to make a movement. At rest, the tremor is almost invisible.
  • The cause of this symptom may be hyperthyroidism - pathological failures in the thyroid gland, which has begun to produce excessive hormones. This failure "hits" the work of other internal organs.
  • Encephalitis, caused by the encephalitis tick, is one of the pathologies that can manifest itself as tremors in the upper limbs. It can be accompanied by muscle spasms, pain symptoms, and loss of sensitivity.
  • Unstable emotional state.

Tremors in legs and arms

Reciprocating, oscillating movements, characterized by rhythm or arrhythmia - all this is associated with rapid alternation of involuntary tension and relaxation of muscle tissue of the whole body or its individual parts. Most often, trembling can be observed in the legs and arms, in some cases, tremors of the head, jaw, and the whole body as a whole are added.

Mostly, such symptoms are noted when various factors converge. Both strong emotional excitement, panic fear, and chronic fatigue of the body can become a catalyst for trembling in the legs and arms. Tremors of the upper and lower extremities can also be provoked by drinking a large amount of stimulating drinks that spur a surge in the release of an increased number of adrenaline hormones into the blood: strong tea, coffee or alcoholic drinks. Their effect is especially enhanced by general fatigue or poor nutrition.

Often, trembling of the upper and lower extremities can be observed in elderly people. In this situation, we are most likely not talking about a specific disease. "Significant" trembling (the frequency of which is calculated in numbers from 6 to 10 motor pulsations over one second) has nothing to do with the disease and is observed in a small number of people, while they inherited it - there is a so-called family predisposition.

Tremors in the arms and legs can also be observed with Parkinson's disease, which does not go away even at rest. The speed of involuntary movements in a relaxed state fluctuates around four to five movements per second. These symptoms can also be observed with other pathologies affecting the brain stem. Tremors in the legs and arms can also be provoked by hyperthyroidism - an endocrine disease associated with increased production of thyroid hormones. Similar symptoms are shown by the body of a patient affected by hepatic encephalopathy, which develops with a cancerous tumor affecting the liver and negatively affecting the work of certain parts of the brain.

Similar symptoms can be observed in patients who have taken courses of drugs related to antidepressants, tranquilizers, amphetamines or psychotropic drugs. That is, chemical compounds that directly affect the psychoneuralgic sphere of a person.

Tremors in hands and body

With pathological damage to the cerebellar zone of the brain, tremors in the hands and body are observed. A person can get cerebellar tremor as a result of a craniocerebral injury, the cause of such a manifestation can be progressive multiple sclerosis, and it can also be a consequence of serious poisoning.

With this pathology, the intensity and amplitude of tremor increases with the growth of the patient’s motor activity and decreases in the case of rest.

The tremor form is also characteristic of Parkinson's disease (a combined pathology of slowly progressing chronic neurological diseases, united by similar symptoms and etiology). In Parkinsonism, there is a constant medium-amplitude tremor and/or tremor in the upper and lower extremities, as well as the tongue, lower jaw and head, of large amplitude. In parallel, increased muscle tone is observed.

Similar symptoms can be observed in cases of severe poisoning, when harmful toxins affect the nervous system, leading to its functional failure. Some potent medications can also cause such a manifestation. In this case, if even a slight tremor appears, it is necessary to tell your doctor who prescribed this therapy. Most quickly, he will correct the treatment by replacing the provoking drug with another analogue.

Often, trembling in the hands and body can be observed in alcoholism, in its advanced stage. Especially characteristic symptoms appear in the morning as a hangover syndrome. Sometimes another portion of alcohol is enough and the physical condition of the alcoholic somewhat stabilizes (this is akin to withdrawal in a drug addict).

Weakness and trembling in the hands

It is a very unpleasant feeling when “everything falls out of your hands” not in a figurative but in the literal sense of the word. And when weakness and trembling in the hands get to you, the situation becomes even more unpleasant. One of the reasons for such a combination may be a change in the level of glucose in the blood plasma. If this change is not associated with diabetes, it will be quite sufficient to drink a cup of warm sweet tea or eat something sweet. Usually this is enough to correct the situation.

In medical terms, this situation sounds like hypoglycemia, which is caused by the deterioration of the quality of processing and utilization of sugar by the cellular structure of the central nervous system. Many people know from childhood that glucose is a food product for brain cells and the main source of energy. Deficiency of this product in the human body invariably leads to various pathological changes (hypoxia), which subsequently pushes towards worsening failures in the work of carbon and protein metabolism occurring in the cells of the central nervous system.

Hypoglycemia acts as a catalyst, spurring the activity of the sympathoadrenal system. Such development of pathology provokes an increase in the level of adrenaline and noradrenaline (catecholamines) in the blood of the victim, which is manifested by characteristic vegetative symptoms. Such damage to the brain contributes to the appearance of drowsiness, weakness and trembling in the hands, rapid heartbeat, increased sweating in the patient.

Long-term carbon deficiency, leading to cerebral hypoxia, provokes not only functional disorders in the normal functioning of individual parts of the brain, but also leads to morphological, sometimes irreversible changes. Brain cells gradually begin to succumb to necrosis, and edema of individual parts of the brain is diagnosed.

The cause of this symptom can also be changes in the hormonal background of a person. Failures in the functioning of the thyroid gland, which begins to produce more hormone, and we get characteristic symptoms.

Trembling fingers

In some people, finger tremors are a consequence of work activities, such as various construction professions, fitters (for example, people working with a hammer drill), blacksmiths, stenographers, musicians and many other types of activities. All this is associated with increased stress on the upper limbs of a working person. Over time, tremor becomes a chronic symptom and is an occupational disease.

Many people's fingers start shaking when they are excited. This manifestation of excitement is called hysterical tremor. Such symptoms should be alarming, as they are caused by disturbances in the functioning of the nervous system. In such a situation, it is necessary to monitor if the tremor is observed constantly for a couple of weeks - this is a direct road to a consultation and examination with a neurologist.

A slight tremor in the hands

Fine tremors in the hands sometimes appear in completely healthy people. This may be the body's reaction to excessive physical exertion (the upper limbs begin to shake simply from fatigue). A similar reaction can also be observed with increased emotional arousal resulting from stress, depression or strong anxiety.

If the tremor does not go away for a long time, this is already an indicator of a vegetative disorder of the central nervous system.

A slight tremor in the hands can also appear against the background of medical therapy. A side effect of some pharmacological drugs is precisely tremor. It is necessary to tell the doctor about the appearance of such symptoms, who will replace the drug with a drug of similar action and, if necessary, adjust the treatment.

Poisoning can also provoke a slight tremor in the hands. In case of intoxication of the body, toxins adversely affect the work of individual parts of the brain, which leads to such symptoms.

Hand tremors and dizziness

People often don't even think about what makes them feel comfortable in the space around them, and maneuver freely between obstacles. Nature gave us this gift in the form of receptors, which help us determine the position of the body in relation to other objects in the environment. They are localized in the tubular space of the inner ear. It is from here that the signal is transmitted to the brain, where it is processed.

In case of pathological changes affecting these receptors or blocking the passing signal, a person begins to feel the rotation of objects and the earth, everything floats before the eyes. Tremors in the hands and dizziness can be caused by overfatigue, general dehydration of the body, prolonged starvation, lack of sleep. Characteristic symptoms are a manifestation of low hemoglobin in the patient, as well as in the case of hypoglycemia. In both situations, you cannot do without consulting your doctor and carefully following his recommendations.

Often, accompanying symptoms of dizziness include constant tinnitus, tachycardia, and possible bouts of vomiting.

Hand tremors when excited

Anxiety is a feeling inherent to every person. Many people feel uncomfortable on a big stage in front of a crowd, remember the feelings of a student who was “suddenly” called to the board. Anxiety is a normal physiological state – the body’s response to such nervous excitement. You can correct this situation by switching your attention to another object. In this case, a walk in the fresh air, autogenic training or a mild sedative (for example, warm tea with lemon balm or mint) are also perfect.

When a person is nervous, you can observe trembling in the hands when excited - this symptomatology of the manifestation of excitement should alert. A healthy body does not manifest itself like this. In such a situation, it is better to consult a neurologist, such characteristic hysteria can manifest a deeper functional disorder of the nervous system, one of which, for example, can be hypoglycemia.

Hand tremors and nausea

Quite often, hands start shaking due to emotional overexcitement or physical stress. But the cause of tremor can also be pathological changes occurring in the patient's body and affecting the receptors and nerve endings of the central nervous system.

The impact of toxins and neuroparalytic shock, which leads to varying degrees of intoxication of the body, also affects the functioning of the brain. This is a provoking factor that causes a violation of the coordination of movement in humans. Some of these manifestations are trembling in the hands and nausea, they can be accompanied by loss of spatial orientation, dizziness, paleness of the skin, headache.

Some other diseases of the central nervous system can also cause similar symptoms.

Tremors in the chest and arms

A feeling of internal trembling, tremor of the upper limbs - all these are symptoms with which the human body shows pathological changes that have affected the central nervous system. Neuroses - this name hides multiple mental illnesses caused by physical or psychological trauma, manifested by mood instability. One of the symptoms of most neuroses is trembling in the chest and arms.

Depending on the severity of the disease and the affected area, this process can be both potentially reversible and regressive. Quite rarely, a sudden severe psychological trauma (for example, a natural disaster or the death of a loved one) becomes the cause of neurosis - people with a weak psyche are mostly susceptible to it. More often, minor psychological pressure, but over a long period of time, leads to nervousness.

Therefore, people with low psychophysical organization are more likely to get psychosis. If a person cannot change something in himself and his life on his own, he should seek help from a qualified specialist.

Tremor in the left hand

Hand tremors can be caused by endocrine factors: excessive production of an enzymatic product by the thyroid gland. If tremors in the left hand are observed for two weeks and are not associated with physical activity on the upper limbs, an examination under the supervision of a neurologist is necessary. Only a qualified specialist can correctly determine the cause of pathological manifestations and prescribe treatment or supportive therapy. After all, such a problem will not go away on its own - it must be treated.

Increased tremor of the left hand can be a consequence of Parkinson's disease - an unpleasant, dangerous and not fully understood disease, mostly observed in elderly people. Sometimes the cause of this disease can be an obvious or hidden stroke, atherosclerotic processes occurring in the vessels of the brain. Today, it is impossible to cure this disease, but it is quite possible to stop its destructiveness. The main thing is not to delay going to the doctor after the first signs of tremor are detected.

Tremor in the right hand

It is no secret that people living on Earth are divided into those with a dominant left hemisphere of the brain - these are right-handed people, and, conversely, with a dominant right hemisphere - left-handed people. According to statistics, there are much more right-handed people, that is, the main physical load falls on the leading, right, hand. Hence the trembling in the right hand - this reason does not lie in the area of pathologies and is considered normal. It is worse when the hand receives such a load constantly and for a long time, for example, due to professional activity. This can be the profession of a violinist, painter, builder working with a hammer drill or jackhammer.

Long-term exposure to increased loads can transform tremor into a chronic manifestation and become an occupational disease.

Tremors in the right hand may be a characteristic of Parkinson's tremor, which, due to its asymmetry, can predominantly affect the right (or left) hand. In any case, you cannot do without medical help. Tremors in Parkinson's disease are observed constantly, even at rest. At the same time, its intensity is noticeably reduced or disappears completely if the patient attempts to make any movement.

Severe shaking in the hands

A characteristic feature of some diseases affecting the receptors of the central nervous system is a strong tremor in the hands. For example, Wilson's disease is characterized by such symptoms - a hereditary disease in which chronic copper intoxication of the body is observed due to a violation of its transportation and accumulation. This pathology is transmitted in an autosomal recessive manner. This type indicates that both parents of the patient are holders of the abnormal gene.

Strong tremors in the hands can also be observed in the case of certain lesions of the brain stem, as well as in multiple atherosclerosis - a disease of the brain vessels, which subsequently leads to the development of cardiovascular diseases, myocardial infarction and ischemic heart disease. Men are more susceptible to this pathology than women.

With these lesions, rhythmic, sweeping tremors are observed and their strength increases during movement. At rest, the tremor of the hands decreases somewhat, but it is quite difficult to completely relax the muscles.

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Constant shaking in the hands

If tremor of the upper limbs is observed constantly, then it is clear that this is not within the normal conditions. This state of affairs refers to the field of pathologies. In such a situation, one can advise one thing - to observe the condition of your hands for a couple of weeks. If constant trembling in the hands remains unchanged, there should be one solution - immediate consultation and examination by a specialist. It is necessary to understand that the sooner the cause of tremor of the upper limbs is established, the better the prospects for the future (until the pathological process has gone too far and the disorders have become so global that they are not subject to any regression).

Child's hands are shaking

It is very unpleasant to see when tremors of the limbs are observed in children. In this case, we are not talking about infants and newborns. If parents observe tremors in the child's hands, the first thing to do is to have a confidential talk with the baby. Try to find out from him whether the child is very upset or scared about something. It is quite possible that tremors are the result of nervous experiences of a small person. For example, it is quite common to observe tremors in the hands of teenagers before an important exam or an important competition. The cause of tremors in a child may be quite large school loads.

During puberty, hormones can provoke tremors in the upper limbs. At this time, the teenager's body is rebuilt, their production is enhanced. In this case, a stressful situation or a poorly developed muscular system of the body can lead to tremors. During this period, many children begin to grow rapidly. Usually, the internal organs and systems of the body do not keep up with the growth of bone tissue, they are late in development, and the muscle frame does not have time to grow. It is this imbalance that causes tremors in the child's hands.

In this situation, it is necessary to review the child's diet, he should spend more time outdoors and playing active games. It would not be superfluous to enroll your child in one of the sports sections, the main thing is to prevent the child from becoming overtired and physically and emotionally exhausted.

It is more difficult to find the cause of tremor in newborns and infants, when the little person is not yet able to explain what is bothering him. In this situation, it is necessary to clearly distinguish the localization of the tremor. If during crying the child's chin, lower and upper limbs begin to tremble, then there is nothing terrible about this - this is a manifestation of the norm. After all, the little person's nervous system with its receptors is not yet fully formed. It is worse if the baby periodically or constantly observes head tremors - then it is necessary to sound the alarm and immediately contact specialists to determine the cause of the anomaly. Such a symptom can be a signal of a serious disease that requires a thorough examination and painstaking treatment.

Who to contact?

Treatment for hand tremors

Before proceeding to therapy, it is necessary to determine the cause of this pathology. If it is overexertion, a simple full rest is often enough. Otherwise, the treatment of hand tremors is prescribed by the doctor depending on the diagnosed pathology, while in some cases you can hope for a complete recovery, in others - the doctor is ready to offer only supportive therapy.

In a number of diseases, it will be appropriate to take sedatives in the form of herbal teas, valerian drops. If the disorder has affected areas of the brain and nervous system, such drugs as pantocalcin, atarax, afobazol, elkar, finlepsin, rexetin, lecithin, grandoxin, lucetam 400 will help support and restore.

Finlepsin is administered orally. The adult starting daily dosage is one to two tablets (0.2 to 0.4 g), the amount of the administered drug gradually increases until the required therapeutic effect is achieved and can be 0.8 to 1.2 g per day, divided into one to three doses. The maximum permissible daily dose varies within 1.6 to 2 g.

For children, the dosage of the drug depends on the age category the patient falls into:

  • The starting dose for children from one to five years old is 0.1–0.2 g per day, the following day the amount is increased by 0.1 g. And so on until the therapeutic effect is achieved. The maintenance dose is 0.2–0.4 g/day, divided into one or two doses.
  • child 6-10 years old: starting dose – 0.2 g per day, then similar to the previous one. Maintenance dose 0.4 – 0.6 g/day, divided into two or three doses.
  • Children aged 11–15 years: starting dose – 0.1–0.3 per day, then the amount is increased by 0.1 g. And so on until the therapeutic effect is achieved. Maintenance dose 0.6–1.0 g/day, divided into two or three doses.

It is not recommended to take the drug if the patient has hypersensitivity to carbamazepine and other components of the drug, leukopenia and anemia, porphyria.

Atarax is used to relieve anxiety and psychomotor agitation. The drug is administered orally. The dosage of the drug depends on the patient's age:

For infants from one to six years old, 1-2.5 mg is administered, calculated per kilogram of the baby’s weight and divided into several doses.

For children over six years old – 1–2 mg per kilogram of the patient’s weight per day (in several doses).

Adult patients are prescribed from 25 to 100 mg per day and divided into three doses. For example, with a daily dose of 50 mg: in the morning - 12.5 mg, at lunch - 12.5 mg, before bed - 12.5 mg. In case of medical necessity, the daily dose of atarax can be increased to 300 mg.

For elderly people or people with liver and kidney dysfunction, the starting dosage should be half as much. In this case, a single administration should not exceed 200 mg, and a daily dose should not exceed 300 mg.

Contraindications to the drug include hypersensitivity to its components, a tendency to epileptic seizures, pregnancy and lactation.

Pantocalcin is administered orally, half an hour after meals. A single dose of the drug for adult patients is from 0.5 to 1 g, taken three times a day. Children and adolescents are administered the drug from 0.25 to 0.5 g, taken three times a day. The duration of the treatment course is from one to four months (very rarely up to six months). In case of therapeutic necessity, the treatment can be repeated after three to six months.

The drug is strictly contraindicated in case of hypersensitivity of the patient's body to the components of the drug, in acute renal failure and the first trimester of pregnancy.

How to stop hand tremors?

You can try to help yourself on your own, but this must be discussed with your doctor (if the pathology is associated not only with short-term physical and emotional stress). So how to remove hand tremors? Can this be done at home? If the cause of tremor is not a deep lesion of the nervous system, then some recommendations can be offered.

  • The body needs proper rest after exercise.
  • The diet should be healthy and balanced.
  • It is necessary to watch your weight. Overeating is unacceptable.
  • Alternating loads with short breaks. Walking in the fresh air. Lack of oxygen significantly "hits" the brain.
  • Use of special general strengthening exercises for the arms using dumbbells. One of them is to stand with your arms extended with weights. Hold as long as you have the strength. Do this daily.
  • Training of hands and phalanges: an expander will do for this. 20-30 "vices" will be enough. It is also not worth overloading. For flexibility of fingers, you can learn to roll two or three balls on the palm with the fingers of the same hand.
  • A good strengthening exercise would be guitar or piano lessons.
  • You can't do without exercises for concentration and movement. For example, the well-known game "house of cards" can be one.
  • If you are experiencing hysterical tremors, you need to take a few deep breaths, try to calm down, and switch your attention to something neutral. It wouldn't hurt to drink some calming tea or a mild sedative.

If you have started to notice that your hands are periodically shaking, try to analyze the situation and find the cause of the unpleasant manifestation. It may well be enough to give your body a rest. But if the tremor is not associated with physical activity, then you should not delay going to a specialist, because with such a symptom the body may indicate a serious internal disease. And here you cannot do without the help of a doctor.

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