Tremor Specialist

Bharat Tolia, MD -  - Neurologist

Comprehensive Neurology

Bharat Tolia, MD

Neurologist located in Pontiac, MI

An unintentional tremor in the hands or other parts of the body can be normal, or it may indicate a neurological condition like Parkinson’s disease. Bharat Tolia, MD, specializes in diagnosing and treating neurological disorders and their symptoms at Comprehensive Neurology Headache and Sleep Center in Pontiac, Michigan. If you have a tremor and are looking for solutions, call or schedule an appointment online.

Tremor Q & A

What is a tremor?

A tremor is an involuntary, rhythmic movement involving one part or side of your body. Tremors are usually caused by a problem in your brain that controls movement in the affected part of your body.

There are two primary types of tremor: resting and action. Resting tremors occur when you’re still, but go away when you begin moving. Action tremors take place when the affected part of your body moves.

In addition to the two types, tremors are organized into different categories:

  • Essential tremor: the most common movement disorder, tends to run in families
  • Parkinsonian tremor: a resting tremor, often the first sign of Parkinson’s disease
  • Dystonic tremor: occurs in people with dystonia, a movement disorder
  • Cerebellar tremor: caused by damage from conditions like stroke, multiple sclerosis
  • Psychogenic tremor: caused by a psychological condition or psychiatric disease
  • Orthostatic tremor: usually affects the legs
  • Physiologic tremor: a response to drugs, alcohol withdrawal, or conditions like overactive thyroid and hypoglycemia

What causes tremors?

Tremors can be caused by factors like low blood sugar, muscle fatigue, too much caffeine, stress, and aging. They can also be the result of medical conditions. These include:

  • Parkinson’s disease
  • Stroke
  • Multiple sclerosis
  • Hyperthyroidism
  • Traumatic brain injury


Tremors can also be caused by alcoholism.

How is a tremor diagnosed and treated?

During your appointment, Dr. Tolia performs tests to determine the cause of your tremor. These include lab tests like blood work and urinalysis to check for medical conditions, like thyroid disease, that may be causing your tremor.

Dr. Tolia also conducts a neurological exam to evaluate your nervous system and how it’s functioning. This test measures:

  • Coordination and balance
  • Posture
  • Muscle tone and strength
  • Tendon reflexes
  • Sense of touch


While your neurological exam is underway, Dr. Tolia asks you to perform tasks like touching your nose, drawing a certain shape, and other exercises to measure your function. Depending on your evaluation, Dr. Tolia might also recommend an electromyogram (EMG) to measure your muscles’ activity and their response to nerve stimulation.

Depending on your diagnosis, Dr. Tolia might recommend medications like beta blockers, tranquilizers, or antiseizure medications to reduce your tremors. Other treatments might include physical therapy to strengthen your muscles and improve your coordination or brain stimulation surgery.

Some tremors are considered normal, and no treatment is necessary.

Call or schedule an appointment with Dr. Tolia online today to diagnose and treat your tremor today.