Tremor - National Multiple Sclerosis Society

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Tremor

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Symptom: Involuntary rhythmical movements of the trunk, limbs, head and/or vocal cords

Note

  • Tremor can be the least treatable and most debilitating symptom of MS

Treatment

Interventions:

  • Referral to PT for balance/coordination exercises; Referral to OT for tools; weights on limbs, eating or writing utensils

Medications: (success may be minimal but all can be tried)

  • propranolol clonazepam, hydroxyzine, primidone, isoniazid, topiramate, buspirone, ondansetron, gabapentin

Other:

  • Deep brain stimulation may be considered

Psychosocial Implication

  • Loss of control—severe tremor is a major threat to independence
  • Increased fatigue caused by medications

Resources for patients

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