✋ Tremors or Shaking Hands? Know the Difference Between Parkinson’s and Essential Tremor

By Prof. (Dr.) Rohit Chhirolya – Best Neurologist in Cuttack

DM (Neurology), SGPGI | MD (Medicine), KGMU

Chief Consultant, Nilakantha Brain Clinic, Mangalabag, Cuttack






🤔 Introduction



Have you noticed your hands shaking while drinking tea, writing, or holding your phone? Is it happening more frequently or worsening with age?

These could be signs of a neurological tremor, and may indicate either Essential Tremor or Parkinson’s Disease.


As the Best Neurologist in Cuttack, I help patients accurately differentiate and treat tremors before they interfere with daily life.





🔍 Common Causes of Tremors



Hand shaking can be caused by several conditions, including:


  • Essential Tremor (familial, benign but progressive)
  • Parkinson’s Disease (neurodegenerative brain disorder)
  • Thyroid disease or low blood sugar
  • Cerebellar lesions or stroke
  • Medication-induced tremors
  • Anxiety or fatigue-related physiological tremor



Only a skilled neurologist can differentiate the exact cause and begin effective treatment.





🧠 How Essential Tremor and Parkinson’s Differ



As the Best Neurologist in Cuttack, I ensure you get a correct diagnosis early — because that changes everything.





🧪 Diagnostic Approach at Nilakantha Brain Clinic



  • Neurological examination of tremor type and pattern
  • Handwriting and coordination tests
  • MRI Brain (if cerebellar or vascular cause suspected)
  • Dopaminergic drug trial (for Parkinson’s confirmation)
  • Thyroid and metabolic panel






💊 Treatment Options



I design a custom treatment plan depending on your condition:


  • Medications: Propranolol, Primidone (for Essential Tremor); Levodopa, Ropinirole (for Parkinson’s)
  • Botulinum toxin injections (in selected cases)
  • Deep Brain Stimulation (DBS) referral if tremors are drug-resistant
  • Rehabilitation therapy to improve hand control
  • Diet and sleep modifications to reduce tremor intensity



With early and expert care from the Best Neurologist in Cuttack, tremors can be well-controlled in most cases.





👨‍⚕️ Why Dr. Rohit Chhirolya Is a Trusted Name in Neurology



  • Trained at SGPGI Lucknow, India’s top neuroscience institute
  • Advanced experience in movement disorders and tremor syndromes
  • Personalized care with long-term follow-up
  • Preferred by neurology, medicine, and geriatric specialists
  • Rated by patients as the Best Neurologist in Cuttack for Parkinson’s and tremor care






📍Visit the Leading Neurology Clinic



📌 Nilakantha Brain Clinic, KathaGola, Mangalabag, Cuttack

🕘 Open: Mon–Wed–Fri–Sat | 10 AM – 3 PM

📞 For Appointments: 7985022365





✅ Final Thoughts



Don’t let tremors shake your confidence. Consult the Best Neurologist in Cuttack, Dr. Rohit Chhirolya, for accurate diagnosis, advanced treatment, and a steady path forward.


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