What is hand tremor?

Hand tremor is an involuntary muscle movement, trembling, or shaking of the hands.

Tremor most accurately refers to a small, rhythmic shaking movement that occurs in a back-and-forth pattern. Everyone has a small, sometimes undetectable, shake when they move their hands. Fatigue, stress, feelings of anger or fear, caffeine, and smoking can make this normal shaking more prominent. Hand tremor can occur at any age but most commonly occurs in middle-aged and older men and women.

Types of tremors

Tremors can be classified as rest or action tremors.

  • Rest tremors are movements that occur while your body is at rest, such as when your hands shake while they are supported on your lap. The extent of the tremor increases during mental stress. Rest tremor is characteristic of Parkinson’s disease.

  • Action tremors are movements that occur when your hand is performing a voluntary action, such as gripping a fork or signing your name. Action tremors can be further classified as postural, isometric, and kinetic tremors based on the specific movements or tasks that trigger the tremor. Action tremor symptoms are characteristic of a variety of diseases, disorders, and conditions, including essential tremor, drug withdrawal, stroke, brain tumor, and multiple sclerosis.

Short-term tremors that disappear quickly can be due to an anxiety attack or stress; whereas, chronic tremors that come and go over a longer period of time can be due to essential tremor.

Any type of hand tremor, even if it is temporary, needs to be evaluated by a medical professional. Hand tremor can be due to serious, ongoing diseases, such as Parkinson’s disease and multiple sclerosis. In particular, a hand tremor on one side of the body can be indicative of brain damage from a tumor or stroke. Seek prompt medical care if you, or someone you are with, have symptoms of tremor.


What other symptoms might occur with hand tremor?

Hand tremor may occur with other symptoms, which vary depending on the underlying disease, disorder or condition. Additional symptoms can be characteristic of a variety of different conditions including essential tremor, multiple sclerosis, stroke, hyperthyroidism, or Parkinson’s disease.

Symptoms that may occur along with hand tremor

Other possible symptoms that may oc... Read more about hand tremorsymptoms


What causes hand tremor?

The types of hand tremor are caused by a variety of different diseases, disorders, and conditions.

  • Essential tremor is most common of the many types of tremor. The exact cause of essential tremor is not known, but a genetic component is involved in many cases. This means that you can inherit essential tremor from your parents. Essential tremor is usually amplifi... Read more about hand tremorcauses

Medical Reviewer: Cynthia Haines, MD Last Annual Review Date: Aug 2, 2013 Copyright: © Copyright 2014 Health Grades, Inc. All rights reserved. May not be reproduced or reprinted without permission from Health Grades, Inc. Use of this information is governed by the HealthGrades User Agreement.

This Article is Filed Under: Bones, Joints and Muscles

What's Causing Your Symptoms?