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If we are excited or scared, we feel trembling hands as completely normal. But what can be behind it if the trembling on the hands haunts us regularly and apparently for no reason?
Shaking hands - an overview
The trembling of the hands is a relatively widespread complaint, the triggers of which can be completely harmless in nature, but can also be the result of serious health problems. First a brief overview of the symptoms:
- definition: The trembling hands is a colloquial description for a visible tremor in the area of the hands. Tremor initially refers to the rhythmic contraction of muscles or muscle groups, which basically occurs in every person, but is normally not perceptible. If the tremor intensifies, this can be recognized as trembling - for example as trembling hands. A distinction must be made between physiological tremor (without existing disease) and pathological tremor (due to diseases).
- causes: The spectrum ranges from cold, nervousness, low blood sugar, drug side effects (e.g. antidepressants, neuroleptics, antiepileptics), nervous diseases, acute or chronic poisoning, deficiency symptoms (malnutrition, vitamin B12 deficiency) to tumor diseases.
- Consultation with doctor requiredas soon as the hand tremors occur for no apparent reason, such as cold or nervousness.
- diagnosis: Thorough medical history with questions about previous illnesses, medication intake, alcohol consumption, contact with other toxic substances, situations of occurrence and the intensity of the tremor as well as possible accompanying complaints. Then the first physical examination (possibly with movement tests) and then - depending on the suspicion - further neurological examinations, electromyographies, blood tests and / or imaging procedures (such as ultrasound, X-ray, MRI, CT)
- treatment: Basically based on the causes and sometimes no prospect of healing (e.g. Parkinson's or multiple sclerosis), but only a relief of the symptoms or a delay in the course of the disease.
- Naturopathy: In particular medicinal plants such as valerian, mistletoe or lemon balm are said to have a positive effect on the nerves and are said to help alleviate tremors.
Shaking hands and the aftermath
Shivering can occur all over the body and head, but is most often seen on the extremities, especially from trembling hands. The unintentional, rhythmic and usually symmetrical movements of the hands and fingers come about by alternating contraction of opposing muscle groups. Depending on the frequency at which the tremor takes place, it is called coarse, medium or fine tremor. If a fine tremor can still be hidden from the surroundings in the idle state, it often means a severe restriction for the affected person if the cup or cutlery can no longer be brought to the mouth without spilling drinks or food or even “ spill ”. Out of shame and embarrassment, people no longer eat outside their own four walls, which can sometimes lead to social isolation.
Causes of trembling hands
The medical term for tremors is tremor. Various types of tremors are known in medicine. They are differentiated according to whether they appear at rest or intensify in action. The tremor can also occur physiologically, i.e. naturally, or pathologically, i.e. to be pathological. With the so-called essential tremor, there is no recognizable cause for the tremor, except that perhaps trembling hands were already known to the father, mother or grandparents.
Illnesses cause hand tremors
In the case of intentional tremor, the tremors on the hands occur particularly when the person concerned makes a purposeful movement, for example when he wants to reach for a glass. The closer the hand approaches the glass, the greater the trembling of the hands. This form of trembling hands occurs especially in multiple sclerosis, acute and chronic (alcohol) poisoning, as well as injuries and tumor diseases of the cerebellum.
The resting tremor, on the other hand, wears off especially with targeted movements and intensifies in the idle state. A typical example in which the index finger and thumb bump together trembling is the so-called coin counter or pill-turning phenomenon, which is often observed as a symptom in Parkinson's.
Medications, especially antidepressants, neuroleptics, antiepileptics or lithium, can also cause trembling hands. These drugs are used to treat symptoms such as anxiety and depressive syndrome, brain seizures or so-called schizoaffective disorders (e.g. manic-depressive syndrome).
Natural and psychogenic forms
A holding tremor can occur if the hands are deliberately kept still. It is rather delicate and is aggravated by a falling blood sugar level or increased adrenaline release (e.g. in the case of nervousness, inner restlessness and excitement). Colloquially, "we tremble with fear" or are "already trembling with hunger". A strong underweight can also be accompanied by weaknesses and trembling hands. All tremors are aggravated by excitement, but a purely psychological tremor can be completely interrupted by distraction and calming down. Also with temporary circulatory problems with hypertension or hypotension, hyperventilation and panic attacks there are often trembling hands. If there is a tendency to shake hands in childhood, it is usually a benign, familial tremor. This usually increases with age and is then referred to as senile tremor.
Treatment for hand tremors
A new and persistent hand tremor should always be clarified neurologically and the therapy should then be targeted to the underlying disease. The spectrum of possible treatment approaches is correspondingly broad and there may be no prospect of a cure and only symptom relief can still be achieved.
Naturopathy with trembling hands
In addition to conventional treatment, naturopathic treatments can also be used, although this should not be done without consulting a doctor. Some plants are known in herbal medicine, which have a supporting effect on the functional activities of the nervous system, be it in a stimulating or calming manner. At the same time, such medicinal plants often have an antispasmodic effect on voluntary and involuntary muscles and are therefore suitable for positively influencing trembling hands. Such plants that can regulate a hypersensitive or attacked nervous system and relax cramping muscles are, for example, oat straw, lady's slipper, valerian, mistletoe, passion flower and lemon balm.
Homeopathy for trembling hands
In homeopathy, where “similar with similar” is to be cured in principle, poisonous plants are used for nerve disorders that undiluted would damage the nerves and cause trembling hands. Agaricus, made from the poison of the fly agaric, is said to have a positive effect on neurological disorders with twitches, spasms and tremors of almost all muscle groups. It is used for both multiple sclerosis and psychological and motor agitation, and can also calm trembling hands if used appropriately. Next to it are, for example, wormwood (Absinthium) and yellow poison jasmine (Gelsemium) to choose from, which also affect the central nervous system and thus reduce hand trembling. (jvs)
Author and source information
This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.
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