Tremors

Tremors are a movement symptom that can affect some people living with multiple sclerosis (MS). A tremor is an involuntary shaking or trembling in part of the body – often the hands, arms, head, or even the voice. Tremors can range from mild and barely noticeable to more severe and disruptive, making certain daily tasks more difficult.

MS-related tremors are usually caused by damage to areas of the brain or nerve pathways that coordinate movement. While tremors can be frustrating, there are various management strategies, treatments, and supports that can make a difference.

If you are experiencing tremors, talking to your healthcare team can help identify approaches and therapies to reduce their impact on your life. You are not alone – many people with MS manage tremors and continue to lead active, fulfilling lives.

What are tremors?
Tremors are involuntary, rhythmic muscle movements that may affect the hands, arms, head, face, vocal cords, trunk, or legs. They can range from mild to severe and may impact daily functioning.
MS tremors result from damage to areas of the brain that control balance and movement (e.g., cerebellum, thalamus). Nerve signals become disrupted, resulting in unintended muscle movements.
Discuss with your GP or neurologist if tremors start or worsen. They may recommend assessment, medication review, or referral for further investigation or therapy.
  • Work with physiotherapists and occupational therapists on rehabilitation
  • Use practical strategies for daily tasks (adaptive cutlery, weighted items)
  • Avoid known triggers (e.g., fatigue, stress)
  • Use both hands and stabilise arms on surfaces when possible

Medication may help some, particularly if tremors are severe. If caused by a relapse, steroids may be prescribed. Rehabilitation through physio and occupational therapy remains crucial to limit their daily impact.

General Information

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