Tremor and shaking

Overview

Tremor is involuntary shaking in part of the body. A slight tremor can become more noticeable with tiredness, stress or caffeine, but there are other possible causes. A new or worsening tremor deserves assessment if it affects daily activities. Shaking alone does not identify a particular neurological condition.

The practical effect can be considerable even when the movement looks subtle to someone else. Writing, eating, dressing or carrying a drink may become difficult. Explain the tasks affected and whether you have changed how you do them, rather than assuming the clinician can judge the impact from the word tremor.

By telephone

A discussion can establish where shaking occurs, whether it affects both sides and when it is most noticeable. Describe whether it happens at rest, while holding a position or during movement, without repeatedly provoking it. Mention when it began, family history and any accompanying stiffness, weakness or balance change.

It may help to note links with tiredness, emotional strain or everyday stimulants. Explain current health conditions and treatment, but do not stop anything prescribed without advice. If a diagnosis is already established, the conversation can focus on changing function, questions about review and practical support for activities becoming harder.

What cannot be done remotely

Telephone contact cannot directly observe the movement or assess muscle tone, coordination, gait and other neurological signs. Examination may be needed before the cause can be understood. A familiar trigger does not prove that shaking is harmless, and a family history does not establish the diagnosis.

Practical adaptations can sometimes make tasks easier, but they should suit the individual difficulty. Existing occupational therapy advice may be useful to discuss. Avoid using alcohol to test or manage a tremor; if shaking follows reducing alcohol, withdrawal needs separate, potentially urgent assessment rather than a routine movement review.

What to prepare

• Describe the body parts affected and the situations in which shaking occurs.
• Note when it began, progression and any relevant family history.
• List tasks affected and adaptations you already use.
• Mention balance changes, weakness, current care and recent alcohol changes.

Sources

• NHS: Tremor or shaking hands
• Bradford Teaching Hospitals NHS: Essential tremor information
• NHS: Stroke symptoms
• NHS: Alcohol use disorder

Related guides

• Numbness, tingling and altered sensation
• Memory and concentration changes
• Alcohol concerns and finding support