Skip to navigation Skip to content

Tremor and other Movement Disorders

Share

In this article

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.

Treatment

  • Referral to PT for balance/coordination exercises;
  • Referral to OT for tools; weights on limbs, eating or writing utensils
  • Propranolol clonazepam, hydroxyzine, primidone, isoniazid, topiramate, buspirone, ondansetron, gabapentin (evidence is lacking on the efficacy of any medication; however, a number of different agents have been tried)
  • Other: Deep brain stimulation may be considered (Oliveria SF et al. 2017)

Psychosocial Implication

  • Loss of control
  • Somnolence caused by medications
  • Loss of employment
  • Social isolation

Resources for patients

Share


Your input is important!

We believe that people affected by MS live better lives when they're connected.  To help us provide you with the best resources, support and information, please provide your feedback in a short survey.
Take the survey