Best Tremor Doctors in Mumbai

Types/Stages of Tremor

Tremors can be categorised into several types based on their characteristics:

• Resting Tremor: This type occurs when the affected body part is at rest and may decrease with voluntary movement.

• Action Tremor: This type of tremor typically presents during voluntary movement such as reaching for an object.

• Essential Tremor: Characterised by rhythmic shaking primarily during voluntary movement. It often affects the hands, head and voice.

• Parkinsonian Tremor: Associated with Parkinson’s disease, this tremor usually manifests as a “pill-rolling” motion in the hands when at rest.

• Dystonic Tremor: Related to dystonia, this type of tremor leads to involuntary muscle contractions resulting in twisting movements and abnormal postures.

Symptoms of Tremor

The symptoms of tremors include:

• Rhythmic shaking or quivering in the affected body part such as hands, arms or voice.

• A shaky voice due to vocal cord involvement

• Difficulty with fine motor tasks like writing or drawing

• Unsteadiness when standing up

• Problems with balance

• Speech difficulties

• Increased muscle stiffness

• Unsteady walk

Tests to Diagnose Tremor

To accurately diagnose a tremor, the Best Doctors For Tremors use the following tests:

• Clinical History and Physical Examination: To evaluate the patient’s medical history and assess symptoms associated with tremors.

• Neurological Examination: To assess the characteristics of the tremor and look for associated signs, such as bradykinesia, rigidity, or ataxia.

• Neuroimaging Scans: These imaging scans are performed to exclude structural lesions or atypical parkinsonism.

• SPECT Imaging with Ioflupane: This scan helps differentiate Parkinson’s disease from essential tremor in cases of diagnostic uncertainty.

• Electromyography: This scan may also be conducted to assess the electrical activity of muscles.

Treatment or Surgery Options for Tremor at Apollo Hospitals, Mumbai

The best doctors for tremor treatment at Apollo Hospitals in Mumbai offer a range of treatment options for managing tremors including:

• Medications: Beta-blockers, anti-seizure drugs, and tranquillisers are often prescribed to help control tremors.

• Physical Therapy: This therapy option is beneficial in improving coordination and reducing the impact of tremors on daily activities.

• Deep Brain Stimulation: A surgical procedure where electrodes are implanted in the brain that deliver electrical impulses to targeted areas, effectively reducing tremors.

• Focused Ultrasound Thalamotomy: A non-invasive procedure that uses focused ultrasound waves to create a small lesion in the brain’s thalamus, thus reducing tremor symptoms.