What Is the Treatment of Essential Tremor? First-Line Behavioral and Physical Therapy

In patients with essential tremor whose symptoms are not severely disabling, an initial non-pharmacological strategy is recommended before escalating to other interventions.

This protocol addresses the first-line management of essential tremor in patients with less disabling tremor, where behavioral techniques and physical therapy form the foundation of care.

Approach

First-line management centers on targeted behavioral techniques and physical therapy — the full protocol specifies which interventions apply and under what conditions.

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References

DOI: 10.4103/0972-2327.83097

In patients with less disabling tremor, certain behavioral techniques and physical therapy may be useful.
These include relaxation therapies and reducing emotional stress, using the less disabled hand to write or eat, using wrist weights and minimizing exposure to tremorogenic foods (eg, caffeine) and drugs (eg, sympathomimetics).

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