Patient Care Services at University of Miami

Welcome to the Essential Tremor and Other Tremor Disorders page at the University of Miami’s Division of Movement Disorders. Essential tremor is one of the most common movement disorders, characterized by involuntary and rhythmic shaking, typically of the hands and arms. On this page, we explore essential tremor and a variety of other tremor disorders, each distinguished by its unique patterns and potential causes.

Our team is dedicated to providing advanced diagnostic techniques and tailored treatment options that may include medication, lifestyle changes, and in some cases, surgical interventions such as Deep Brain Stimulation (DBS). Our approach is comprehensive, considering each patient's lifestyle and specific needs to manage and reduce the impact of tremor on their daily activities.

We also engage in pioneering research to understand the underlying mechanisms of tremor disorders and to develop more effective treatments. Our aim is not only to manage symptoms but also to improve overall quality of life for our patients.

Explore our resources and learn more about how our specialized care and cutting-edge research are making a difference for individuals with tremor disorders.

Essential Tremor (ET): Essential Tremor is the most common movement disorder, manifesting as shaking in the hands, head, voice, or other parts of the body. It is often most noticeable when performing simple tasks like writing or holding objects. Essential Tremor can occur at any age but is most common in people aged 40 and older. Treatment may include medications such as beta-blockers or anticonvulsants, and in more severe cases, surgical options like Deep Brain Stimulation (DBS). Learn more about Essential Tremor.

Parkinsonian Tremor: Parkinsonian Tremor is a common symptom of Parkinson’s Disease, characterized by a rhythmic shaking that typically begins in one limb or on one side of the body, often at rest. This tremor can also involve the chin, lips, and legs. It is distinguished from other tremors by its "pill-rolling" nature, where the thumb and fingers move in a circular motion. Managing Parkinsonian Tremor usually involves Parkinson’s disease medications, and in advanced cases, surgical interventions like DBS may be considered. Learn more about Parkinson's Disease.

Dystonic Tremor: Dystonic Tremor occurs in individuals diagnosed with dystonia—a movement disorder characterized by involuntary muscle contractions that cause repetitive movements or abnormal postures. This type of tremor typically presents in the body parts affected by dystonia and can be irregular and jerky. Treatment often focuses on managing the underlying dystonia through medications, botulinum toxin injections, or physical therapy, which may also alleviate the tremor. Learn more about dystonia.

Orthostatic Tremor: Orthostatic Tremor is a rare disorder characterized by rapid tremor in the legs and trunk that occurs primarily when standing. This tremor generally disappears when the person sits down or starts walking. It can cause a sensation of unsteadiness or imbalance, making standing still challenging. Treatment might include medications such as clonazepam or gabapentin, which can help reduce tremor severity and improve stability.