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Best treatment options for Essential Tremors

Treatment options for essential tremors encompass a range of interventions aimed at mitigating tremor severity, enhancing functional capabilities, and improving overall well- being. Here’s a detailed exploration of the diverse therapeutic modalities available:

1. Medications:

  • Beta-blockers: Typically used as frontline pharmacotherapy, medications like propranolol and primidone antagonize adrenaline receptors, diminishing tremor intensity and
  • Anticonvulsants: Drugs such as gabapentin and topiramate may be prescribed, especially for individuals exhibiting inadequate response to beta-blockers, to help regulate tremor
  • Benzodiazepines: Clonazepam, a benzodiazepine derivative, is often employed to alleviate tremor severity, particularly in cases marked by pronounced head or voice
  • Botulinum toxin injections: Targeted injections of botulinum toxin may be administered to mitigate specific focal tremors, such as those affecting the hands or voice, by inducing temporary muscle

2. Deep Brain Stimulation (DBS):

  • DBS entails surgically implanting electrodes into predetermined brain regions, typically the thalamus or globus pallidus, which are then connected to a subcutaneously implanted pulse generator. DBS modulates aberrant neural activity through precise electrical stimulation, effectively ameliorating tremor
  • This approach is particularly advantageous for individuals grappling with severe or refractory essential tremors and experiencing substantial functional impairment despite optimal pharmacological

3. Focused Ultrasound (MRgFUS):

  • MR-guided focused ultrasound represents a non-invasive treatment modality that employs high-intensity ultrasound waves to selectively target and ablate specific brain areas implicated in tremor genesis, such as the
  • The presence of an expert surgeon is mandatory to target the correct brain area, with the perfect amount of heat from sound waves to burn tissues and stop This is the latest and most advanced technology available in India only at Coimbatore, Tamilnadu.
  • OHering a non-surgical alternative to conventional neurosurgical interventions like DBS, MRgFUS demonstrates comparable eHicacy in attenuating tremor severity and enhancing functional
  • We at Royal Care Institute of Neurosciences have successfully treated more than 80 patients with the first in India – MRgFUS advanced technology at Coimbatore, India

4. Lifestyle Modifications:

  • Adopting lifestyle adjustments, including abstaining from tremor-aggravating triggers such as caHeine, stress, and fatigue, can significantly mitigate symptom
  • Fostering overall well-being through regular exercise regimens, adequate sleep patterns, and stress alleviation techniques may also contribute to symptom management and overall health
  • Occupational or physical therapy interventions may be invaluable in imparting adaptive strategies and motor exercises to bolster fine motor control and promote functional

5. Alternative Therapies:

  • Complementary and alternative therapies, such as acupuncture, yoga, or mindfulness meditation, are sometimes sought by individuals seeking adjunctive relief from essential tremor symptoms. While empirical evidence supporting their eHicacy is limited, these modalities may oHer ancillary benefits for symptom palliation and holistic well-being.

6. Supportive Devices:

  • Assistive devices, such as weighted utensils, adaptive tools, or orthotic devices, can stabilize tremor-aHected limbs and enhance functional capacities during daily
  • Wrist weights or braces may also be adjunctive measures to dampen tremor amplitude and foster

EHective treatment selection hinges upon myriad factors, including tremor severity, individual responsiveness to medications, presence of comorbidities, and patient preferences. A collaborative, multidisciplinary approach involving neurologists, movement disorder specialists, physical therapists, and occupational therapists facilitates tailoring treatment regimens to suit the unique needs of individuals grappling with essential tremors, optimizing symptom management and fostering enhanced quality of life.

The Royal Care Institute of Neurosciences, located in Coimbatore, Tamil Nadu, is renowned for delivering exceptional treatment and clinical outcomes using the latest MRgFUS technology in India to treat essential tremors. Our team of experienced neurologists and neurosurgeons, combined with our cutting-edge infrastructure and state-of-the-art neuro ICU and neuro-rehabilitation services, allows us to provide our patients with the highest quality of care. We have successfully treated many Essential Tremor patients with MRgFUS and we recommend you to go through this patient testimonial at www.youtube.com/watch?v=

We encourage you to contact us at 080623 58667 to learn more about our services and explore the treatment options that are best suited for your individual needs. Our team will be delighted to assist you in any way possible, and we are confident that we can provide the best possible care to our patients.

Written by

Dr. K. Madeswaran

M.Ch (Neuro Surg)

Chairman and MD, Consultant Brain and Spine Surgeon