Shaky hands, or hand tremors, can be a concerning symptom, and understanding their causes is important for determining the right course of action. Medications like the antidepressant bupropion, commonly known as Wellbutrin, and the anti-arrhythmic drug amiodarone, also known by the brand name Cordarone, can sometimes lead to postural tremors. Harvard Health suggests that these tremors are often benign and can affect various body parts, including the hands, head, and voice box.

Essential tremor (ET) is recognized as the most prevalent movement disorder, presenting involuntary and rhythmic shaking that usually begins on one side of the body. It can affect the hands, arms, head, voice, torso, and legs, and is known for being a progressive condition, which means it often worsens over time. The exact cause of ET isn’t fully understood, but there is evidence to suggest a genetic link. It generally starts mild and can progress, sometimes involving a nodding or shaking of the head, often becoming more pronounced with stress, fatigue, or extreme tension.

Unlike cerebellar disease, which causes issues on the same side of the body as the lesion and includes head and sometimes trunk tremor (titubation), Parkinsonian tremor is typically a resting tremor affecting the distal muscles, such as the “pill-rolling” tremor of the hand. To manage symptoms like head tremor, Harvard Health recommends turning your head to the side, and when using your hands, keeping your elbows close to your body can help.

There are also surgical options for severe cases of ET. For instance, a two-step surgery that involves implanting permanent electrodes in the brain and a neurostimulator device under the skin is explained by Dr. Cosgrove from OHSU Brain Institute. This “pacemaker for the brain” helps cancel out the tremors with electrical pulses.

For those with tremors, adopting certain lifestyle modifications can make a significant difference. This includes resting elbows on a table when applying makeup or using salon services for tasks like manicures and eyebrow care. Choosing a low-maintenance hairstyle can also reduce the need for steady hands.

Tremors, while more common in middle-aged and older individuals, can occur at any age. While some forms are inherited, the condition can manifest in various ways and impact different parts of the body. For more comprehensive information on tremors and involuntary movements, resources such as Stanford 25 and the Ohio State Movement Disorders provide valuable insights.

For those who experience tremors and are looking for more information or treatment options, it’s always recommended to consult a healthcare provider or a neurologist specialized in movement disorders, such as those at the McGovern Medical School or the University of Utah Health.