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Diagnosing the Condition

The diagnosis will typically begin with the person’s medical history being taken. The physician will be looking not only for offending drugs (drugs prescribed for other medical conditions which can cause tremor as a side effect), but for signs and symptoms that may have previously been noted but for which no action has been taken. The physician will also ask about the family history.

While the diagnosis of ET remains a visual one, certain brain scans Magnetic Resonance Imaging (MRI) and Computerised Tomography (CT) may be helpful in eliminating any other conditions which also produce tremor as a symptom. For example growths such as tumours or damage to the brain can be seen on certain brain scans. Blood samples may also be taken to rule out thyroid or copper metabolism problems, both of which can cause tremor. DATScan a diagnostic test can distinguish between ET and tremors of Parkinson's disease.

When all other possible causes of tremor have been ruled out, a diagnosis of essential tremor may then be considered - it is a clinical diagnosis and it is essential that those with tremor are seen, at least once, by a specialist with an interest and expertise.

Comments from our members

Showing most recent comments first

Thursday 25th April 2013 23:19

I have had ET for as far as we can tell, my whole life. I am now 43. Of course, like Russ, I still suffer too. This is because ET does not go away and in many cases is also progressive, as most of those here will be aware.

My parents first became concerned when I was about five and it became apparent then that during and after the emotional upheavals that most children that age are prone to I would have a very pronounced and violent shaking of my arms and a general wobbliness and I woukld become quite clumsy. I had an unusually deep and slightly hoarse sounding voice for my age too.

There was a lot of to-ing and fro-ing to family doctors who at first, because of my youth and also the lack of any other indicators for more serious conditions, were rather dismissive and even a bit sneering at worst. As I grew older it became apparent that I had some very mild form of numerical dyslexia toom which caused me no end of misery and even bullying at school.
It is perhaps my family's initial belief that the two issues were linked that may have inadvertantly prevented diagnosis for so long.

One doctor finally took us seriously and arranged a week at Great Ormand Street for a battery of tests to rule out more sinister conditions. I was twelve then and I met a lot of very poorly, very brave kids that week. I did some fast growing up, it put things into perspective and when the proffesionals could only shrug after the tests, I asked my parents to give up. They agreed. I had a childhood to get on with after all.

Finally though I got a diagnosis. In a sort of 'what the hell. One last shot.' moment. Whilst living in Belfast in my early twenties, I had noticed that my tremor appeared to be getting more pronounced. People I did not know would often comment on it and I got slightly worried when a young woman on a bus leaned over and conspirationally whispered that her brother had parkinsons too.

I went to my doctor, who sent me to see a neurologist. Within three hours I had a diagnosis that made perfect sense.

I was offered various medications but thankfully I had an educated doctor who also pointed out that no treatment is also an option. In my opinion, a few splodges of tea down my jumper and on the floor each day are small irritation in comparison to the even more unpleasant side affects of the many different medications offered and preferrable to the life destroying risks of surgery.

That is not meant as a criticsim of those who prefer to have drugs or who have tried surgery with successful results. It's simply that as some one who has had the condition for as long as she can remember and has got by with out drugs all her life, I feel I can manage as I am.

I would like to say hello to Russ as a fellow long term sufferer, if he ever checks in for another visit.
I hope you eventually got a satisfactory diagnosis and I hope, considering the prognosis of PD that infact, it was ET.
To answer your question Russ, yes it is common for ET to worsen during times of stress and high emotion.

Best wishes.

Friday 13th July 2012 15:26

I have had a tremor ever since i was very young, i am now 45 and i still suffer, it was only suggested by a doctor that it was ET and i have been on Propanalol for a while but i do notlike taking them as they give me a tight chest. Can anyone tell me if it gets worst when they get excited or over anxious . I find breathing out really slow and long helps before doing anything tricky, i am an electrician so you can imagine my problems i used to hate people commenting on itbut now i don't care ,its the way it is.I am also very forgetful is this common too? I thought, and still think, my issue maybe PD as i also have a lack of facial expression sometimes when concerntrating, all your views will be helpful, many thanks

Saturday 29th October 2011 15:17

I have had a tremor for a fair few years now and i'm not too sure what it is. i don't have it at rest but i do have it when i make certain hand and arm movements and i think i have it in my head too as i feel it move involuntary sometimes but its not noticeable as yet. I have been to the doctors and they tested me for an over-active thyroid and it came back that i have an under-active thyroid! so i am now on levothyroxine for life and my tremor has been left undiagnoised. my family notice it and they make jokes that i have the DT's, as mia's comment above, and i also shake when i use a knife and fork but i don't lose any food as yet.

Wednesday 21st April 2010 15:12

Thank you for posting Mia. Please call us if you need further support in coping with your tremor. We are continuing to add to add to our website, which I hope will help you. Telling people you have tremor really does help. You can always print information off of our website to show people when they comment or ask you questions.

Monday 19th April 2010 12:11

I have had ET since my late teens mostly my left hand/arm then my right. I shake so badly I can't hold a cup, but the most awful thing is people think I have DT's from drink!
It makes eating out hard too as things drop off my knife and fork.

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