Essential Tremor

Treatment

Mayo Clinic doctors trained in nervous system conditions (neurology), nerve surgery (neurosurgery) and other specialties treat people who have essential tremor.

Essential tremor can't be cured, but doctors trained in movement disorders will work with you to manage your condition. Doctors will work with you to develop an individual treatment plan.

Treatment may include:

• Medications. Your doctor may prescribe beta blockers (propranolol or nadolol) or anticonvulsant medications (primidone, topiramate or gabapentin). None of these medications completely treat essential tremor, and medications may cause side effects. Not everyone is a candidate for these medications.
• Botulinum toxin injections. Botulinum toxin (Botox) injections may help people who have tremor in certain areas, such as head tremor.
• Deep brain stimulation (DBS). In deep brain stimulation, surgeons implant electrodes into a specific area of your brain (thalamus). The electrodes are connected to a generator that sends electrical pulses to your brain and may help control your tremors. Implantation of the unit may involve risks, and your surgeon will work with you to determine if DBS is a treatment option for you.
• Lifestyle changes. Your doctor may recommend you get enough rest, limit stressful situations and, in certain cases, avoid caffeine and other stimulants.
• Physical and occupational therapy. Physical and occupational therapy may help you better perform tasks that are affected by essential tremor.