Do you have shaky hands?… Have you seen an Occupational Therapist?

Hand tremors can be intermittent, occurring every so often or consistently. At times these hand tremors start on their own but can also act as a signal pointing to an underlying health issue (Barrell, 2018). On a day to day basis shaky hands can significantly impact an individual’s functionality. Individuals suffering from hand tremors due to essential tremor (ET) or Parkinson’s know that all aspects of their life can be affected.  From simple tasks such as, brushing their teeth in the morning, to cooking a meal for friends and family, or even when going out to a restaurant to eat, hand tremors have an impact on these individuals lives (Floyd, 2018). We all take the ability to do everyday activities for granted but when they start to become difficult the person effected may feel depressed, anxious, embarrassed and ultimately take on a social isolation state of mind (Floyd, 2018).

OT pic

Why you should visit an occupational therapist (OT)?

Occupational therapists (OT) can help people who have an injury, disability, or illness participate in “occupations” of everyday life (Floyd, 2018). “Occupations are all of the functional (useful and purposeful) activities someone participates in. Bathing, dressing, eating, reading, gardening, driving, and cooking are all occupations” (Floyd, 2018). It is important to realize that an OT can be very helpful in managing shaky hands. Your doctor can help you take the first step by recommending an evaluation for individuals who need this service.

“An OT who specializes in treating people who have neurological conditions can help a person with ET not only learn how to do tasks differently, but to look at the world, and the way it works, in more positive ways, says Karen Mainzer, an OT in Bridgeton, Mo., at St. Louis suburb” (Mainzer, 2019)

Why is it important to see an OT?    

An OT will serve and guide individuals with shaky hands due to ET or Parkinson’s to strengthen and increase their coordination of muscular movement (Thomas, 2019). Ultimately, this will improve functioning of muscle control, and enhance balance of coordination in most client cases. Seeing an OT will help individuals to continue engaging in daily activities with decreased difficulty (Barrell, 2018).

Typically, the process of occupational therapy for shaky hands will start off with physical therapy focused on coordination exercises, as well as exercises pertaining to increasing the balance of the tremor source (Thomas, 2019).  Clients may also be taught strategies to reduce the occurrence of tremor while using the affected body component. A commonly used practice for shaky hand’s is a medical motion hand brace during a tremor episode to help decrease its severity (Floyd, 2018).

Additionally, OT will help to find tailored techniques to best suit each individual’s condition and rate of tremor as they perform specific or daily tasks in all situations. For example, some kinds of adaptations such as incorporating large handle cups with extra grip or specific utensils, weights or even splints may help to optimize function with a hand tremor (Floyd, 2018).

Benefits of Visiting an OT For Shaky Hands

Professional Occupational therapy encompasses and draws from knowledge of proper body mechanics (Floyd, 2018). ‘Body mechanics are the way in which you use and position your body to be most effective at completing a task” (Floyd, 2018).

Techniques an OT may use:

  • Modification of tasks rather than trying to make the individual do something they cannot.
  • Promote success by changing tasks, using covered bottles, straws and filling glasses only half way.
  • Incorporate stabilized objects by using non-stick surfaces ex: grips for mugs.
  • Techniques to conserve energy.
  • Addition of weighted utensils to daily routine for things such as meals.
  • Use of assistive technology such as, hand tremor gloves, adaptable keyboards or mouse, voice activated software’s, and activity enhancing gadgets.

(Floyd, 2018)

Proposed solutions that OT’s will have access to:

  • Strength Training Programs: to ease functioning such as holding a glass as a result of improvement in strength through muscle building.
  • Incorporating weights to the wrist to stabilize the tremor under supervision.
  • Resistance training:  increasing muscular strength because of working against a weight or force.
  • Limb Cooling – source of tremor is cooled to 59 degrees Fahrenheit under supervision to help reduce tremor as short-term therapy.
  • Electro Stimulation – using electrodes, current is applied to source of tremor to try to reduce intensity of tremor.
  • Transcranial magnets – magnets are used to try to suppress the tremor through magnetic force and weight.
  • Vibration Therapy – vibration unit is used to improve tremor as a short-term therapy.
  • Bright Light Therapy – Specialized light used to suppress tremor.

(TAN, 2016)

Overall, having an OT for shaky hands will enable the sufferer to have a well-tailored plan that will cater techniques to improve and easily adapt to daily activity execution.



Barrell, A. (2018). “What does it mean if you have shaky hands?” Medical News Today. Retrieved from

Floyd, J. (2018). An Occupational Therapy Perspective. Retrieved from

Mainzer, K. (2019). Managing ET with Occupational Therapy. Retrieved from

TAN. (2016). Occupational Therapies for Essential Tremor. Retrieved from

Thomas, L. (2019). Treating Essential Tremor. Retrieved from

Essential Tremor & Parkinson’s Disease Support Groups

Happy New Year & Best Regards from our team at Steadiwear

Hands for blog Sept 2018

Parkinson’s disease (PD) and essential tremor (ET) are the two most occurring movement disorders with tremors being the most noticeable symptom. Unfortunately, shaky hands lead to secondary medical conditions that affect patients’ physical and emotional lives. A recent study examined psychological complications in PD and ET patients such as depression, anxiety and social phobia, and found a high comorbidity of these disorders (1). This consequently affects personal relationships as well as limits social interaction and the ability of performing activities of daily living.

“My tremor makes me feel negative about myself; I am embarrassed about my tremor; I am depressed because of my tremor; I worry about the future; I am nervous or anxious; I have difficulty concentrating because of my tremor” (2).

It is very important to touch on such complications of PD and ET because they affect half, if not more, of the patients living with these movement disorders. On the bright side, there is a silver lining to this phenomenon. Since so many are affected by these symptoms, there is an abundance of people going through the same experiences, people who may be able to provide support in multiple forms. A study by Heusinkveld et al. showed an association between attending support groups and a better quality of life which includes reduced depression and anxiety for patients (3). This can be explained by the gain in knowledge about the illness, as well as being able to share personal worries and anxieties, and eventually realizing that these individuals are not the only ones suffering from the condition (4).

In summary, since many patients complain of finding it hard to ask their doctors questions or in some cases do not feel comfortable discussing their problems with family and friends, support groups allow PD and ET patients to:

  • Learn from others’ experiences.
  • Gain knowledge about what is available for them in terms of healthcare, home care, therapy etc.
  • Learn about the common symptoms and their treatments.
  • Know what type of research is being conducted in their area.
  • Create meaningful connections with people going through the same experiences.
  • Develop coping strategies.

“ […] There is a lot of camaraderie that goes on and it’s nice to talk with other people about the condition and we enjoy belonging to the local branch of the Parkinson Society. And I would recommend to anybody else who gets the condition they do make the effort and join.” – Anonymous

Although some people prefer not to attend support-group meetings due to their fear of facing people whose symptoms have progressed more than theirs, or simply because they are not yet ready to discuss such issues face-to-face with others, there are many other alternatives in terms of gaining support from the ET or PD community.

Some people have found success in participating in online support groups, whether through discussion boards of established organizations, or simply through social media support groups (Facebook). We highly recommend you go online and search for the support that suits you best.

Other Support Groups & Resource:

Just choose your location from the options below, to see if there is an essential tremor support group operating in your community. Or you can check our events calendar. If not, please consider starting one! Chances are, with the millions of people around the globe affected by essential tremor, it is likely there will be others in your community who are also seeking support.

The International Essential Tremor Foundation Blog.

Many people find that support groups are tremendously effective in helping them cope with the day-to-day realities of having Parkinson’s disease. Groups come in different formats — from large, formal meetings to smaller “living-room” get-togethers — and you probably won’t be equally comfortable with or get the same benefit from all. If you don’t like the first group you find, it’s worth looking for one that suits you better. If you can’t find any you like in your area, consider starting one. If you are unsatisfied with the available options, it is likely that you’re not the only one feeling that way.

“Provides free, reliable information about health issues, by sharing people’s real-life experiences. You can watch people sharing their stories about cancer, autism, motor-neuron disease, pregnancy, drugs, depression and much more.”

Provides a variety of services throughout Arizona for people with Parkinson’s and their family members and caregivers, including:
– Education and training
– Information and assistance
– Recreational programs
– Counseling
– Respite
– Support groups

Local Support Groups in Toronto:

For those living in Toronto or in the neighbouring communities, we have compiled a list of potential sources support you might like:

“Parkinson Canada is the voice of Canadians living with Parkinson’s disease. From diagnosis to discovery. You can count on us to be there at every step of your Parkinson’s journey. We provide education and services to support you, your family and your health team, online, by telephone and in person.”

“With accurate and up-to-date information at your fingertips, can help you find the local health and social services you need.”

As always, Steadiwear is constantly seeking for new volunteer testers, at our offices in Toronto, Ontario. Check out our video of our latest tester to see what our test entails. If you are living a little further out why not fill in our survey & keep an eye out for our latest newsletter by subscribing here.



  1. Smeltere, L., Kuzņecovs, V., & Erts, R. (2017). Depression and social phobia in essential tremor and Parkinson’s disease. Brain and behavior, 7(9), e00781. doi:10.1002/brb3.781
  2. Louis ED, Machado DG. Tremor-related quality of life: a comparison of essential tremor vs. Parkinson’s disease patients. Parkinsonism Relat Disord. (2015) 21:729–35. 10.1016/j.parkreldis.2015.04.019
  3. Heusinkveld, L. E., Hacker, M. L., Turchan, M., Davis, T. L., & Charles, D. (2018). Impact of Tremor on Patients With Early Stage Parkinson’s Disease. Frontiers in neurology, 9, 628. doi:10.3389/fneur.2018.00628
  4. Artigas, N. R., Striebel, V., Hilbig, A., & Rieder, C. (2015). Evaluation of quality of life and psychological aspects of Parkinson’s disease patients who participate in a support group. Dementia & neuropsychologia, 9(3), 295-300.


Public perception of Parkinson’s disease

Parkinson’s disease (PD) is a neurodegenerative disease characterised by motor and nonmotor symptoms, both of which negatively impacting patients’ quality of life (Ma et al. 2016). Tremors, rigid facial expressions and cognitive difficulties are among other common symptoms experienced by patients (Jankovic, 2008). A significant one experienced by both patients and caregivers that most people tend to overlook is the stigma that arises as a results to those common symptoms. Such a phenomenon affects everyday life and patient’s subjective and relational perception which may lead to frustration, social isolation and consequently negative health effects.

Stigma refers to the negative attitudes (prejudice) and negative behaviour (discrimination) toward people who appear different from what is considered normal and accepted. This can be due to appearances or behaviours of the stigmatized person which may result in shaming, isolation and possible threatening of their personal identity.

Since many people are unaware of the physical demonstrations of PD, stigma may arise due to visible symptoms experienced by people living with PD (Hermanns, 2013). Shakiness, the inability to talk or to stand still as well as cognitive decline lead to negative misconceptions in public environments. Some patients share instances of being characterized as lazy or “looking a little slow”. A few described being mistakenly perceived as drunk due to the uncontrollable motor symptoms or the inability to complete tasks.

Stigma may also be a result of relational and communication problems. In addition to being misperceived due to physical behaviours such as tremors, facial muscle rigidity makes it difficult for people living with PD to express themselves and convey their beliefs. This causes progressive frustration, especially with family members or caregivers who have replaced them in discussion or decision making (Chiong-Rivero et al. 2011). Consequently, it is common for patients to complain about not receiving the right time to express themselves and therefore not receiving the adequate help or treatment.

Nonetheless, stigma is not only linked to observable characteristics of PD patients but also to the loss of functionality. Stigma may also be self-attributed when patients develop a physical dependency and lose autonomy. Another reason for social stigmatization is due to the common belief that PD is a disease only for old people. This prejudice is strong in society, including family members.

Altogether, stigma result in patients feeling ashamed and embarrassed which often leads to isolation and therefore declined quality of health.
It is crucial that patients are in contact with their friends and family so that their physical and social needs are met. By doing so, it may guide health care professionals and caregivers to a more fitted and tailored manner of treating the patient.


Photo courtesy of AARP The Magazine. Retrieved from:

“[Feeling] better, just empowered, knowing there were people who understood what I was going through.”

– Michael J. Fox


Stereotypes, misunderstandings, shame, isolation, discrimination, stigmatization are a silent, partly visible and partly invisible phenomenon which is necessary to be considered. Disease progression and management are surely affected by stigma, since it may interrupt treatment but also may lead to depressive symptoms (Oehlberg et al. 2008). Furthermore, stigma is intrinsically complex and requires better understanding; it is important that people, who are unfamiliar with chronic diseases, are reached and educated.


We therefore recommend the following for both people living with PD and their loved ones:

    • Reach out for social support. It was found that family support is important in order to confront difficulties that arise in daily life.
    • Participate in mutual support groups. There is strong evidence that stable, sensitive, active and reliable social networks protect people from other illnesses,  provide support and guidance, positively impact on the timely and appropriate utilization of health services, accelerate recovery, and improve survival rates (Foppa et al. 2018).


  • Raise awareness. During the month of April, the Parkinson’s Disease Foundation (PDF) campaign, empowers patients and their families, researchers, health professionals and others to raise awareness.




  • Chiong-Rivero H, Ryan GW, Flippen C, Bordelon Y, Szumski NR, Zesiewicz TA, Vassar S, Weidmer B, García RE, Bradley M, Vickrey BG. Patients’ and caregivers’ experiences of the impact of Parkinson’s disease on health status. Patient Relat Outcome Meas. 2011. 2011(2):57-70.
  • Foppa AA, Vargas-Peláez CM, Buendgens BF, Chemello C, Charmillot FMP, Marin M, et al. Perceptions of Individuals with Parkinson’s Disease about Quality of Life. Rev Cienc Salud. 2018. 16(2):262-278.
  • Hermanns M. The invisible and visible stigmatization of Parkinson’s disease. J Am Assoc Nurse Pract. 2013. 25(10):563-6.
  • Jankovic, J. Parkinson’s disease: clinical features and diagnosis. J Neurol Neurosurg Psychiatry. 2008. 79(4):368-76.
  • Ma HI, Saint-Hilaire M, Thomas CA, Tickle-Degnen L. Stigma as a key determinant of health-related quality of life in Parkinson’s disease. Qual Life Res. 2016. 25(12):3037-3045.
  • Oehlberg K, Barg FK, Brown GK, Taraborelli D, Stern MB, Weintraub D. Attitudes regarding the etiology and treatment of depression in Parkinson’s disease: a qualitative study. J Geriatr Psychiatry Neurol. 2008. 21(2):123-32.


Who to See If You Have Shaky Hands?

Shaky hands

Shaky hands are more commonly known as hand tremors. These hand tremors make everyday tasks much more difficult when compared to the average person. Usually this involuntary movement is a good early warning sign that one may have an underlying neurological or degenerative condition (Healthline, 2018). Shaky hands are a symptom of and Parkinson’s Disease (PD) but more commonly od Essential Tremor (ET) (Healthline, 2018). Parkinson’s disease is a chronic neurological disorder that affects movement starting from tremors in one hand to greater involuntary movement of the rest of the body (Mayo Clinic, 2018).  Along with tremors PD also causes slowing down of movement resulting in stiffness of muscles (Mayo Clinic, 2018). The more common cause of shaky hands essential tremor is known as a neurological disorder that causes rhythmic shaking that will affect parts of the body (Mayo Clinic, 2017). The involuntary shaking associated with ET however occurs only in the hands (Mayo Clinic, 2017).

Seek Professional Help

If you are experiencing any involuntary hand movement issues it Is in your best interest to seek professional help. In such cases one should consult their family doctor first, treatments vary widely for specific tremors and therefore it is crucial that one allows a professional to diagnose and determine what the problem is that you are dealing with (Nazario, 2017).

General Practitioner (GP)

A family doctor or general practitioner is usually the first professional a patient will see when symptoms of shaky hands become a recurring event. It can be easily confused for other conditions as shaky hands is a common symptom in conditions such as Essential tremors, Parkinson’s disease, Multiple Sclerosis, Stroke, Tourette syndrome, overactive thyroid, and neurological disorders (Staff, 2017). Early diagnosis can mean effective treatment hence it is important to get the right kind of help at the right time (Staff, 2017).

The general practitioner will start off with performing tests to look for possible causes of the shaky hands. These tests include blood tests, urine tests, neurological exam, and physical performance tests (Weill Cornell Medical College, 2018). The tests are used as a means to rule out other possible causes and determine the most accurate diagnosis (Weill Cornell Medical College, 2018). In a lot of cases the family doctor may refer one to another specialist to receive better diagnosis outcomes.


A neurologist is a doctor who specializes in disorders of the brain, spinal cord and nerves (Parkinson’s Canada, 2018). A referral is needed for access to a specialist of this nature. Neurologists will help further rule out conditions that are associated with shaky hands. For example, if one has Parkinson’s Disease there are no tests such as x-rays to confirm (Parkinson’s Canada, 2018). In this case the neurologist would take the root of going though one’s family history of medical conditions and the associated linkage, perform a few tests, and a physical examination to once again rule out other conditions that are similar to Parkinson’s to make an accurate diagnosis (Parkinson’s Canada, 2018).

Occupational Therapist (OT)

In some cases where individuals are living in long term care (LTC) homes an Occupational therapy (OT) is the person who they deal with first.  An OT is a profession who specializes in helping individuals with disability, illness or an injury (Floyd, 2018). The OT will help individuals with all occupations, which are the functional activities someone participates in throughout their daily life such as, dressing, reading, eating, bathing, driving, and cooking (Floyd, 2018).  When referring to an OT in association to shaky hands the OT may be the first to notice the symptom and get a doctor involved. Alternatively, if an individual does not reside in a LTC home or have access to an OT for daily services a doctor would be their first form of contact and may refer or suggest services of an OT as they may be helpful once an individual is diagnosed with a certain condition (Floyd, 2018).  OT help to teach techniques and principles that may help make daily functioning for individuals with shaky hands from tremor or Parkinson’s easier (Floyd, 2018).


“I’ve done a good round of OT about 6 years ago and it was a wonderful experience. I was so appreciative of my Occupational Therapist. Thanks for answering our questions and being here for us.

I am a photographer and have had to close down my business due mostly to my cognitive issues, but also due to my hand tremor that has progressively gotten worse. I continue to do my photography as a hobby (can never give it up!), but the brace I use is just not cutting it anymore. It is just one of those used for carpel tunnel syndrome, but I just used it for immobilizing my hand while holding my camera.

The great part about my OT is that once I have been established at my Neurorehab center (which I have), I don’t have to wait for my neurologist to order it. I can call anytime and they can assess me and we can decide together whether I need it ” (MSWorld, 2016).


Naturopathic Doctors (NDs)   

A naturopathic doctor is just like a conventional medicine doctor they both trained in a similar way and provide primary care to patients (Canadian Association of Naturopathic Doctors, 2018). A naturopathic doctor however takes on more philosophical techniques where natural forms of medicine and associated therapies are utilized (Canadian Association of Naturopathic Doctors, 2018). Naturopathic doctors (NDs) are known to treat their patients as an individual and address the physical, environmental, attitude changes, lifestyle and the emotional aspects of health (Canadian Association of Naturopathic Doctors, 2018). The NDs then help to find and treat the cause of the illness or disease using various therapies.

“The naturopathic philosophy is to stimulate the healing power of the body and treat the underlying cause of disease. Symptoms of disease are seen as warning signals of improper functioning of the body, and unfavorable lifestyle habits. Naturopathic Medicine emphasizes disease as a process rather than as an entity. In addition to diet and lifestyle changes, natural therapies including botanical medicine, clinical nutrition, hydrotherapy, homeopathy, naturopathic manipulation and traditional Chinese medicine/acupuncture, may also be used during treatments” (Canadian Association of Naturopathic Doctors, 2018a).

As a comparison conventional doctors on the other hand, usually address and seek treatment for the symptoms of the disease at hand using pharmaceutical therapies or surgery (Canadian Association of Naturopathic Doctors, 2018).



Locate your ND today. Medically trained. Naturally focused

Canadian Association of Naturopathic Doctors


A guide to what kind of doctor you really need.




Canadian Association of Naturopathic Doctors. (2018a). About Naturopathic Medicine. Retrieved from

Canadian Association of Naturopathic Doctors. (2018). Common Questions. Retrieved from

Floyd, J. (2018). An Occupational Therapy Perspective. Retrieved from

Healthline. (2018). Shaking Hands: What Are My Treatment Options? Retrieved from

Mayo Clinic. (2017). Essential tremor. Retrieved from

Mayo Clinic. (2018). Parkinson’s disease. Retrieved from

MSWorld. (2016). Thread: OT/Hand Tremor. Retrieved from

Nazario, B. (2017). Is there a treatment for shaky hands? Retrieved from

Parkinson’s Canada. (2018). Understanding Parkinson’s. Retrieved from

Staff, F. E. (2017). Essential Tremor. Retrieved from

Weill Cornell Medical College. (2018). Doctors Who Treat Essential Tremor. Retrieved from

Why Are My Hands Shaking?

It is quite impossible to keep your hands completely still and therefore to some degree everyone has a tremor (Harvard Health Publishing, 2015). The root cause of this shakiness is due to the tiny muscle fibers found within the hands and arms that are constantly contracting and resting (Piedmont healthcare, 2017). At times this involuntary movement may become imbalanced as some of the muscle groups may continue to contract instead of entering the resting phase setting the timing off (Piedmont healthcare, 2017).

The trick here is figuring out if this shakiness of the hand is normal or abnormal (Harvard Health Publishing, 2015).

““You know your body best,” says Dr. Etienne. “If you feel shaky after a couple cups of coffee or as you prep for a public speaking engagement, it may very well be the caffeine or adrenaline causing your shakiness, and there is no cause for alarm. But if you can’t control it, even when you aren’t using your hands, this might be a sign to seek your doctor’s advice”” (Piedmont healthcare, 2017).


There are a variety of conditions that contribute to hand tremors. Common causes of shaky hands include:

Anxiety. Anxiety takes on a form of a psychological tremor, involuntary muscle movement occurring within the body of a healthy person resulting in mechanical and nervous system interactions (Tomczak, Gajewski, & Mazur–Różycka, 2014).  When dealing with such strong emotions, nerves are heightened causing shaky hands usually due to significant feelings of anger, stress, tiredness or being anxious.

Lack of Sleep. When the body is deprived of sleep it may trigger neurological reflexes that can then result in shaky hands, irritation, mood change, and lack of concentration (Piedmont healthcare, 2017).  Sleep deprivation can also contribute to chronic physical health issues and increase risk for things such as weakened immunity, memory issues, and weight gain (Healthline, 2018).

Alcoholism. The consumption of too much alcohol can result in liver and other health problems such as an alcohol disorder. Alcohol affects everyone differently however, common changes include personality and behavioral change such as irritability and lack of motivation, change in daily regimes, shaky hands, and slurred speech (Nazario, 2018). Depending on the severity of one’s alcohol intake hand shaking can last for a few days to years to even a longer duration of time (Nazario, 2018).   

Liver Damage. Cirrhosis occurs at the end stage of chronic liver disease when there is severe damage caused to the liver resulting in liver scarring (Healthline, 2018a). Common causes are due to alcohol abuse and viral infections (Healthline, 2018a). Positive physical examination tests will show pale skin, yellow eyes (jaundice), hand tremors, reddened palms, an enlarged liver or spleen, and finally, small testicles (Healthline, 2018a).  

Low Blood Sugar (Hypoglycemia). As the blood sugar levels decline well below normal, the nerves and muscles are deprived of fuel causing a variety of different effects such as, shakiness of the hand, sweating, anxiety, hunger, irritability, pale skin, fatigue and irregular heart rhythm (Mayo Clinic, 2018). Keep in mind that the adrenaline system will instantly respond and therefore it will make the shakiness worse for the time being. Overall hypoglycemia is a good indicator that an underlying health problem exists in some cases (Stearn, 2014).  

Overactive Thyroid (Hyperthyroidism). Known to be more prevalent in women and in individuals in their 20s and 30s (Piedmont healthcare, 2017). Excess thyroid hormone being released into the body speeds up processes and can not only result in shakiness but also anxiety, nervousness, rapid heartbeat, sweating, sleeping issues and weight loss (Aleppo, 2018).


In 2007, Oprah Winfrey announced that she had a thyroid problem diagnosed as hypothyroidism (Gentile, 2017).

“ My body was turning on me. First hyperthyroidism, which sped up my metabolism and left me unable to sleep for days. (Most people lose weight. I didn’t.) Then hypothyroidism, which slowed down my metabolism and made me want to sleep all the time. (Most people gain weight. I did! Twenty pounds!)” (Parker-Pope, 2007).

Too Much Caffeine. If too much coffee, tea or chocolate is consumed it can result in shaky hands, feeling of jitters, anxiety, rapid heartbeat, stomach irritation and headaches especially if one has substance sensitivity (Zehr, 2017). Caffeine acts as a central nervous system stimulate and when consumed in adequate amounts it makes the consumer more awake, energetic and alert (Zehr, 2017).

Essential Tremor. A nerve disorder causing uncontrolled shaking or tremors to different areas of the body. Most common areas of the body that are affected include arms, hands, larynx, tongue, head, and chin. In majority of cases lower body parts are not affected by this condition (WebMD, 2018).  A key aspect of essential tremors is that it produces more noticeable movements as the muscle fibers contracting and resting are synchronous oppose to contracting at random (Stearn, 2014).

Katharine Hepburn.png

“ The late “actress Katharine Hepburn is an extreme example of advanced essential tremor – it affected her voice, head and arms, as well as her hands,” Rezak notes. Playwright Eugene O’Neill also suffered from essential tremor. So does rocker J. Roddy Walston, of J. Roddy Walston & The Business, who became increasingly vocal about his condition in the band’s 2013 LP “Essential Tremors.”” (Colino, 2015).

Psychogenic Tremor (Functional Tremor).  Can come and go as any form of shakiness within the body. The tremor worsens during times of peak stress and declines or stops when distracted (Office of Communications and Public Liaison, 2018).  It is very common for individuals with psychogenic tremor to also have an underlying psychiatric disorder such as depression or post-traumatic stress disorder (PTSD) (Office of Communications and Public Liaison, 2018).

Multiple Sclerosis (MS). An immune system targeting disease that affects the nerves, brain, spinal cord and causes shaky hands (WebMD, 2017). Essential tremors in the hand or foot are very common in MS and occur when one is already performing the act of moving (WebMD, 2017).

Jack Osbourne Son of the famous British rock star Ozzy Osbourne,  publicly announced having multiple sclerosis in 2012.

“Since his diagnosis, Osbourne’s motto is “Adapt and Overcome.” He uses the hashtag #Jackshaft on Twitter to talk about his experience with MS. “I will never say that I am thankful for MS,” he said in an open letter. “But I will say that without MS, I don’t know if I would have made the necessary changes in my life that have changed me for the better” (Healthline, 2018b).

Post-Traumatic Stress Disorder (PTSD). A disorder where the brain reacts with excessive fear and nervousness even after one has already experienced or seen a traumatic or terrifying event, long after the original trauma event is over (Peterson, 2018). The brain reacts by staying in overdrive and in a state of hyper alertness for the next trauma (Peterson, 2018). This causes nervousness, jittering, and shaking (Peterson, 2018). Alternately, followed by a traumatic event, one can become numb and shut down their feelings and start to avoid certain situations that recall traumatic events. Other individuals can fall prey for depression, irritability, or risky behavior (Peterson, 2018).


Lady Gaga released an open letter to her fans talking about her battle with post-traumatic stress disorder.

She wrote: “I have wrestled for some time about when, how and if I should reveal my diagnosis of Post-Traumatic Stress Disorder (PTSD). After five years of searching for the answers to my chronic pain and the change I have felt in my brain, I am finally well enough to tell you. There is a lot of shame attached to mental illness, but it’s important that you know that there is hope and a chance for recovery” (Hinde, 2017).

Parkinson’s Disease (PD). A less common condition in comparison to essential tremor. PD causes shakiness of the hand just as essential tremor but rather than causing difficulties in performing tasks the shaking of the hand is the worst when one is resting and not utilizing the hand (Stearn, 2014). The shakiness in Parkinson’s disease is referred to as ‘pill rolling’ this is because its similar to rolling a pill between one’s thumb and side of the index finger (Stearn, 2014).


In 1984, Muhammad Ali’s condition was officially diagnosed as Parkinson’s disease, three years after he retired from the professional boxing (Sawer, 2016).

“at the age of 38, tempted back into the ring by money and his love of the crowd, he suffered a terrible beating at the hands of Larry Holmes, his former sparring partner. In 1981 he took another pummelling, losing on points to Trevor Berbick before finally retiring for good. By now Ali’s physical deterioration was obvious. He suffered from permanent fatigue, his mouth drooled saliva and he developed a tremor in his hand” (Sawer, 2016).


Medications. Involuntary drug induced shakiness can occur as the nervous system and muscles respond to medication’s ingested (Medline Plus, 2018). Some common medications that can cause shaking include:

  • Excessive movement disorder medication (Tetrabenazine)
  • Cancer medicines (cytarabine and thalidomide)
  • Antidepressants (tricyclics and Selective serotonin reuptake inhibitors (SSRIs))
  • Seizure medicines (sodium valproate and valproic acid)
  • Heart medications (procainamide and amiodarone)
  • Asthma medication (albuterol and theophylline)
  • Lithium (mood stabilizer)
  • Immune suppressing medicines (tacrolimus and cyclosporine
  • Stimulants (amphetamines and caffeine)  
  • Antibiotics
  • Nicotine
  • Weight loss/ bariatric medication (tiratricol)
  • Overactive thyroid medication (levothyroxine)
  • Blood pressure medications
  • Antivirals (vidarabine)
  • Epinephrine and norepinephrine

(Medline Plus, 2018)

There are many causes for shaky hands ranging from non-severe issues such as consuming too much coffee to more chronic issues such as essential tremors. Information provided is for educational purposes only and does not replace a licensed physician’s professional diagnosis, treatment or medical advice on your shaky hands problem.

Now Back To The Question, Do You Have Shaky Hands?

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Aleppo, G. (2018). Hyperthyroidism Overview. Retrieved from

Colino, S. (2015). The Truth About Essential Tremor: It’s Not Just a Case of Nerves. Retrieved from

Gentile, J. (2017). Celebrities with Thyroid Disorders. Retrieved from

Harvard Health Publishing. (2015). Tremor – Harvard Health. Retrieved from

Healthline. (2018). 11 Effects of Sleep Deprivation on Your Body. Retrieved from

Healthline. (2018a). Cirrhosis. Retrieved from

Healthline. (2018b). Celebrities with Multiple Sclerosis. Retrieved from

Hinde, N. (2017). 17 Celebrities Open Up About Mental Health. Retrieved from

Livinglifewithessentialtremor. (2018). Katherine Hepburn & ET! Retrieved from

Mayo Clinic. (2018). Hypoglycemia. Retrieved from

Medline Plus. (2018). Drug-induced tremor: MedlinePlus Medical Encyclopedia. Retrieved from

Nazario, B. (2018). Signs of Drug Addiction. Retrieved from

Office of Communications and Public Liaison. (2018). Tremor Fact Sheet. Retrieved from

Parker-Pope, T. (2007). Oprah’s Thyroid Club. Retrieved from

Peterson, M. (2018). Post-traumatic Stress Disorder (PTSD) Symptoms, Tests & Treatments. Retrieved from

Piedmont healthcare. (2017). Shaky hands – normal or not? Retrieved from—-normal-or-not

Sawer, P. (2016). His longest round: Muhammad Ali’s fight with Parkinson’s disease . Retrieved from

Stearn, M. (2014). Shaky hands. Retrieved from

Tomczak, A., Gajewski, J., & Mazur–Różycka, J. (2014). Changes in Psychological Tremor Resulting From Sleep Deprivation Under Conditions of Increasing Fatigue During Prolonged Military Training. Biol Sport, 31(4), 303-308. doi:10.5604/20831862.1127343

WebMD. (2017). Can multiple sclerosis (MS) cause shaky hands? Retrieved from

WebMD. (2018). The Brain and Essential Tremor. Retrieved from

Zehr, M. (2017). How to Treat Hand Tremors by Exercising. Retrieved from

Living with Parkinson’s Disease (The Caregiver Edition)


Parkinson’s disease is a progressive, neurodegenerative brain disorder that leads to shaking, stiffness, and difficulty with walking, balance, and coordination (Robinette, Charles et al, 2018). Symptoms usually begin gradually and worsen. Overtime individuals may experience mental and behavioral changes, memory loss, fatigue, sleep problems, and depression. PD is most common in men aged 60. However, early onset of the disease can begin at the age of 50 (Robinette, Charles et al, 2018).

Families Coping with Parkinson’s Disease  

Parkinson’s Disease like any other chronic illness manifests many physical and psychological challenges, this can be incredibly hard on the family. Along with the affected individuals the family has to also deal with change and adopt to this new lifestyle that comes along. It can be emotionally devastating to see a family member suffer and having to support and care for them throughout (WHP, 2017).

qaulity of life

Family members of individuals with PD have their work cut out for them. Caregivers and family take part in: 

  • Maintaining quality of life
  • Keeping updated on disease progression, symptoms, treatment and challenges.
  • Offer love and support

(Senelick, 2016)

Maintaining Quality of Life

It is a crucial part of maintaining quality of life even after being diagnosed with PD that affected individuals understand that they are not alone in this journey. The family should actively be apart of the affected family members daily life. Involvement can range from different activities such as going for a walk, watching television, taking a trip to the grocery store, or even doing laundry (WHP, 2017). As long as some involvement is there from the family it can act as a temporary relief from symptoms and enhance quality of life (WHP, 2017)

(Ryerson, 2015)

Keeping Updated on Disease Progression, Symptoms, Treatment and Challenges

Many symptoms of PD are almost invisible these include fatigue, anxiety and depression (Ryerson, 2015). Most of the time it is not immediately apparent that your loved is suffering as it may be internal symptoms. Having frequent conversations about how your loved one feels and what has changed or progressed within their illness is key. This keeps family members in the loop and allows them to accommodate for long-term care.

Offer Love and Support

Doctor’s appointments, support group meetings, communicating with children and other family members can all be very overwhelming. It is a good idea to have and bring a caregiver along to listen and take part in certain situations. For example, it may be a good idea to take your spouse along to a doctor’s appointment as she or he will have a better idea about any mood or behavioral changes and concerns (Ryerson, 2015).

A poem describing Jane Davis’ experience with Parkinson’s disease when her husband, Gary, was diagnosed


“I watch
your body slowly deteriorating
not daily, not weekly,
but it is there.
I compare to a year past
and then I know,
your body is betraying you.

Friends notice
family too,
our children don’t want to admit.
To them, you are the superhero
one that can do anything
build anything
fix anything.
Maybe that is how it should be.

I watch you move and sway,
Darn medications.
Darn disease.
I watch you struggle to button,

Darn disease.
I watch you walk with your bent back,
I watch you grimace in pain.
Darn disease.
I watch your hands tremor,
Darn disease.
I watch those many trips to the bathroom
Darn disease
I watch you take your medications
throughout the day
too many to count.
Darn disease
I watch you keep going
fighting back that pain and stiffness

I love your drive
I love that you never give up
I love that you refuse to slow down

I watch you with admiration and love.”

(Parkinson’s Foundation, 2018).

As the poem portrays PD is a rough journey that needs a strong will and strong supportive caregiver. Have any of our readers created any other poems? We would love to read or hear them. Reach out via our Facebook page

External Support Resources

We sometimes forget to keep in mind that PD takes a toll on the caregiver and family. Support is also needed to those providing care to their loved ones. Families no longer have to cope with Parkinson’s disease alone. Many support groups, charities and educational material and aid are openly available. Here is a short list that our team has found to be greatly supportive:

Caring in a Family with Parkinson’s –  Parkinson Canada

The Emotional Side of Caregiving: Parkinson’s Caregivers Share Advice  – Michael J. Fox Foundation

Parkinson’s Disease and CaregivingFamily Caregiver Alliance


Parkinson’s Foundation. (2018). How to Cope with Parkinson’s as a Caregiver. Retrieved from

Michael J. Fox Foundation. (2018). Support & Caregiving for Parkinson’s Patients: The Michael J. Fox Foundation. Retrieved from

Robinette, J. W., Charles, S. T., & Gruenewald, T. L. (2018). Neighborhood cohesion, neighborhood disorder, and cardiometabolic riskSocial Science & Medicine, 198, 70-76. doi:10.1016/j.socscimed.2017.12.025

Ryerson, N. (2015). Parkinson’s Disease and Your Marriage: Advice from Our Community. Retrieved from

Senelick, R. (2016). Coping Tips for Caregivers of Those With Parkinson’s Disease. Retrieved from

WHP. (2017). We Have Parkinson’s. Retrieved from

Tremors in the Workplace

Written by Tiana Corovic
Some of us take the ease for which it takes to perform a 9-5 job for granted. For others, this is a luxury that can’t be afforded. Tremors can do more than affect one’s capability to perform tasks, but can lead to discrimination, employment termination, and (most importantly) loss of confidence.


It’s Your Right

Under the Canadian Charter of Rights and Freedoms it is clearly stated that every individual is to be considered equal. People can also turn to The Canadian Human Rights Act to protect themself against harassment or discrimination based on disability (Government of Canada, 2017). Canada data demonstrates that about half of disabled Canadians are employed, leaving many more under-employed compared to their non-disabled counterparts (McQuigge, 2017). Unfortunately, regardless of disability laws, there continues to be cases of discrimination.


A case reported by Knowsley (2015) described a lift technician who was dismissed after his boss became aware of his hand tremors. While his excuse was the termination was due to safety reasons, the technician had worked there for over 5 years without prior interference. Furthermore, the employer did not seek a medical examination to determine whether working conditions were unsafe, and the tremor was overall very slight. As result of this discrimination in the workforce, the technician received $3, 700 for lost wages and $25, 000 for loss of dignity and injury.  Cases such as this one also extends to a waitress with tremors who was fired for spilling items when carrying her tray (Brody, 2007).


If qualification for work remains unchanged, employers have no grounds to dismiss based on disability. Everyone has the right to make a livelihood for themselves without having to worry about additional discrimination from employers.


How tremors affect the workplace


Personal anecdotes on the International Essential Tremor Foundation site provided insightful details about daily struggles faced with tremors and various coping mechanisms that were used to surpass them. For example, one author and musician revealed how his essential tremors used to be a constant source of embarrassment and anxiety. Learning guitar with tremors was a great struggle, which made him modify his pursuit to singing. After many years of trying to hide his tremors, he finally embraced it and decided to spread awareness through his music and novel audience. Another story took on the viewpoint of a Los Angeles Times new editor whose essential tremors interfered with his ability to draw cartoon characters. While his tremors were not a source of embarrassment, he was aware that his ability to draw cartoon characters without assistive devices might soon become impossible.


Various professions will face various barriers when dealing with tremors, however it’s important to take appropriate steps to ensure you can work to your full capacity.  A personal account by Vito Cosmo (2014) described how tremors led to small and illegible handwriting, which can be seen as a problem for a State and Local Tax director. As a solution to this issue, he would carry his laptop to meetings or have someone else take handwritten notes for him. Another student had a similar problem where she couldn’t write her own notes, but once the disability laws entitled her to a note taker she was able to return to college (Brody, 2007). While tremors are a common issue for these individuals, so is fatigue. As result, occasionally working from home or having later start times might be necessary to deal with fatigue. One important distinction with disability in the workplace is that while it might affect one’s ability to perform tasks, it doesn’t change one’s qualifications to do a good job.


Additional tips and tricks reported by individuals suffering from tremors include: surround yourself with positive individuals, practice deep breathing exercises and stay organized (Cosmo, 2014). Others have practiced yoga to gain flexibility or other forms of physical activity.  One woman even wrote a book where she provided advice for dealing with essential tremors, including: hold half mugs with all fingers at the rim, use a travel mug with a lid and straw, ask for already cut food from restaurants, use pens with rubber grips, replace buttons with Velcro, and carry a stack of printed labels with your contact information (Brody, 2007).


Tremors Brought on by the Workplace

Toxins in the workplace environment can compromise health long-term both physically and mentally. Numerous studies have pointed to manganese toxicity exposure, common for manganese miners, smelters, welders, and battery workers, as a cause for psychiatric symptoms and postural tremors. In a study that compared welders with tremors to tremors in patients with Essential Tremors (ET) and Parkinson’s Disease (PD), tremor intensity and amplitude was greater in the first two groups respectively. Hand tremors worsened with arm extensions, resulting in greater reporting of action and postural tremors in welders than patients with PD. For example, welders’ tremors doubled when the right arm was extended, but remained largely unchanged in patients with PD (Sanchez-Ramos et al., 2011). After 20+ years free of environmental toxins, blood samples yielded low to zero traces of manganese, but postural tremors continued to persist.  Unfortunately, this is neither the first nor last reporting of manganese exposure in literature.


Another possibility for work onset tremors is stress. One case study examined a 52 year-old nurse in the intensive care unit who developed tremors for fine motor activities. That made tasks, such as handling an arterial line, next to impossible. However, after she switched to day surgery, which she found far less stressful and allowed her adequate sleep, her tremors did not impede on nursing duties as they had on previous occasions (Lurati, 2015).


There are plenty of stories shared online of daily struggles faced by individuals with tremors. Creating a support network, knowing your rights, and making changes to improve daily living will help individuals take control of their tremors and workplace.




Brody, J.E. (2007). Understanding and coping with tremors. The New York Times.

Retrieved from:

Cosmo, Vito A, Jr,C.P.A., C.G.M.A. (2014). Embrace the elephant in the room:

Disability in the workplace. Pennsylvania CPA Journal, 85(2), 24-26.

Government of Canada. (2017). Rights of People with Disabilities. Government of

Canada. Retrieved from:

Knowsley, A. (2015). Employee discriminated against in workplace for hand

tremor,. Rainey Collins Lawyers.

Lurati, Ann, AR NP, AC NP-BC, MPH,D.N.P., C.O. (2015). An ICU nurse with a

history of tremors. Workplace Health & Safety, 63(1), 6-8. doi:

McQuigge, M. (2017). Canadians with Disabilities Act to focus on employment:

minister. Global News.

Sanchez-Ramos, J., Reimer, D., Zesiewicz, T., Sullivan, K., & Nausieda, P. A.

(2011). Quantitative analysis of tremors in welders. International Journal of Environmental Research and Public Health, 8(5), 1478-90.