Symptom: Involuntary rhythmical movements of the trunk, limbs, head and/or vocal cords
Tremor, the most common movement disorder in MS, can be the least treatable and most debilitating symptom of MS. Other movement disorders seen in MS include: tonic spasms (spasticity), focal dystonia, focal/segmental myoclonus, chorea, parkinsonism and restless leg syndrome.
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
Loss of control—severe tremor is a major threat to independence
Increased fatigue caused by medications