Essential Tremor

tremorEssential tremor is very common, yet its cause is unknown. While not life threatening, essential tremor can embarrass and even limit function, leading some to avoid social situations, work, driving and/or dining out.

Usually, it is experienced as intermittent or continuous shaking movements in both upper hands or arms. Occasionally, head tremor may accompany the hands, or exist in isolation. Voluntary movements, like grasping and drinking from a cup, exacerbate the tremor.

The tremor may vary with varying conditions of emotion, hunger, fatigue, and temperature. It may slowly progress with age.

As a central nervous system disorder, the mainstays of Western treatments are beta-blockers (propranolol) and specific anti-seizure medications. In rare and very debilitating cases, neurosurgery may be considered.[1]

In Chinese medicine, several disease patterns that roughly correlate with central nervous system disorders explain tremor, including “Internal Wind,” “Phlegm,” “Qi and/or Blood Stagnation and Deficiency”.[2, 3]

Acupuncture, especially Neurological Scalp Acupuncture, can dramatically reduce and manage essential tremor. Scalp acupuncture alone tends to give 4 weeks of improvement. When combined with Chinese Herbal Medicine to eliminate the root causes of imbalance (internal wind, etc), results may last even longer.[4]

Neurological Conditions Testimonials

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These brief overviews of conditions represent distillations of basic and current medical reviews from the following sources:

[1] Conventional Medical Sources

“Harrison’s Principles of Internal Medicine: Volumes 1 and 2, 18th Edition”. Dan Longo Anthony Fauci, Dennis Kasper, Stephen Hauser, J. Jameson, Joseph Loscalzo. McGraw-Hill Professional; (July, 2011)

Medscape eMedicine Physician’s online resource. Various review articles:

Complex Regional Pain Syndromes Treatment & Management.
Anthony H Wheeler MD. Medscape Reference Chief Editor: Stephen A Beman, MD PhD MBA.

Essential Tremor
Deborah A Burke, MD Clinician, Sub-Investigator, Movement Disorder/Parkinson’s Disease Center, University of South Florida College of Medicine; Investigator, Physician, Roskamp Institute Memory Clinic

Bell Palsy
Danette C Taylor, DO, MS Clinical Assistant Professor, Department of Neurology and Ophthalmology, Michigan State University College of Osteopathic Medicine; Senior Staff Neurologist, Henry Ford Health Systems

Meniere Disease (Idiopathic Endolymphatic Hydrops)
John C Li, MD Private Practice in Otology and Neurology; Medical Director, Balance Center

Restless Legs Syndrome
Ali M Bozorg, MD  Assistant Professor, Comprehensive Epilepsy Program, Departments of Neurology and Neurosurgery, University of South Florida College of Medicine

Postherpetic Neuralgia
W Alvin McElveen, MD  Director, Stroke Unit, Lakewood Ranch Medical Center; Neurologist, Manatee Memorial Hospital

Sleep disorders
Roy H Lubit, MD, PhD  Assistant Clinical Professor, Mount Sinai School of Medicine; Clinical Faculty, Department of Child Psychiatry, New York University School of Medicine; Private Practice

Aaron G Benson, MD  Director, Ohio Hearing and Balance Institute, Maumee, Ohio; Consulting Staff, Toledo Ear, Nose and Throat, Inc

Multiple Sclerosis
Christopher Luzzio, MD  Clinical Assistant Professor, Department of Neurology, University of Wisconsin at Madison School of Medicine and Public Health

Parkinson Disease
Robert A Hauser, MD, MBA  Professor of Neurology, Molecular Pharmacology and Physiology, Director, USF Parkinson’s Disease and Movement Disorders Center, National Parkinson Foundation Center of Excellence, Byrd Institute, Clinical Chair, Signature Interdisciplinary Program in Neuroscience, University of South Florida College of Medicine

Tourette Syndrome and Tic Disorders
William C Robertson Jr, MD  Professor, Departments of Neurology, Pediatrics, and Family Practice, Clinical Title Series, University of Kentucky College of Medicine

Post Concussive Syndrome
Roy H Lubit, MD, PhD  Assistant Clinical Professor, Mount Sinai School of Medicine; Clinical Faculty, Department of Child Psychiatry, New York University School of Medicine; Private Practice

Traumatic Brain Injury
Segun T Dawodu, MD, JD, MBA, LLM, FAAPMR, FAANEM  Associate Professor of Rehabilitation Medicine and Interventional Pain Medicine, Albany Medical College

Dizziness, Vertigo, Imbalance
Hesham M Samy, MD, PhD  Head of Hearing and Balance Unit, Otolaryngology Department, Minia University, Egypt

CNS Causes of Vertigo
Marcelo B Antunes, MD  Resident Physician, Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Health System

Communication Disorders
Renee S Melfi, MD  Consulting Staff, Orthopaedic Associates of Central New York

[2], [3]

  • “Acupuncture Energetics: A Clinical Approach for Physicians”. Joseph M. Helms. Medical Acupuncture Publishers; 1st Edition. (1995)
  • “Foundations of Chinese Medicine: A Comprehensive Text for Acupuncturists and Herbalists”. Giovanni Maciocia. Churchill Livingstone; 2 Edition (July, 2005).
  • “Diagnosis in Chinese Medicine: A Comprehensive Guide”. Giovanni Maciocia. Churchill Livingstone; 1st Edition (January, 2004).

Chinese Scalp Acupuncture”. Jason Ji-shun Hao, Linda Ling-zhi Hao and Honora Lee Wolfe. Blue Poppy Press; 1st Edition. (November, 2011)